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Down Syndrome

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Genetic & Dysmorphic Book ELBABA M.A.

DOWN SYNDROME OMIM 2008


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DOWN SYNDROME
Clinical Synopsis
INHERITANCE :
Isolated cases
GROWTH :
Height
Short stature
HEAD AND NECK :
Head
Brachycephaly
Face
Flat facial profile
Ears
Small ears
Folded helix
Conductive hearing loss
Eyes
Upslanting palpebral fissures
Epicanthal folds
Iris Brushfield spots
Mouth
Protruding tongue
CARDIOVASCULAR :
Heart
Congenital heart defect
Atrioventricular canal
ABDOMEN :
Gastrointestinal
Duodenal stenosis/atresia
Imperforate anus
Hirschsprung disease
SKELETAL :
Spine
Atlantoaxial instability
Pelvis
Hypoplastic iliac wings
Shallow acetabulum
______________________________________________________________________________________________
Welcome to feedback and comment on email: mostafaelbaba@hotmail.com
Last update: 23 September 2008
Genetic & Dysmorphic Book ELBABA M.A.
DOWN SYNDROME OMIM 2008
______________________________________________________________________________________________
Limbs
Joint laxity
Hands
Short, broad hands
Fifth finger mid-phalanx hypoplasia
Single transverse palmar crease
SKIN, NAILS, HAIR :
Skin
Excess nuchal skin
Single transverse palmar crease
NEUROLOGIC :
Central nervous system
Mental retardation
Alzheimer disease
Hypotonia, poor Moro reflex
ENDOCRINE FEATURES :
Hypothyroidism
HEMATOLOGY :
Leukemoid reactions
NEOPLASIA :
Leukemia (both ALL and AML)
Acute megakaryocytic leukemia
MISCELLANEOUS :
Meiotic origin >95% maternal, mostly meiosis I
Increased recurrence risk with parental translocation
Incidence, 1 in 650-1000 live births

MOLECULAR BASIS
Gene map locus Xp11.23, 21q22.3, 1q43
• Full trisomy 21, 94%
• Mosaic trisomy 21, 2.4%
• Translocation 21, 3.3%

______________________________________________________________________________________________
Welcome to feedback and comment on email: mostafaelbaba@hotmail.com
Last update: 23 September 2008

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