D TRISOMY SYNDROME

D Trisomy syndrome was identified by the Wisconsin group led by Patau in 1960. They identified an additional chromosome in group D (13-15) in a newborn baby with multiple congenital abnormalities. 

The neuropathological signs include defects in craniofacial development and the forebrain cleavage of the baby. It also comes with extra fingers or limbs, congenital cataracts, small or underdeveloped eyes, retro flexible thumbs, simian palmar creases, ventricular septal defect, cleft lip, and palate.

According to studies conducted in the 1960s, the main pattern of malformations and deformities in these severely deformed neonates is caused by a specific autosome of the D group (13-15). In the majority of all reported cases, these deformed babies have the same patterns and defects. In addition, the mortality rate of the patients with this syndrome is approximately 50%, in which newborn babies die in the first week of their life.

The survival of the babies born with this syndrome is so low the longest life span recorded is only one year. Though cases may vary from patient to patient, the pattern of abnormalities is specific enough to recognize the clinical studies conducted.

SYMPTOMS

  • Heart defects
  • Underdeveloped forebrain cleavage
  • Spinal cord abnormalities
  • Microphthalmia or poorly developed eye
  • Polydactyly or extra fingers and toes
  • Cleft lip 
  • Cleft palate
  • Retro flexible thumbs

DIAGNOSIS

Diagnosis for chromosomal anomalies such as D trisomy 13-15 is as follows:

Doctors can identify physical signs of this syndrome during the first-trimestral fetal ultrasounds. However, it is more accurate by conducting tests and looking at the cells in the amniotic fluid or from the placenta, conducting pregnancy-associated plasma protein A tests, or a cell-free DNA screening.

These are all screening examinations, which means lab technicians can’t specifically tell the doctor if the baby definitely has a D trisomy syndrome. Instead, they will only suggest that the baby is more likely to have this syndrome and needs further examinations to confirm it.

TREATMENT

The babies diagnosed with D trisomy syndrome usually suffer from multiple malformations caused by a chromosomal error in their DNA structure, including facial, brain, eye, and heart defects. Sadly, however, there is no known treatment available for D trisomy syndrome yet.

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