Presentation
When three copies of any one of the chromosomes are present, rather than the normal two, the outcome is 47 chromosomes in the cell, instead of the usual 46. [trisomy.org]
Mosaic trisomy 17 is rare with only 28 cases reported and the clinical presentation is highly variable. [ncbi.nlm.nih.gov]
The term trisomy describes the condition in which an extra chromosome is present in the usual pair of homologous chromosomes. Three copies are present from in one homologous chromosome pair. [differencebetween.com]
Mosaic trisomy 18 has been detected in a few patients presenting with a clinical picture that varies from classical trisomy 18 to a normal phenotype depending on the number of trisomic cells present in the tissues. [orpha.net]
This is the first reported case of a partial trisomy 13q associated with chromosome 8 with unique clinical presentations. [hindawi.com]
Entire Body System
- Infertility
Subclass ofchromosomal disease, sex chromosome disorder, X chromosome number anomaly with male phenotype, male infertility due to gonadal dysgenesis, sex chromosome disorder of sex development, chromosomal anomaly with epilepsy as a major feature [commons.wikimedia.org]
Other known features are gonadal dysgenesis with infertility and premature ovarian failure, endocrine disturbances (hypothyroidism, type 2 diabetes) (Elsheikh et al., 2001; Gravholt, 2005), cardiac malformations (mainly left heart problems such as coarctation [ncbi.nlm.nih.gov]
Musculoskeletal
- Narrow Pelvis
Microcephaly, prominent occiput, low-set malformed ears, narrow pelvis, and a short sternum are common. A clenched fist with the index finger overlapping the 3rd and 4th fingers often occurs. [msdmanuals.com]
Possible symptoms include: longer-than-average head wide, deep eyes thick lips large forehead narrow shoulders long torso narrow pelvis deep creases on the hands and feet problems with the palate or mouth joint problems and stiffness spinal issues, such [healthline.com]
Thorax and abdomen Short neck with excess hair, short sternum, small nipples, umbilical or inguinal hernia and/or diastasis of the rectus muscles, narrow pelvis and limitation of the hip abduction may be noticed. [scielo.br]
- Macrocephaly
The phenotypic expression shows extreme placental hypoplasia characterized by marked hypermature and fibrotic villi, devoid of molar changes, with asymmetrical intrauterine growth retardation (with a relative macrocephaly), oligohydramnios starting early [ncbi.nlm.nih.gov]
Face, Head & Neck
- Thick Lips
Possible symptoms include: longer-than-average head wide, deep eyes thick lips large forehead narrow shoulders long torso narrow pelvis deep creases on the hands and feet problems with the palate or mouth joint problems and stiffness spinal issues, such [healthline.com]
Urogenital
- Cryptorchidism
Genitals are frequently abnormal in both sexes; cryptorchidism and an abnormal scrotum occur in boys, and a bicornuate uterus occurs in girls. [merckmanuals.com]
[…] cleft in the iris (coloboma) Low-set ears Intellectual disability, severe Scalp defects (missing skin) Seizures Single palmar crease Skeletal (limb) abnormalities Small eyes Small head (microcephaly) Small lower jaw (micrognathia) Undescended testicle (cryptorchidism [mountsinai.org]
[…] small head size), cleft lip and/or cleft palate (facial and/or oral defect), omphalocele (abdominal defect), spina bifida (open spine defect), microphthalmia (small eyes), anophthalmia (absent eyes), scalp defects, polydactyly (extra fingers and toes), cryptorchidism [health.state.mn.us]
Abnormalities of the genitals are also associated with Trisomy 13 Syndrome, including undescended testes (cryptorchidism) and an abnormally formed scrotum in affected males and underdeveloped ovaries and malformed uterus (bicornuate uterus) in affected [rarediseases.org]
Treatment
This question featured in : Trisomy 13 syndrome treatment options Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. [practo.com]
Management and treatment Management is supportive only. [orpha.net]
Prognosis
Prognosis Surgical treatment of the malformations does little to improve the poor prognosis associated with this syndrome: 90% of infants die within the first year of life from cardiac, renal or neurological complications, or from repeated infections. [orpha.net]
Developmental and physical delays are present in all three syndromes, but in trisomy 18 and trisomy 13 these delays are usually greater and the prognosis includes a much shorter life span, as most will not survive their first year of life. [trisomy.org]
Thus, it is unclear whether heart surgery improves the prognosis of these individuals(46). [scielo.br]
Support Groups Support groups for trisomy 13 include: Support Organization for Trisomy 18, 13 and Related Disorders (SOFT): trisomy.org Hope for Trisomy 13 and 18: www.hopefortrisomy13and18.org Outlook (Prognosis) More than 90% of children with trisomy [mountsinai.org]
Etiology
Therefore, importance is likely to be placed on clarifying and managing etiological factors in future clinical studies. [oatext.com]
Etiology The majority of cases are associated with free trisomy 18. [orpha.net]
Etiology In ES, as well as in other trisomies, maternal age is usually older(6,9,13,17,30). [scielo.br]
Etiology of Down syndrome: Evidence for consistent association among altered meiotic recombination, nondisjunction, and maternal age across populations. Am J Med Genet A. 2009 Jul;149A(7):1415-20. Sherman SL, Allen EG, Bean LH, Freeman SB. [cdc.gov]
Epidemiology
Cytological and epidemiological findings in trisomies 13, 18, and 21: England and Wales 2004-2009. Am. J. Med. Genet. A, 158A, 1145-50. [embryology.med.unsw.edu.au]
Summary Epidemiology Incidence is estimated at between 1/6000 and 1/8000 births. In utero death occurs in more than 95% of fetuses with this chromosome anomaly. [orpha.net]
Trisomy 13 and trisomy 18 in a defined population: epidemiological, genetic and prenatal observations. Prenat Diagn. 2003 Oct;23(10):856-60. Pont SJ, Robbins JM, Bird TM, Gibson JB, Cleves MA, Tilford JM, Aitken ME. [ghr.nlm.nih.gov]
Additional cases are needed to delineate the epidemiology of this rare entity: you are welcome to submit a paper to our new Case Report section. Cytogenetic analysis in patients with primary myelodysplastic syndromes in leukaemic transformation. [atlasgeneticsoncology.org]
Epidemiology of Down syndrome. Ment Retard Dev Disabil Res Rev. 2007;13(3):221-7. Adams MM, Erickson JD, Layde PM, Oakley GP. Down’s syndrome. Recent trends in the United States. JAMA. 1981 Aug 14;246(7):758-60. [cdc.gov]
Pathophysiology
Pathophysiology See the list below: Trisomy 18 severely affects all organ systems. In translocations that result in partial trisomy or in cases of mosaic trisomy 18, clinical expression is less severe, and survival is usually longer. [emedicine.medscape.com]
In this study the authors also investigated the pathophysiology to death in patients who had intensive treatment; they distinguish between underlying factors associated with death and final modes of death. [ojrd.biomedcentral.com]
Prevention
How can I help prevent trisomy 13 and trisomy 18 in my child? Researchers don’t know how to prevent the chromosome errors that cause these disorders. [stanfordchildrens.org]
Preventing & Screening For Birth Defects In honor of Birth Defects Prevention Month, we spoke to Dr. Neda Zadeh, a CHOC Children’s geneticist and the associate director of the Molecular Diagnostic Laboratory at Genetics Center. Dr. ... [blog.chocchildrens.org]
The prevention of congenital anomalies through PND depends to a large extent on the awareness of the available methods among the public and their acceptance. [taylorfrancis.com]