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Review

Medical genetics: 2. The diagnostic approach to the child with dysmorphic signs

Alasdair G.W. Hunter
CMAJ August 20, 2002 167 (4) 367-372;
Alasdair G.W. Hunter
Dr. Hunter is a consultant with the Eastern Ontario Genetics Program, Children's Hospital of Eastern Ontario, and Professor of Paediatrics, University of Ottawa, Ottawa, Ont.
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    Fig. 1: (A) Partial fluorescence in situ hybridization (FISH) metaphase from patient 1 showing the differentially coloured chromosomes 20 (turquoise) with a similar coloured segment attached to the chromosome 14 labelled 14p+. (B) Partial FISH metaphase from patient 1 showing the chromosomes 20 with their short (p) arms labelled red, with a similar coloured segment attached to the chromosome 14 labelled 14p+.

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    Fig. 1: (A) Partial fluorescence in situ hybridization (FISH) metaphase from patient 1 showing the differentially coloured chromosomes 20 (turquoise) with a similar coloured segment attached to the chromosome 14 labelled 14p+. (B) Partial FISH metaphase from patient 1 showing the chromosomes 20 with their short (p) arms labelled red, with a similar coloured segment attached to the chromosome 14 labelled 14p+.

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    Fig. 3: Partial FISH metaphase from patient 2 showing the 2 chromosome 17s highlighted by a pink fluorescent stain. The chromosome marked with the white arrow is missing the stain for the Smith-Magenis locus and has only the control fluorescence. The normal chromosome has 2 fluorescent points.

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    Fig. 2: Partial lateral photograph of patient 2 showing the underdeveloped malar region, the philtrum running parallel to the nose and an everted lower lip, which are all characteristic of Smith-Magenis syndrome.

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CMAJ
Vol. 167, Issue 4
20 Aug 2002
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Medical genetics: 2. The diagnostic approach to the child with dysmorphic signs
Alasdair G.W. Hunter
CMAJ Aug 2002, 167 (4) 367-372;

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Medical genetics: 2. The diagnostic approach to the child with dysmorphic signs
Alasdair G.W. Hunter
CMAJ Aug 2002, 167 (4) 367-372;
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  • Article
    • Abstract
    • Why strive for a diagnosis for a child with dysmorphic signs?
    • How does one approach a diagnosis in dysmorphology?
    • Referral to a dysmorphologist for assessment
    • How is the laboratory helpful in dysmorphology?
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