Pallister–Killian syndrome
| Pallister–Killian syndrome | |
|---|---|
| Synonyms | Tetrasomy 12p mosaicism, Pallister mosaic syndrome |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Hypotonia, intellectual disability, seizures, hearing loss, vision problems, sparse hair, pigmentation differences |
| Complications | N/A |
| Onset | Congenital |
| Duration | Lifelong |
| Types | N/A |
| Causes | Tetrasomy of the short arm of chromosome 12 |
| Risks | Advanced maternal age |
| Diagnosis | Karyotype analysis, FISH (fluorescence in situ hybridization) |
| Differential diagnosis | Down syndrome, Prader-Willi syndrome, Angelman syndrome |
| Prevention | N/A |
| Treatment | Symptomatic and supportive care |
| Medication | N/A |
| Prognosis | Variable, depends on severity of symptoms |
| Frequency | Rare |
| Deaths | N/A |
Pallister-Killian syndrome is a rare, multisystemic genetic disorder characterized by a variety of physical abnormalities. The syndrome is caused by the presence of additional genetic material from chromosome 12 (tetrasomy 12p) in some cells of the body.
Symptoms and Signs
The symptoms of Pallister-Killian syndrome can vary greatly from one person to another. Common symptoms include:
- Intellectual disability
- Hypotonia (low muscle tone)
- Seizures
- Hearing loss
- Vision problems
- Skin pigmentation changes
- Congenital heart defects
- Cleft palate
- Diaphragmatic hernia
Causes
Pallister-Killian syndrome is caused by the presence of an extra copy of the short arm of chromosome 12 (tetrasomy 12p) in some cells of the body. This extra genetic material is not inherited from the parents, but occurs as a random event during the formation of reproductive cells or in early fetal development.
Diagnosis
Diagnosis of Pallister-Killian syndrome is often based on the presence of characteristic signs and symptoms. Genetic testing can confirm the diagnosis by identifying the extra genetic material from chromosome 12.
Treatment
There is no cure for Pallister-Killian syndrome. Treatment is symptomatic and supportive, and may include physical therapy, special education, and treatment for specific symptoms such as seizures and heart defects.
Prognosis
The prognosis for individuals with Pallister-Killian syndrome varies depending on the severity of symptoms. Some individuals may have a normal lifespan, while others may have life-threatening complications.
See also
References
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Contributors: Prab R. Tumpati, MD