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BRIEF REPORT
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. This article has been cited by other articles:
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