Minor Xp21 chromosome deletion in a male associated with expression of Duchenne muscular dystrophy, chronic granulomatous disease, retinitis pigmentosa, and McLeod syndrome

Am J Hum Genet. 1985 Mar;37(2):250-67.


We are reporting a male patient who suffered from chronic granulomatous disease associated with cytochrome b-245 deficiency and McLeod red cell phenotype, Duchenne muscular dystrophy, and retinitis pigmentosa. On cytogenetic analysis, he seemed to have a very subtle interstitial deletion of part of band Xp21. Since it was impossible to know whether this material was truly deleted or inserted elsewhere in the genome, somatic cell and molecular studies were carried out. In somatic cell hybrids, the deleted X chromosome was isolated on a Chinese hamster background. Southern blot analysis with 20 single-copy probes, that had been mapped to the X short arm, led to the discovery of one (probe 754) that is missing from this patient's X chromosome and also from his total DNA. This proves that he, indeed, has a deletion rather than a balanced insertion. The results provide cytological mapping information for the X-linked phenotypes present in this patient. Furthermore, probe 754 recognizes a restriction fragment length polymorphism of high frequency that makes it the most powerful probe currently available for linkage studies with X-linked muscular dystrophy.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Animals
  • Blood Group Antigens / genetics*
  • Cell Line
  • Child, Preschool
  • Chromosome Banding
  • Chromosome Deletion*
  • Chromosome Mapping*
  • Cricetinae
  • Cricetulus
  • Female
  • Genetic Linkage
  • Granulomatous Disease, Chronic / complications
  • Granulomatous Disease, Chronic / genetics*
  • Humans
  • Hybrid Cells
  • Intellectual Disability / complications
  • Intellectual Disability / genetics
  • Intestinal Obstruction / complications
  • Intestinal Obstruction / genetics
  • Karyotyping
  • Kell Blood-Group System / genetics*
  • Male
  • Muscular Dystrophies / complications
  • Muscular Dystrophies / genetics*
  • Nucleic Acid Hybridization
  • Phenotype
  • Retinitis Pigmentosa / complications
  • Retinitis Pigmentosa / genetics*
  • Syndrome
  • X Chromosome*


  • Blood Group Antigens
  • Kell Blood-Group System