Submicroscopic Xpter deletion in a boy with growth and mental retardation caused by a familial t(X;14)

Am J Med Genet. 1999 Nov 19;87(2):189-94. doi: 10.1002/(sici)1096-8628(19991119)87:2<189::aid-ajmg12>;2-h.


In a 3-year-old boy with short stature, developmental delay, and dry skin, steroid sulphatase deficiency and a submicroscopic terminal deletion of Xp were found. Except for the short stature, no major clinical signs of X-linked recessive chondrodysplasia punctata could be observed. His mother had lowered steroid sulphatase activity compatible with carriership for X-linked ichthyosis and a submicroscopic translocation (X;14)(p22.31;p11.1). This finding combined with a normal amplification of exons 1, 5, and 10 of the STS gene from propositus' DNA suggested a breakpoint upstream of the STS gene. The submicroscopic maternal translocation had important implications for genetic counseling. This case report illustrates that contiguous gene syndrome related to the Xpter region may have an atypical clinical presentation and the usefulness of combined clinical, biochemical, molecular, and fluorescence in situ hybridization analysis.

Publication types

  • Case Reports

MeSH terms

  • Abnormalities, Multiple / enzymology
  • Abnormalities, Multiple / genetics
  • Arylsulfatases / deficiency
  • Arylsulfatases / genetics
  • Arylsulfatases / metabolism
  • Child, Preschool
  • Chromosome Banding
  • Chromosome Deletion*
  • Chromosomes, Human, Pair 14 / genetics*
  • DNA Mutational Analysis
  • Exons / genetics
  • Family Health
  • Female
  • Gene Deletion
  • Growth Disorders / diagnosis
  • Growth Disorders / enzymology
  • Growth Disorders / genetics*
  • Humans
  • Ichthyosis, X-Linked / enzymology
  • Ichthyosis, X-Linked / genetics
  • Intellectual Disability / diagnosis
  • Intellectual Disability / enzymology
  • Intellectual Disability / genetics*
  • Male
  • Steryl-Sulfatase
  • Syndrome
  • Translocation, Genetic / genetics*
  • X Chromosome / genetics*


  • Arylsulfatases
  • Steryl-Sulfatase