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Figure 1.

Characteristic face of VCFS.

These Chinese VCFS patients all presented with a characteristic face, consisting of vertically long face, narrow palpebral fissures, fleshy nose with a broad nasal root, flattened malar region, retrognathia, and sometimes overfolded helix (E) or cup-shaped ear (F).

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Table 1.

Summary of patient data.

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Table 1 Expand

Figure 2.

Data of MLPA analysis with P250-B1 DiGeorge kit.

The four graphs represent four patients’ data analyzed by MLPA. In each graph, the spots represent MLPA probes, the upper green line indicates a peak ratio of 1.3 and any probes above this line represent a duplication, the lower green line indicates a peak ratio of 0.75 and any probes below this line represents a deletion, and the probes between the two lines are considered as normal two copies. (A): A patient with 22q11.2 deletion spanning 3Mb TDR (red spots). (B) A patient with 22q11.2 deletion spanning proximal 1.5Mb (red spots) within TDR. (C): A patient with 22q11.2 duplication (red spots) mapping to 3Mb TDR. (D) A patient with normal copy probes.

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Figure 3.

The results of 55 patients detected by MLPA.

A total of 43 cases (78.2%) showed 22q11.2 heterozygous deletion, of whom 40 (93.0%) exhibited typical 3-Mb deletion, while 3 (7.0%) showed proximal 1.5-Mb deletion; no case was found having atypical deletion on 22q11.2. Only 1 case (1.8%) had 3-Mb duplication. None of the chromosomal abnormalities in the MLPA kit were found in the other 11 patients.

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Figure 4.

Number of patients presenting with major clinical features of VCFS.

All cases with characteristic faces exhibited 22q11.2 heterozygous deletions.

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