"Karen," as she was presented in the New England Journal of Medicine (Yu et al. 2002) was the mother of three grown children and needed a kidney transplant. During the tissue-match testing, Karen’s doctors insisted that only one of her sons was related to her; the other two were not. Her case caught the attention of the National Institutes for Health (NIH) and she was asked to participate in a study to determine if there was a scientific explanation. After extensive genetic testing from several body tissues, researchers at the NIH determined that Karen was a tetragametic chimera. Instead of the standard twenty-three pairs of chromosomes, she had forty-six. As a result, some of her tissues and organs were genetically mapped to a first set of chromosomes and others to a second set. In essence, she absorbed a fraternal twin in utero and has/had retained both set of chromosomes.

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