Robertsonian Translocation t (21; 21) Offspring of a Balanced Translocation Carrier Parent; an Unfortunate Scenario

Trisomy of chromosome 21 results in Down Syndrome (DS). It also occurs due to translocation between acrocentric chromosomes, namely 13, 14, 15, and 21. We present this case of a Down Syndrome baby with Robertsonian Translocation (RT) of chromosome 21, born to a balanced RT carrier mother. The proban...

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Main Authors: Pallavi Bajpayee, Purushottam Rao Manvikar, Pramila Menon, Dattatraya Lende
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-07-01
Series:Medical Journal of Dr. D.Y. Patil Vidyapeeth
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Online Access:https://journals.lww.com/10.4103/mjdrdypu.mjdrdypu_624_24
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author Pallavi Bajpayee
Purushottam Rao Manvikar
Pramila Menon
Dattatraya Lende
author_facet Pallavi Bajpayee
Purushottam Rao Manvikar
Pramila Menon
Dattatraya Lende
author_sort Pallavi Bajpayee
collection DOAJ
description Trisomy of chromosome 21 results in Down Syndrome (DS). It also occurs due to translocation between acrocentric chromosomes, namely 13, 14, 15, and 21. We present this case of a Down Syndrome baby with Robertsonian Translocation (RT) of chromosome 21, born to a balanced RT carrier mother. The proband was an 8-month-old boy with dysmorphism, global developmental delay (GDD), hypospadias, Patent Ductus Arteriosus, and a Simian crease (left). The child was the third born of a non-consanguineous marriage of young parents (35 years father, 25 years mother), with the previous two children deceased. Karyotyping revealed proband: 46, XY,+21, rob (21;21)(q10;q10) Male karyotype with Trisomy 21; mother 46, XX,+21, rob (21;21)(q10;q10). RT carriers are asymptomatic but have a high risk of all pregnancies ending either in spontaneous miscarriage or in the birth of an offspring with DS. This case highlights the importance of genetic testing of parents to rule out balanced translocation carrier status and also the importance of genetic counselling for parents who are desirous of a healthy offspring.
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series Medical Journal of Dr. D.Y. Patil Vidyapeeth
spelling doaj-art-9067413335cb4389b8aee226ceb806db2025-08-20T03:05:38ZengWolters Kluwer Medknow PublicationsMedical Journal of Dr. D.Y. Patil Vidyapeeth2589-83022589-83102025-07-0118470470710.4103/mjdrdypu.mjdrdypu_624_24Robertsonian Translocation t (21; 21) Offspring of a Balanced Translocation Carrier Parent; an Unfortunate ScenarioPallavi BajpayeePurushottam Rao ManvikarPramila MenonDattatraya LendeTrisomy of chromosome 21 results in Down Syndrome (DS). It also occurs due to translocation between acrocentric chromosomes, namely 13, 14, 15, and 21. We present this case of a Down Syndrome baby with Robertsonian Translocation (RT) of chromosome 21, born to a balanced RT carrier mother. The proband was an 8-month-old boy with dysmorphism, global developmental delay (GDD), hypospadias, Patent Ductus Arteriosus, and a Simian crease (left). The child was the third born of a non-consanguineous marriage of young parents (35 years father, 25 years mother), with the previous two children deceased. Karyotyping revealed proband: 46, XY,+21, rob (21;21)(q10;q10) Male karyotype with Trisomy 21; mother 46, XX,+21, rob (21;21)(q10;q10). RT carriers are asymptomatic but have a high risk of all pregnancies ending either in spontaneous miscarriage or in the birth of an offspring with DS. This case highlights the importance of genetic testing of parents to rule out balanced translocation carrier status and also the importance of genetic counselling for parents who are desirous of a healthy offspring.https://journals.lww.com/10.4103/mjdrdypu.mjdrdypu_624_24balanced carrier statushigh riskmiscarriagerobertsonian translocation
spellingShingle Pallavi Bajpayee
Purushottam Rao Manvikar
Pramila Menon
Dattatraya Lende
Robertsonian Translocation t (21; 21) Offspring of a Balanced Translocation Carrier Parent; an Unfortunate Scenario
Medical Journal of Dr. D.Y. Patil Vidyapeeth
balanced carrier status
high risk
miscarriage
robertsonian translocation
title Robertsonian Translocation t (21; 21) Offspring of a Balanced Translocation Carrier Parent; an Unfortunate Scenario
title_full Robertsonian Translocation t (21; 21) Offspring of a Balanced Translocation Carrier Parent; an Unfortunate Scenario
title_fullStr Robertsonian Translocation t (21; 21) Offspring of a Balanced Translocation Carrier Parent; an Unfortunate Scenario
title_full_unstemmed Robertsonian Translocation t (21; 21) Offspring of a Balanced Translocation Carrier Parent; an Unfortunate Scenario
title_short Robertsonian Translocation t (21; 21) Offspring of a Balanced Translocation Carrier Parent; an Unfortunate Scenario
title_sort robertsonian translocation t 21 21 offspring of a balanced translocation carrier parent an unfortunate scenario
topic balanced carrier status
high risk
miscarriage
robertsonian translocation
url https://journals.lww.com/10.4103/mjdrdypu.mjdrdypu_624_24
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AT pramilamenon robertsoniantranslocationt2121offspringofabalancedtranslocationcarrierparentanunfortunatescenario
AT dattatrayalende robertsoniantranslocationt2121offspringofabalancedtranslocationcarrierparentanunfortunatescenario