Down syndrome: Difference between revisions

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== Background ==
==Background==


=== Epidemiology ===
===Epidemiology===


* Most common chromosomal disorder
*Most common chromosomal disorder, occurring in 1:800 live births
* Most common genetic cause of mental impairment
*Most common genetic cause of mental impairment


=== Pathophysiology ===
===Pathophysiology===


* Trisomy 21, most commonly caused by meiotic non-disjunction
*Trisomy 21, most commonly caused by meiotic non-disjunction


== Clinical Manifestations ==
==Clinical Manifestations==


* Characteristic facial features, including flat facial profile, oblique palpebral fissures, and epicanthic folds
*Presents at birth with hypotonia, short neck, single palmar crease and characteristic facial features, which include flat facial profile, oblique palpebral fissures, and epicanthic folds
*Mental impairment
* Half will have [[congenital heart disease]]
*Half will have [[congenital heart disease]]
* Increased risk of leukemia, including [[acute lymphoblastic leukemia]] and [[acute myeloid leukemia]]
* Increased risk of [[pneumonia]]
*Increased risk of leukemia, including [[acute lymphoblastic leukemia]] and [[acute myeloid leukemia]]
*Increased risk of [[pneumonia]]
* Early [[Alzheimer disease]] starting around age 40 years
* Median age of death is 47 years
*Early [[Alzheimer disease]] starting around age 40 years
*Median age of death is 47 years


[[Category:Pediatrics]]
[[Category:Pediatrics]]

Latest revision as of 00:56, 17 November 2020

Background

Epidemiology

  • Most common chromosomal disorder, occurring in 1:800 live births
  • Most common genetic cause of mental impairment

Pathophysiology

  • Trisomy 21, most commonly caused by meiotic non-disjunction

Clinical Manifestations