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WO cases of the D, trisomy syndrome have been reported to date PATAU, SMITH and DEMARS, 1961). In each case there were seven rather than six chromosomes of the D group (classification by PATAU, 1960) which contains the chromosomes 13-15 (PATAU'S as well as Denver system). Contrary claims notwithstanding, it is at present not possible to distinguish reliably between these chromosomes ( THERMAN et d., 1961). Nonetheless, it appears certain that in both cases the same chro-Iiiosome was present in triplicate, the clinical resemblance of the two patients being by far too great to admit of any other interpretation. THERMAN d cil. (1961) named the responsible chromosome D,, proposing that in general a suffix to the group symbol be used to denote a chromosome that is identified by the phenotype of a trisomic rather than cytologically.
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Pätau et al. (2009) studied this question.
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