X-linked recessive disorders

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X-linked recessive disorders are a class of genetic disorders that are caused by mutations in genes on the X chromosome. These disorders are termed "recessive" because two copies of the abnormal gene must be present for the disease or trait to develop. However, because males (XY) have only one X chromosome, a single recessive gene on that X chromosome will cause the disease. Females (XX), on the other hand, have two X chromosomes and thus two copies of the gene; they are usually carriers of the disorder without actually having the disease, although they can pass the mutated gene to their offspring.

Causes[edit | edit source]

X-linked recessive disorders are caused by mutations in genes on the X chromosome. These mutations can be inherited from a carrier mother or can occur as a new mutation in the affected individual. The X chromosome carries many genes that are critical for normal development and function, and mutations in these genes can lead to a variety of genetic disorders.

Common X-linked Recessive Disorders[edit | edit source]

Some of the most common X-linked recessive disorders include:

  • Hemophilia: A disorder affecting the blood's ability to clot.
  • Duchenne Muscular Dystrophy (DMD): A condition characterized by progressive muscle degeneration and weakness.
  • Color Blindness: A reduced ability to distinguish between certain colors.
  • Fragile X Syndrome: A genetic condition causing intellectual disability, behavioral and learning challenges, and various physical characteristics.
  • Hunter Syndrome: A rare condition that affects many different parts of the body and typically has onset in childhood.

Diagnosis[edit | edit source]

Diagnosis of X-linked recessive disorders often involves a combination of family history, clinical examination, and genetic testing. Genetic testing can identify mutations in the X chromosome that are responsible for the disorder.

Treatment[edit | edit source]

Treatment for X-linked recessive disorders varies depending on the specific disorder and the severity of symptoms. It may include medication, physical therapy, surgical interventions, and supportive care. For some conditions, like hemophilia, advancements in gene therapy hold promise for more effective treatments in the future.

Genetic Counseling[edit | edit source]

Genetic counseling is recommended for families affected by X-linked recessive disorders. Counselors can provide information about the risk of passing the disorder to children, discuss testing options, and offer support for affected individuals and their families.

See Also[edit | edit source]


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Contributors: Prab R. Tumpati, MD