Chromosome 14, trisomy mosaic
Chromosome 14, trisomy mosaic is a rare chromosomal abnormality characterized by the presence of an extra chromosome 14 in some but not all of the body's cells. This condition is a form of mosaicism, which occurs when an individual has two or more populations of cells with different genotypes. In the case of Chromosome 14, trisomy mosaic, some cells have the normal 46 chromosomes, while others have 47 chromosomes due to an additional chromosome 14. This condition can lead to a variety of developmental and physical abnormalities, depending on the proportion and distribution of trisomic cells throughout the body.
Causes
Chromosome 14, trisomy mosaic, arises from a random error in cell division after fertilization. The error can occur during the early stages of embryonic development, leading to a mixture of normal and trisomic cells. The specific cause of the error in cell division is not well understood, but it is not believed to be related to parental age or environmental factors.
Symptoms
The symptoms of Chromosome 14, trisomy mosaic can vary widely among affected individuals, depending on the extent and distribution of trisomic cells. Common symptoms may include developmental delay, intellectual disability, growth retardation, and distinctive facial features. Other possible symptoms include congenital heart defects, skeletal abnormalities, and problems with the gastrointestinal system and kidneys. However, some individuals with this condition may have mild symptoms or may even be asymptomatic.
Diagnosis
Diagnosis of Chromosome 14, trisomy mosaic typically involves a combination of physical examination, review of the individual's medical history, and genetic testing. Karyotyping and fluorescence in situ hybridization (FISH) are commonly used genetic tests to identify the presence of an extra chromosome 14 in some of the cells.
Treatment
There is no cure for Chromosome 14, trisomy mosaic, and treatment focuses on managing the symptoms and improving the quality of life for affected individuals. This may include physical therapy, occupational therapy, special education services, and medical management of specific symptoms such as heart defects or kidney problems.
Prognosis
The prognosis for individuals with Chromosome 14, trisomy mosaic varies depending on the severity of symptoms and the extent of trisomic cells in the body. Some individuals may lead relatively normal lives with appropriate medical and educational support, while others may face significant developmental and health challenges.
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Contributors: Prab R. Tumpati, MD