Mongolian idiocy

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Historical term for Down syndrome


Mongolian idiocy was a term historically used to describe what is now known as Down syndrome, a genetic disorder caused by the presence of all or part of a third copy of chromosome 21. The term is considered outdated and offensive, and its use is discouraged in modern medical and social contexts.

History[edit | edit source]

The term "Mongolian idiocy" was coined in the 19th century by British physician John Langdon Down, who first described the condition in 1866. Down noted certain physical characteristics in individuals with the condition that he believed resembled the Mongoloid racial group, a classification that is now considered scientifically invalid and racially insensitive.

In the mid-20th century, the term "Mongolian idiocy" was widely used in medical literature and by the general public. However, as understanding of genetics and human diversity improved, the term was recognized as inappropriate. In 1961, a group of genetic experts, including Dr. Jerome Lejeune, who discovered the chromosomal cause of Down syndrome, advocated for the discontinuation of the term.

Modern Terminology[edit | edit source]

Today, the condition is universally referred to as Down syndrome, in honor of John Langdon Down, who first described the syndrome. The change in terminology reflects a broader shift towards more respectful and accurate language in the medical field.

Characteristics of Down Syndrome[edit | edit source]

Individuals with Down syndrome often exhibit a distinct set of physical and developmental characteristics. These may include:

  • Hypotonia (reduced muscle tone)
  • A flat facial profile
  • An upward slant to the eyes
  • A single deep crease across the center of the palm (simian line)
  • Developmental delays and intellectual disability

The severity of these characteristics can vary widely among individuals.

Genetic Basis[edit | edit source]

Down syndrome is caused by the presence of an extra copy of chromosome 21, a condition known as trisomy 21. This genetic anomaly occurs due to nondisjunction during cell division, leading to an embryo with three copies of chromosome 21 instead of the usual two.

Social and Medical Support[edit | edit source]

Advancements in medical care and social support have significantly improved the quality of life for individuals with Down syndrome. Early intervention programs, educational support, and community inclusion initiatives are crucial in helping individuals with Down syndrome lead fulfilling lives.

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Contributors: Prab R. Tumpati, MD