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Published on: September 20, 2018
Unusual clinical history of a male infant with Edwards syndrome
Andrea Surányi1, Tamás Bitó, György Vajda
1Department of Obstetrics and Gynaecology, University of Szeged, Szeged 6725, Semmelweis u. 1. 438, Szeged, Hungary.
Insights
Edwards syndrome, also known as trisomy 18, often involves central nervous system and other system malformations. This case report details unique features, expanding the understanding of Edwards syndrome.
Area of Science:
- Medical Genetics
- Developmental Biology
- Clinical Medicine
Background:
- Edwards syndrome (trisomy 18) is a genetic disorder characterized by multiple congenital anomalies.
- Commonly associated malformations include cardiac, renal, and central nervous system defects.
Observation:
- A male infant with Edwards syndrome presented with a unique combination of anomalies.
- Observed features included partial agenesis of the corpus callosum, esophageal atresia with tracheoesophageal fistula, and renal agenesis.
Findings:
- The patient exhibited trisomy 18 with a distinct set of malformations.
- Partial agenesis of the corpus callosum, esophageal atresia with tracheoesophageal fistula, and renal agenesis were not previously reported together in trisomy 18 literature.
Implications:
- This case expands the phenotypic spectrum of Edwards syndrome.
- Further delineation of trisomy 18 is crucial for improved diagnosis and genetic counseling.
Abstract:
Edwards syndrome (trisomy of chromosome 18) is generally characterized by the disorders of central nervous system, as well as the musculoskeletal and genitourinary systems. In majority of the cases with trisomy 18 the following malformations can be found: ventricular septal defect, horseshoe kidneys, oesophageal atresia, omphalocele, facial clefts, diaphragmatic hernias and genital hypoplasia. We report a male patient with Edwards syndrome. The boy had a partial agenesis of corpus callosum, oesophageal atresia with tracheo-oesophageal fistula, renal agenesis, ventricular septal defect, Dandy-Walker cyst and low-set malformed ears. The first three features are unique based on previous literature reports on trisomy 18. This report allows a further delineation of the trisomy 18 syndrome.
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