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Free proximal trisomy 21 in the mother and malformation syndrome in the son.
[monosomy 21]
We
report
on
a
new
case
of
duplication
of
the
proximal
part
of
the
long
arm
of
chromosome
21
.
The
proposita
presents
normal
mental
development
,
no
trisomy
21
manifestations
;
on
the
contrary
,
she
had
a
few
monosomy
21
-
like
stigmata
.
She
gave
birth
to
a
severely
malformed
infant
with
a
pattern
of
malformations
suggesting
a
partial
21
-
monosomy
syndrome
,
but
with
a
46
,
XY
normal
karyotype
in
his
peripheral
blood
lymphocytes
.
The
findings
are
explained
in
the
following
way
:
the
infant
probably
had
originally
a
47
,
XY
,
+
21
q-
karyotype
like
his
mother
.
Post
zygotic
nondisjunctional
events
produced
a
prevalent
46
,
XY
,
21
q-
line
responsible
for
the
severe
malformations
and
the
normal
46
,
XY
line
found
in
his
blood
lymphocytes
.
Diseases
Validation
Diseases presenting
"normal mental development"
symptom
monosomy 21
pyruvate dehydrogenase deficiency
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