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Original Article
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Volume 349:154-158 July 10, 2003 Number 2
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A Report of Dizygous Monochorionic Twins
Vivienne L. Souter, M.D., Raj P. Kapur, M.D., Ph.D., Dale R. Nyholt, Ph.D., Kristen Skogerboe, Ph.D., David Myerson, M.D., Ph.D., Carl C. Ton, Ph.D., Kent E. Opheim, Ph.D., Thomas R. Easterling, M.D., Laurence E. Shields, M.D., Grant W. Montgomery, Ph.D., and Ian A. Glass, M.D.

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 by Redline, R. W.

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It is an accepted medical doctrine that monochorionic twins are exclusively monozygous. This doctrine is supported by two studies that assessed placental pathological features and multiple serologic markers of zygosity in a total of almost 800 monochorionic twins.1,2 Although the possibility that monochorionic twins are not invariably monozygous has been raised previously, deficiencies in the cytogenetic and pathological characterization of these reports have cast doubt on their reliability.3 We report a case of sex-discordant monochorionic twins conceived by in vitro fertilization. The twins also had blood chimerism (the presence of cells derived from more than one genetically distinct zygote); in . . . [Full Text of this Article]

Case Report

Methods

Placental Studies

Cytogenetic Studies

Initial DNA Zygosity Studies

Extended DNA Zygosity Studies

Statistical Analysis

Results

Placental Studies

Cytogenetic Studies

Initial DNA Zygosity Studies

Extended DNA Zygosity Studies

Discussion


Source Information

From the Division of Medical Genetics, Department of Medicine (V.L.S.), and the Departments of Pathology (D.M.), Obstetrics and Gynecology (T.R.E., L.E.S.), and Pediatrics and Medicine (Medical Genetics) (I.A.G.), University of Washington, Seattle; the Department of Laboratories, Children's Hospital and Regional Medical Center, Seattle (R.P.K., K.E.O.); the Genetic Epidemiology Laboratory, Queensland Institute of Medical Research, Brisbane, Australia (D.R.N., G.W.M.); the Department of Chemistry, Seattle University, Seattle (K.S.); the Fred Hutchinson Cancer Research Center, Seattle (D.M.); and Genelex, Redmond, Wash. (C.C.T.).

Address reprint requests to Dr. Souter at the Department of Obstetrics and Gynecology, Good Samaritan Regional Medical Center, 1111 E. McDowell Rd., Phoenix, AZ 85006, or at vsouter@u.washington.edu.


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