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Partial trisomy 19p13.3-p13.2 linked to microcephaly, hydronephrosis, and hearing loss in first Middle East caseRare Chromosome Condition Linked to Developmental Delays

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Key Takeaway
Recognize that this single case links partial trisomy 19p13.3-p13.2 to multiple anomalies, but causality is not established.

This is a case report and literature review describing a single pediatric patient with partial trisomy 19p13.3-p13.2. The authors report the first case of this duplication in the Middle East, identified through chromosomal analysis showing a 6.8 Mb copy number gain (arr [GRCh37] 19p13.3-p13.2 (260,911_7,089,557)x3). Maternal cytogenetics revealed an apparently balanced reciprocal translocation involving chromosomes 13 and 19.

The child was followed for 7 years and exhibited microcephaly, unilateral hydronephrosis, mild bilateral hearing loss, failure to thrive, and global developmental delay. No intervention, comparator, or primary outcome was specified, consistent with the descriptive nature of a case report.

The authors acknowledge the small sample size (a single case) as a limitation. No funding or conflicts of interest are reported. The report does not provide effect sizes, p-values, or adverse event data, and causality between the chromosomal abnormality and the clinical features is not formally established.

Clinically, this report adds a descriptive data point to the literature on partial trisomy 19p13.3-p13.2 and highlights the value of cytogenetic evaluation in children with multiple congenital anomalies and developmental delay. However, the findings are hypothesis-generating and should not be used to infer risk or prognosis for other patients.

How this fits prior evidence

This case report extends the literature on genetic causes of hearing loss and hydronephrosis, but at a single-patient level. Prior coverage has addressed hearing loss in children (lower quality of life with cochlear implants, reduced physical fitness) and hydronephrosis as a prognostic marker in bladder cancer. The present report describes a chromosomal duplication associated with microcephaly, hydronephrosis, and hearing loss, but does not confirm or contrast those prior findings. It adds a descriptive observation to the expanding literature on genetic syndromes, without providing comparative or longitudinal data.

This is a case report of one boy with a rare chromosome change: an extra piece of chromosome 19 (partial trisomy 19p13.3-p13.2). The report also includes a review of other published cases. The boy was followed for 7 years. Doctors found he had a small head (microcephaly), fluid buildup in one kidney (unilateral hydronephrosis), mild hearing loss in both ears, failure to thrive, and global developmental delay. Genetic testing showed a 6.8 Mb gain on chromosome 19. His mother was found to have a balanced translocation between chromosomes 13 and 19. The report says this is the first case of this partial trisomy caused by a maternal reciprocal translocation in the Middle East. Because this is a single case, it cannot show cause and effect or tell us how common these features are. It also cannot prove that the chromosome change caused the health problems. Readers should see this as a description of one patient, not as a guide to risk or treatment. Families with similar genetic findings should talk with a genetics doctor for personalized information.

What this means for you:
This single case links a rare chromosome 19 duplication to health and developmental issues, but more research is needed.

Common questions

What is partial trisomy 19p13.3-p13.2?

It means a person has an extra copy of a small piece of chromosome 19. In this case, the extra piece was 6.8 Mb long. This can lead to health and developmental problems, but the effects vary. This report describes one boy with this change.

What health problems did the boy have?

The boy had a small head (microcephaly), fluid buildup in one kidney (unilateral hydronephrosis), mild hearing loss in both ears, failure to thrive, and global developmental delay. These were observed over a 7-year follow-up.

Is this condition inherited?

In this case, the boy's mother had a balanced translocation between chromosomes 13 and 19. This type of chromosome rearrangement can be passed down. However, not everyone with the same rearrangement will have the same health issues. Genetic counseling can help families understand their risks.

How common is this chromosome change?

This is a rare change. The report says it is the first case of partial trisomy 19p13.3-p13.2 caused by a maternal reciprocal translocation in the Middle East. Because it is a single case, the exact frequency is unknown.

Study Details

Study typeSystematic review
EvidenceLevel 1
PublishedOct 2026
View Original Abstract ↓
Partial trisomy of the short arm of chromosome 19 (19p) is a rare chromosomal abnormality with significant clinical implications. We report the prenatal diagnosis and 7-year follow-up of a boy with partial trisomy 19p13.3-p13.2 and multiple congenital anomalies including microcephaly, unilateral hydronephrosis, mild bilateral hearing loss, failure to thrive, and global developmental delay. The pregnancy was complicated by antenatal findings of severe oligohydramnios and severe intrauterine growth restriction. Amniocentesis with chromosomal microarray analysis identified a 6.8 Mb copy number gain involving chromosome 19p13.3-p13.2, arr [GRCh37] 19p13.3-p13.2 (260,911_7,089,557)x3. Maternal cytogenetic analysis revealed an apparently balanced reciprocal translocation involving chromosome 13 and 19, supporting inheritance through unbalanced chromosomal segregation. The cytogenetic and clinical findings of our patient are discussed in this report. To our knowledge, this is the first report of partial trisomy 19p13.3–p13.2 as a result of maternal reciprocal translocation in the Middle East.
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