Chromosome 10, monosomy 10p
Chromosome 10, monosomy 10p is a rare chromosomal abnormality involving the deletion of the short arm (p) of chromosome 10. This condition is characterized by a spectrum of clinical manifestations, which can vary significantly among affected individuals. The deletion affects the genetic material near the top of chromosome 10, leading to various developmental, physical, and intellectual challenges. The specific symptoms and severity of the condition depend on the exact size and location of the deletion on chromosome 10p.
Symptoms and Characteristics
Individuals with Chromosome 10, monosomy 10p may exhibit a wide range of symptoms, including but not limited to:
- Developmental delay and intellectual disability of varying degrees
- Growth retardation or failure to thrive in infancy
- Distinctive facial features, which may include microcephaly (small head size), micrognathia (small jaw), and low-set ears
- Congenital heart defects
- Skeletal anomalies such as clubfoot or hip dysplasia
- Kidney problems or urogenital anomalies
- Seizures or other neurological issues
Causes
Chromosome 10, monosomy 10p is caused by a deletion of part of the short arm of chromosome 10. This deletion can occur randomly for unknown reasons (de novo) or can be inherited from a parent carrying a balanced chromosomal rearrangement, such as a translocation or inversion. The size of the deletion can vary among individuals, which contributes to the variability in symptoms and severity of the condition.
Diagnosis
Diagnosis of Chromosome 10, monosomy 10p typically involves a combination of clinical evaluation and genetic testing. Karyotyping and more advanced genetic tests, such as fluorescence in situ hybridization (FISH) or array comparative genomic hybridization (aCGH), can identify the specific chromosomal deletion.
Management and Treatment
There is no cure for Chromosome 10, monosomy 10p, and treatment is symptomatic and supportive. Management may involve a multidisciplinary team of specialists, including pediatricians, geneticists, neurologists, cardiologists, and other healthcare professionals, to address the various symptoms and complications. Interventions may include physical therapy, special education programs, and surgeries or medical management for congenital anomalies.
Prognosis
The prognosis for individuals with Chromosome 10, monosomy 10p varies widely and depends on the size and location of the deletion, as well as the presence and severity of symptoms. Early intervention and supportive care can improve the quality of life and outcomes for many individuals with this condition.
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Contributors: Prab R. Tumpati, MD