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Down's syndrome

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Down's syndrome

(dounz)
n.
Variant of Down syndrome.
The American Heritage® Medical Dictionary Copyright © 2007, 2004 by Houghton Mifflin Company. Published by Houghton Mifflin Company. All rights reserved.

Down's syndrome

A major genetic disorder caused by the presence of an extra chromosome 21 (trisomy 21). People with Down's syndrome have oval, down-sloping eyelid openings, a large, protruding tongue and small ears. There is always some degree of learning difficulty, but this need not be severe and many people with Down's syndrome are able to engage in simple employment. Antenatal screening for Down's syndrome has been improved since the end of the 20th century. A quadruple-test screening algorithm for all pregnant women, that includes maternal serum alphafetoprotein, human chorionic gonadotropin, unconjugated oestriol (estriol) and inhibin A is now in use to determine whether pregnant women need be offered AMNIOCENTESIS or CHORIONIC VILLUS SAMPLING. Other factors such as maternal age and ultrasound identification of fetal abnormalities are also important. Full karyotyping after a positive screen test has recently been replaced by the rapid diagnostic procedures of fluorescence-in-situ hybridization (FISH) or PCR. (John Langdon Haydon Down, 1828–96, English physician).
Collins Dictionary of Medicine © Robert M. Youngson 2004, 2005
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