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Original Article
Brief Report
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Volume 340:703-707 March 4, 1999 Number 9
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Mosaicism in Tuberous Sclerosis as a Potential Cause of the Failure of Molecular Diagnosis
Jolanta Kwiatkowska, Ph.D., Jadwiga Wigowska-Sowinska, M.D., Dobrawa Napierala, M.S., Ryszard Slomski, Ph.D., and David J. Kwiatkowski, M.D., Ph.D.

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Mosaicism is the phenomenon in which a fraction of, rather than all, germ-line and somatic cells contain a mutation or chromosomal abnormality. It occurs in all genetic disorders in which spontaneous mutations occur and has important clinical consequences for the assessment of patients with localized expression of multisystem disorders, for genetic counseling, and for molecular diagnostic testing.1,2

Tuberous sclerosis is an autosomal dominant disorder characterized by the development of unusual tumor-like growths (hamartomas) in multiple organs.3,4 Arguably the most important hamartomas are cerebral cortical tubers, which are regions of abnormal cortical architecture with distinctive large neuronal cells. Cortical tubers cause . . . [Full Text of this Article]

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From the Division of Experimental Medicine and Medical Oncology, Brigham and Women's Hospital, Boston (J.K., D.J.K.); the Institute of Human Genetics, Polish Academy of Science, Poznan, Poland (J.K., D.N., R.S.); and the Department of Developmental Neurology, University of Medical Sciences, Poznan, Poland (J.W.-S.).

Address reprint requests to Dr. Kwiatkowski at the Division of Experimental Medicine, 221 Longwood Ave., Boston, MA 02115, or at kwiatkowski@calvin.harvard.edu.

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