A clinical case of trisomy on chromosome 18 (Edwards Syndrome)

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Edwards syndrome (trisomy on chromosome 18) is a genetic disorder caused by the presence of an extra copy of the eighteenth chromosome in humans. It is the second most common chromosomal disorder after Down syndrome. The frequency of Edwards syndrome among newborns is 1:5000–1:7000. The ratio of boys to girls is 1:3. The karyotype of sick girls and boys is 47, XX+18, 47, XY+18, and 47, XY+18, respectively.

Patients are born with low birth weight (about 2 kg), they have delayed growth and development, mental retardation, wide fontanels at birth and open cranial sutures, the thorax is wider and shorter than normal, the mandible and mouth opening are small. The eye slits are narrow and short, the auditory orifices are deformed and sometimes absent. There are defects of the heart and large vessels, hypoplasia of the cerebellum and corpus callosum. 5–10% survive to the age of one year, all survivors are profound oligophrenics [1–4].

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作者简介

Lyubov Shipilova

Federal State Budgetary Educational Institution of Нigher Education «V.I. Razumovsky Saratov State Medical University» ofthe Ministry of Healthcare ofthe Russian Federation

编辑信件的主要联系方式.
Email: lyubov0506@yandex.ru
ORCID iD: 0000-0002-8173-828X

Candidate of Medical Sciences, Associate Professor of the Department of Hospital Pediatrics and Neonat

俄罗斯联邦, Saratov

Alina Davletkarimova

Federal State Budgetary Educational Institution of Нigher Education «V.I. Razumovsky Saratov State Medical University» ofthe Ministry of Healthcare ofthe Russian Federation

Email: hp144lk@yandex.ru

6th year student of Pediatrics Faculty

俄罗斯联邦, Saratov

Anastasia Molotyagina

Federal State Budgetary Educational Institution of Нigher Education «V.I. Razumovsky Saratov State Medical University» ofthe Ministry of Healthcare ofthe Russian Federation

Email: manasteisa17@mail.ru

6th year student of Pediatrics Faculty

俄罗斯联邦, Saratov

Yulia Kondrashina

Federal State Budgetary Educational Institution of Нigher Education «V.I. Razumovsky Saratov State Medical University» ofthe Ministry of Healthcare ofthe Russian Federation

Email: loginova.yuliya.01@mail.ru

6th year student of Pediatrics Faculty

俄罗斯联邦, Saratov

参考

  1. Bochkov N.P., Puzyrev V.P., Smirnikhina S.A. Clinical genetics. Moscow, 2018. GEOTAR-media. 592 р.
  2. Ivanov V.I. Genetics. Textbook for universities. ICC «Akademkniga», 2006. 638 p.
  3. Kozlova S.I., Demnikova N.S., Semanova E. et al. Hereditary syndromes and medical and genetic counseling. Atlas-guide. Ed. 2nd supplement. Praktika, 1996. 416 p.
  4. Sazanov A.A. Genetics: textbook. St. Petersburg: Pushkin LSU, 2011. 246 p.
  5. Demikova N.S., Podolnaya M.A., Lapina A.S. Maternal age as a risk factor for congenital malformations. Russian journal of perinatology and pediatrics. 2020; (2). URL: https://cyberleninka.ru/article/n/vozrast-materi-kak-faktor-riska-vrozhdennyh-porokov-razvitiya (date of reference: 11.12.2023).
  6. E.S. Zakharova, A.D. Larikova. Edwards syndrome as a manifestation of genetic disease in pediatric practice. Bulletin of new medical technologies, eJournal. 2018; (2).
  7. Alshami A., Douedi S., Guida M. et al. Unusual Longevity of Edwards Syndrome: A Case Report. Genes (Basel). 2020; 11 (12): 1466. doi: 10.3390/genes1112141466. doi: 10.3390/genes11121466.
  8. Balasundaram P., Avulakunta I.D. Edwards Syndrome. [Updated 2023 Mar 20]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK570597/
  9. Saldarriaga W., Rengifo-Miranda H., Ramirez-Cheyne J. Sindrome de trisomia 18. Reporte de un caso clinico [Trisomy 18 syndrome: A case report]. Rev Chil Pediatr. 2016; 87 (2): 129–136. doi: 10.1016/j.rchipe.2015.08.006.

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