Chromosome 1, trisomy 1q42 qter
Chromosome 1, trisomy 1q42 qter is a rare chromosomal abnormality involving an extra (third) copy of genetic material from the long arm (q arm) of chromosome 1, specifically from band 42 to the terminal end of the chromosome (qter). This condition is a type of partial trisomy where only a segment of the chromosome is present in three copies rather than the entire chromosome. The presence of this extra genetic material can lead to various developmental, physical, and intellectual abnormalities.
Causes
The cause of Chromosome 1, trisomy 1q42 qter, like other chromosomal disorders, is related to errors in chromosome segregation during the formation of reproductive cells (gametes) or in the early stages of fetal development. The specific mechanisms leading to the duplication of the 1q42-qter region can include nondisjunction or chromosomal rearrangements such as translocations.
Symptoms and Diagnosis
Individuals with this condition may present a wide range of symptoms, which can vary significantly in severity. Common features may include developmental delay, intellectual disability, growth abnormalities, and distinctive facial features. Other possible symptoms include congenital heart defects, abnormalities of other organs, and skeletal anomalies.
Diagnosis of Chromosome 1, trisomy 1q42 qter typically involves genetic testing and karyotyping to identify the exact nature of the chromosomal abnormality. Prenatal diagnosis may also be possible through procedures such as amniocentesis or chorionic villus sampling (CVS).
Management and Treatment
There is no cure for Chromosome 1, trisomy 1q42 qter, and management focuses on addressing the symptoms and improving the quality of life for affected individuals. This may involve a multidisciplinary approach including medical specialists in genetics, pediatrics, cardiology, neurology, and other fields as needed. Early intervention programs, special education services, and physical therapy may also be beneficial.
Prognosis
The prognosis for individuals with Chromosome 1, trisomy 1q42 qter varies widely depending on the severity of symptoms and the presence of congenital anomalies. With appropriate medical and supportive care, many individuals can lead fulfilling lives, although they may face challenges related to their physical and intellectual abilities.
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Contributors: Prab R. Tumpati, MD