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Report of a patient with fragile X syndrome unexpectedly identified by karyotype analysis

Relato de um paciente com a síndrome do X frágil identificada de forma inesperada por meio do cariótipo

ABSTRACT

Fragile X syndrome is considered the main known cause of inherited learning disabilities and it is characterized by mutations in the FMR1 gene. Our aim was to report an unexpected detection of a patient with fragile X syndrome by GTG-Banding karyotype analysis (G-bands after trypsin and Giemsa). The karyotype analysis identified Xq27.3 fragility in 17% of the metaphases analyzed and in 54% when using TC 199, consistent with the cytogenetic diagnosis of the syndrome. This case was the sole one to present the fra(X) tests in the high-resolution karyotype analysis in our care service, contributing to future diagnoses of patients with history of developmental delay.

Key words:
karyotype; fragile X syndrome; intellectual disability; chromosomal fragile sites

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