Case Report: Two newborns with chromosome 4 imbalances: deletion 4q33 → q35 and ring r (4) (pterq35.2‐qter)

Abstract
Two patients are reported who presented with 4q deletion and r(4), respectively. Cytogenetic and FISH analysis denned the breakpoints respectively at bands 4q33 → q35 proximal to the telomere, and 4pter and 4q35.2‐qter. Moreover in both cases rearranged chromosomes maintained telomeric sequences. The first patient showed some clinical features of deletion 4q and a pointed 5th finger, a characteristic finding in deletion 4q31 → qter. The second patient had mild dysmorphism associated with growth retardation.