As geneticist pharmacist i am doing OPD with hematologist and geneticist
patient of around age of 11-12 years comes in OPD with the physical charactertics of prominent ears. his mother told he have learning difficulty and he not memorize anything effectively.
OTHER VISUALIZED CHARACTERISTICS ARE :
- overlarge head
- long face
- prominent mandible
- broad forehead
By visualizing these symptoms whats come in mind ?
Before i tell you the diagnosis or expected diagnosis just think 2 minutes either you see any children with these symptoms.
OK then these symptoms are straight forwarded pointing out towards FRAGILE X SYNDROME ?
Most of the geneticist are confuse with TURNER SYNDROME and FRAGILE X SYNDROME
SO LETS DIFFERENTIATE IT
basically in fragile x syndrome HYPERMETHYLATION occur in FMRP gene
whereas in the case of TURNER SYNDROME there's a deletion of second sex chromosome
either from mother or from father side
symptoms are also variate
patient with TURNER SYNDROME have low posterior hairline, chest changes that are broad and wide spaced nipples
along with these sexual characteristics are not develop
FRAGILE X SYNDROME : MALE DISORDER
HOW YOU CAN VISUALIZE IN NEWBORN -- TURNER SYNDROME
- Neck visualize like web
- lympheedema
- renal and cardiac changes
- gonadol dysgenesis
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