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Phelan-McDermid syndrome (PMS) or 22q13.3 deletion syndrome is a heterogeneous monogenetic syndrome. Patients present a diversity of medical, developmental and behavioural features. The aim of the present study is to further characterize the phenotype of patients with PMS. This study is a monocentric, retrospective study consisting of 14 patients with a cytogenetic proven 22q13.3 deletion. Major findings are developmental delay in combination of a large phenotypic variability, altered neurological findings such as hypotonia, gait difficulties and epilepsy, language impairment combined with regression, altered behaviour and a high incidence of psychiatric disorders. Longitudinal follow-up and more prospective studies are needed to determine the natural course of the syndrome with advancing age.
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Abstract A child presenting with the combination of two genetic syndromes, cystic fibrosis (CF) and trisomy 21, is rare. Here, we present a case report of a neonate with CF and trisomy 21 and the clinical implications during her course of life. We then review the literature in order to create awareness of co-existing syndromes, to optimize individual patient care, and to help clinicians guide parents in their counselling process.
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