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Chromosomes
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Chromosome Abnormalities
Numerical abnormalities Structural abnormalities Mixoploidy
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Numerical Abnormalities
Monosomy Trisomy
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A. B. C.
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Non-disjunction
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Consequence of non-disjunction
Trisomy (21) Down syndrome (13) Patau syndrome (18) Edward’s syndrome
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Polyploidy Addition of one or more entire set of chromosomes
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Disorders of Chromosome Number
Down Syndrome Patau and Edwards Syndrome Klinefelter Syndrome Turner Syndrome XXX Females and XYY Males
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Down Syndrome
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Down Syndrome History Incidence 1 in 691 births in the US
1866 first clinically described by Dr. Down 1959 chromosomal basis discovered Incidence 1 in 691 births in the US Majority of cases are diagnosed prenatally (~60%) Prevalence: currently 400,000 in US
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Patau Syndrome
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Patau Syndrome Heart defects Brain or spinal cord abnormalities
Weak muscle tone Prognosis 45% die within few days/weeks 80% within 1st year
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Edwards Syndromes
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Edward’s syndrome Clinical symptoms Structural heart defects
Intestinal abnormalities Breathing difficulties Intellectual disability Prognosis Median lifespan – 5-15 days Longer than 1 year – 8% Live to 10 years- 1%
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Klinefelter Syndrome
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Klinefelter Syndrome (XXY)
Incidence- 1 in 1000 live male births Clinical features- Lower than normal verbal IQ Infertility Testosterone treatment
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Turner’s Syndrome
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Turner Syndrome (X) Incidence- 1 in 5000 – 10,000 female births
Clinical features Loss of ovarian function Normal intelligence Developmental delay Learning disability Estrogen treatment from puberty on
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