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Correspondence
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Volume 338:1850-1851 June 18, 1998 Number 25
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X-Linked Wiskott–Aldrich Syndrome in a Girl

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 by Parolini, O.
To the Editor: Parolini and coworkers (Jan. 29 issue)1 describe an eight-year-old girl who had the Wiskott–Aldrich syndrome associated with a nonrandom pattern of inactivation of the maternally derived X chromosome. In the accompanying editorial, Puck and Willard2 provide an elegant review of the mechanisms leading to a skewed pattern of X-chromosome inactivation in females. However, the reader may be left with the impression that unbalanced X-chromosome inactivation is a congenital feature, whether or not it is familial. We believe that the most prevalent form is indeed acquired and that this point has clinical relevance.

Recent studies by various laboratories . . . [Full Text of this Article]

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