Chromosome 18, monosomy 18p

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Chromosome 18, monosomy 18p is a rare genetic disorder characterized by the deletion of the short arm (p) of chromosome 18. This condition is also known as 18p- syndrome or De Grouchy syndrome type 1. Individuals with monosomy 18p exhibit a wide range of physical and developmental abnormalities, which can vary significantly in severity among affected individuals.

Symptoms and Characteristics[edit | edit source]

The symptoms of Chromosome 18, monosomy 18p can vary widely, but commonly include:

  • Intellectual disability or developmental delays
  • Unique facial features, such as a high forehead, wide nasal bridge, and low-set ears
  • Short stature
  • Hypotonia (decreased muscle tone)
  • Behavioral issues and psychiatric conditions, such as ADHD (Attention Deficit Hyperactivity Disorder) and autism spectrum disorders
  • Speech and language delays
  • Heart defects

Causes[edit | edit source]

Chromosome 18, monosomy 18p occurs due to a deletion of part of the short arm of chromosome 18. This deletion can happen randomly during the formation of reproductive cells or in early fetal development. It is not typically inherited but occurs as a de novo (new) mutation.

Diagnosis[edit | edit source]

Diagnosis of Chromosome 18, monosomy 18p is typically made through genetic testing, including karyotyping and fluorescence in situ hybridization (FISH) techniques, which can identify the specific chromosomal abnormality.

Treatment[edit | edit source]

There is no cure for Chromosome 18, monosomy 18p, and treatment focuses on managing symptoms and supporting the individual's development. This may include:

  • Early intervention programs for developmental delays
  • Special education services
  • Speech and occupational therapy
  • Physical therapy for hypotonia
  • Behavioral therapy for psychiatric conditions
  • Regular monitoring and treatment for heart defects and other health issues

Prognosis[edit | edit source]

The prognosis for individuals with Chromosome 18, monosomy 18p varies depending on the severity of symptoms. With appropriate support and treatment, many individuals can lead fulfilling lives.

Epidemiology[edit | edit source]

Chromosome 18, monosomy 18p is a rare condition, though the exact prevalence is unknown. It affects males and females equally.

See Also[edit | edit source]

Chromosome 18, monosomy 18p Resources
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Contributors: Prab R. Tumpati, MD