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Blood, 15 August 2000, Vol. 96, No. 4, pp. 1585-1587

BRIEF REPORT

Somatic mosaicism and compound heterozygosity in female hemophilia B

Jean-Marc Costa, Dominique Vidaud, Ingrid Laurendeau, Michel Vidaud, Edith Fressinaud, Jean-Pierre Moisan, Albert David, Dominique Meyer, and Jean-Maurice Lavergne

From the American Hospital of Paris, Neuilly, France; the UPRESS-JE 2195, Faculté de Pharmacie Paris V, Paris, France; the Centre Hospitalier Régional Universitaire, Nantes, France; and the INSERM U 143 and Assistance Publique Hôpitaux de Paris, Hôpital Bicêtre, Bicêtre, France.

Sequencing the complete factor IX gene of 2 sisters with hemophilia B with different phenotypes and no family history of hemorrhagic diathesis revealed a common 5' splice site mutation in intron 3 (T6704C) in both and an additional missense mutation (I344T) in one. The presence of dysfunctional antigen in the latter strongly suggested that these mutations are in trans. Neither mutation was found in leukocyte DNA from the asymptomatic parents, but the mother was in somatic mosaicism for the shared splice site mutation. This case illustrates the importance of defining the phenotype and considering somatic mosaicism in sporadic cases. It underlines the limitations of complete gene sequencing for the detection of mosaicism and has implication for genetic counseling.

© 2000 by The American Society of Hematology.
 

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