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Biomedical subjects

M Osztovics

Publications and source records attributed to M Osztovics.

At least 19 recordsLinked to original sources

Partial deletion of short arm of chromosome 8.

46, XY, del(8) (p21-pter) aberration was found in a 5 year old boy with moderate craniofacial dysmorphia, mental and somatic retardation. The cytogenetic and clinical features of the patient were compared to 11 cases found in the literature. Partial 8p monosomy does not produce a unique phenotypic alteration. Postnatal growth deficiency, craniofacial dysmorphia and mental retardation are the main and common characteristics of many structural autosomal aberrations. The importance of cytogenetic analysis in such cases is stressed.

Child, Preschool

Partial deletion of short arm of chromosome 18.

Three cases of partial deletion of the short arm of chromosome 18 (pll-pter) are presented. The cytogenetic and clinical features of the patients observed are compared to cases found in the literature. 18p-aberration produces a fairly unique phenotypic alteration, but on the sole basis of the clinical manifestation, without cytogenetic analysis, correct diagnosis cannot be established.

Child

Unusual chromosome aberrations in 3 children with Down syndrome.

In 3 children with Down syndrome extremely rare chromosome aberrations were found. In the first patient, the karyotype showed 46 chromosomes with a de novo duplication of the q22-qter segment. This finding supports that the 21q22-qter band was responsible for the characteristic mongoloid features. In the second case, trisomy 21 was present and out of 78 investigated cells, 60 contained a small, supernumerary marker chromosome in addition to trisomy 21. The parents were cytogenetically and clinically normal. In the third case trisomy 21 with inv(10) (p13q22) occurred. The inversion was inherited from the mother with diminished fertility.

Child, Preschool

[Cytogenetic investigations in 817 dysmorphic babies].

By means of G-, C-, and Q-banding techniques 817 dysmorphic children under 1 year of age were cytogenetically investigated. 184 cases of Down's syndrome, 54 cases of various numerical or structural autosomal aberrations, and 29 cases of gonosomal aberration were discovered. The criteria of dysmorphia are the following: intra-, and/or extrauterine retardation, occurrence of minor and/or major malformations, dysfunction of the central nervous system, and the ambiguity of the external genitals, respectively. The proper evaluation of the dysmorphic signs markedly increases the efficiency of the cytogenetical studies. According to the results, the principles applied in 16 patients the background of the dysmorphic features of a pericentric inversion of chromosome No 9 could be disclosed. This phenomenon earlier regarded as polymorphism or normal variant seems to be playing an important role in the etiology of unspecified dysmorphic syndromes. The early detection of a chromosomal aberration ensures the correct judgment of the diagnosis and the prognosis of the patient and by tracking down the carrier family members helps in the prevention, too.

Chromosome Aberrations

Hyperuricaemia associated with 18q deletion. Atypical Lesch-Nyhan syndrome?

The existence of a clinically typical Lesch-Nyhan syndrome was observed in a male infant with 18q deletion syndrome. Indirect hypoxanthine-guanine-phosphoribosyl transferase activity determination demonstrated a normal value, and thus the possibility of Lesch-Nyhan syndrome linked to the X-chromosome may be excluded. It is assumed that the uric acid metabolism must be under the primary or secondary effect of one or other of the gene loci on the long arm of chromosome 18, since the existence off a hyperuricaemic syndrome was observed in this 18q deletion patient.

Chromosome Deletion

National programme for prevention of the recurrence of neural tube defects.

Mothers who since 1970 gave birth to children with anencephaly or spina bifida in Hungary are informed about the recurrence risk, the possibility of prevention and about the four institutes where alpha-feto-protein determination is done. In one of these institutes the examination was recommended to 175 women of whom 158 availed themselves of the opportunity. The outcome of their pregnancy is now known in 131 cases. Of these, in 101 the examination was performed because of previous occurrence of anencephaly-spina bifida. High concentration (400, 200, 140 micrograms/ml) were found in 3 cases; they were due to anencephaly (selective induced abortion), severe spina bifida (liveborn) and macerated fetal death. The examination yielded values above the 99% confidence limit in the given gestational week in further 9 cases. The elevated values were due to twinning in 2 cases, to closed spina bifida in 1, and to fetal death in 1 case. The slightly elevated alpha-fetoprotein in 4 of them may have been due to chance.

Amniotic Fluid

The alcohol syndromes: the intrarecombigenic effect of acetaldehyde.

Sister chromatid exchange was studied in lymphocyte and fibroblast cultures. Alcohol caused no disturbance under normal conditions but an acetaldehyde level above 40 muM inhibited cell multiplication and elevated SCE considerably. A high acetaldehyde level is thought to elicit the fetal alcohol syndrome, a view supported by clinical and experimental observations.

Acetaldehyde

The fetal alcohol syndrome: symptoms and pathogenesis.

The symptoms of the fetal alcohol syndrome and their frequency of appearance are described based on 41 reports in the literature and on own observations. Experimental evidence is presented proving the lack of cytotoxicity, mutagenicity and teratogenicity of alcohol itself and the intensive cytotoxicity, mutagenicity and teratogenicity of acetaldehyde. Responsibility for the fetal alcohol syndrome is ascribed to acetaldehyde at maternal blood concentrations surpassing 35 micrometer and it is suggested that the raised acetaldehyde level is due to an inherited or acquired defect of mitochondrial aldehyde dehydrogenase. Prospective mothers displaying acetaldehyde levels exceeding 30 micrometer after a drink should be advised against bearing a child.

Abnormalities, Drug-Induced