Presentation
The patient had a cleft palate, a feature not present in other trisomy 20p patients. A review of the reported trisomy 20p patients indicates that their varied features do no constitute a readily recognizable clinical syndrome. [ncbi.nlm.nih.gov]
The patient presented with dysmorphic features, mental retardation, poor coordination, cardiac malformation, kyphosis, hypospadias, cryptorchidism, and preaxial hexadactyly. No growth delay was noticed. [unboundmedicine.com]
Entire Body System
- Fishing
Standard karyotype and FISH techniques allowed the characterization of the chromosome rearrangement showing a duplication spanning almost the whole short arm of chromosome 20. [ncbi.nlm.nih.gov]
The phenotypic similarities of symptoms in the proband to patients with a (partial) trisomy 20p and the dissimilarities to symptoms in patients with (partial) trisomy 20q were in agreement with the FISH results. [rug.nl]
- Collapse
At 13 months of age, radiographs showed marked generalised osteopenia with collapse of several vertebrae, particularly the 7th and 9th thoracic, platyspondyly, biconcave vertebral bodies, and coarsening of the trabecular pattern (fig 3 ). [jmg.bmj.com]
Musculoskeletal
- Platyspondyly
At 13 months of age, radiographs showed marked generalised osteopenia with collapse of several vertebrae, particularly the 7th and 9th thoracic, platyspondyly, biconcave vertebral bodies, and coarsening of the trabecular pattern (fig 3 ). [jmg.bmj.com]
Eyes
- Periorbital Fullness
We describe an 8.5-year-old boy with facial dysmorphism consisting of a round and flat face, telecanthus, periorbital fullness, short nose, downturned corners of the mouth, and micrognathia. [ncbi.nlm.nih.gov]
Face, Head & Neck
- Prominent Cheeks
The moderate to mild mental retardation and somewhate unusual features (round face, prominent cheeks and nose, short mandible) in the three siblings and two other affected relatives suggest that trisomy of the short arm of chromosome 20 may cause a distinguishable [ncbi.nlm.nih.gov]
- Downturned Corners of the Mouth
We describe an 8.5-year-old boy with facial dysmorphism consisting of a round and flat face, telecanthus, periorbital fullness, short nose, downturned corners of the mouth, and micrognathia. [ncbi.nlm.nih.gov]
- Thin Lips
lips, retrognathia and high arched palate, along with a short neck. [omicsonline.org]
Neurologic
- Poor Coordination
The patient presented with dysmorphic features, mental retardation, poor coordination, cardiac malformation, kyphosis, hypospadias, cryptorchidism, and preaxial hexadactyly. No growth delay was noticed. [ncbi.nlm.nih.gov]
Symptoms - Chromosome 20- duplication 20p The list of signs and symptoms mentioned in various sources for Chromosome 20p, partial duplication includes the 24 symptoms listed below: * Mental deficiency * Reduced muscle tone * Poor coordination * Ataxia [checkorphan.org]
Signs and symptoms that have been reported in people with chromosome 20p duplication include intellectual disability, developmental delay, speech delay, poor coordination, dental problems, spinal bone abnormalities, distinctive facial features, and heart [rarediseases.info.nih.gov]
Urogenital
- Chordee
He also had a glandular hypospadias, slight chordee, and an undescended right testis (orchidopexy at 7 years). He also had an umbilical hernia as an infant, glue ears treated with grommets, and astigmatism of both eyes. [jmg.bmj.com]
Workup
This is one of the few cases of de novo trisomy 20p with extensive workup, characterization at molecular level and close follow-up from the neonatal period to age 30 months. [ncbi.nlm.nih.gov]
This is one of the few cases of de novo trisomy 20p with extensive workup, characterization at molecular level and close follow-up from the neonatal period to age 30months. [agris.fao.org]
Treatment
Treatment Please input treatment information here. You can also add sub-section(s) at will. Labs working on this disease Please input related labs here. References Please input treatment information here. [pediascape.org]
This era was followed by improved environmental factors which operate to produce methods of medical treatment, introduction congenital cardiac malformations. [books.google.com]
Management and treatment Management is multi-disciplinary and requires evaluation and treatment by a pediatrician, and appropriate specialists. [orpha.net]
Prognosis
[…] of these children. phenotype ultrasonics electroencephalography pineal body magnetic resonance imaging chromosomes patients echocardiography boys prognosis comparative genomic hybridization electrocardiography trisomics fluorescence in situ hybridization [agris.fao.org]
We also compared the phenotype of our patient with that previously reported in literature, therefore contributing to better define the trisomy 20p syndrome and helping pediatricians and geneticists to better counsel families about the developmental prognosis [ncbi.nlm.nih.gov]
Prognosis - Chromosome 20- duplication 20p Not supplied. Treatment - Chromosome 20- duplication 20p Not supplied. Resources - Chromosome 20- duplication 20p Not supplied. [checkorphan.org]
Prognosis The prognosis is variable, depending on the size and location of the duplication and on the quality and timing of treatment. Exact life expectancy is unknown, and depends on whether severe congenital anomalies are present. [orpha.net]
(>99%) ==Prognosis== [1] Poor prognosis ~26% have polyhydramnios during the pregnancy. ~7% die in utero. ~34% are born prematurely. ~50% make it to term. ~20% of deliveries end in stillbirth. ~72% are liveborn. [en.wikibooks.org]
Etiology
This is the second report of trisomy 20p originated "de novo" supporting a frequency rate of about the 10% for this etiological mechanism. [ncbi.nlm.nih.gov]
Synonyms dup(20p)|duplication of 20p|partial duplication of chromosome 20p|partial duplication of the short arm of chromosome 20|partial trisomy of chromosome 20p|partial trisomy of the short arm of chromosome 20 Etiology Please input defination information [pediascape.org]
Their etiology is not precisely century with the first clinical recognition of known, so we have included chapters that dis symptoms and patterns for diagnosis of car cuss many aspects of congenital cardiac mal diovascular diseases. [books.google.com]
Etiology Trisomy 20p is a chromosomal abnormality resulting from duplication of a fraction of the short arm of chromosome 20, variable in length, with no recurrent breakpoints. [orpha.net]
Epidemiology
Summary Epidemiology Trisomy 20p is rarely reported. To date, fewer than 40 patients have been described. [orpha.net]
Messaoud T, Bel Haj Fredj S, Bibi A, Elion J, Ferec C, Fattoum S: Molecular epidemiology of cystic fibrosis in Tunisia (in French). Ann Biol Clin (Paris) 2005;63:627–630. [karger.com]
"Blood Pressure" [SH] (epidemiology AND humans) [SH] SI Secondary Source ID The SI field identifies secondary source databanks and accession numbers, e.g., GenBank, GEO, PubChem, ClinicalTrials.gov, ISRCTN. [biomedsearch.com]
Pathophysiology
Antonarakis SE, Lyle R, Dermitzakis ET, Reymond A, Deutsch S (2004) Chromosome 21 and down syndrome: from genomics to pathophysiology. Nat Rev Genet 5: 725-738. [omicsonline.org]
Prevention
Undescended testes Causes - Chromosome 20- duplication 20p * Anteverted nostrils * Ataxia * Flat nasal bridge * Kyphoscoliosis * Large ears * Mental deficiency * Poor coordination * Reduced muscle tone * Tremor * Umbilical hernia * Widely spaced eyes Prevention [checkorphan.org]
In Genetic Disorders and the Fetus: Diagnosis, Prevention and Treatment, 4 th Edition. Ed by Milunsky A. [mosaicism.bcchr.ca]
CDC [CN] Centers for Disease Control and Prevention" [CN] DP Publication Date The date that the article was published. 2007/1/31[DP] 2001/3:2001/10[DP] 2009[DP] DTRE Date Revised The date a change was last made to a record as a result of NLM's individual [biomedsearch.com]
Risk Factors and Preventive Measures Most chromosomal disorders are random events for which there are no preventive measures. [thisability.org]
The ultimate and penultimate act synergistically to prevent nuclear occupancy on NFATc transcription factors, known regulators of vertebrate development. [omicsonline.org]