Cytogenetic study of down syndrome in Algeria: Report and review

Background: Down syndrome (DS) is the most common type of chromosomal trisomy found in newborn. It is associated with mental retardation and characteristic facial features. A clinical diagnosis of DS may be unconfirmed in one-third of cases. Objective: This study was conducted to confirm the clinica...

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Main Authors: Fayza Belmokhtar, Rahma Belmokhtar, Ahmed Kerfouf
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2016-01-01
Series:Journal of Medical Sciences
Subjects:
Online Access:http://jms.ndmctsgh.edu.tw/article.asp?issn=1011-4564;year=2016;volume=36;issue=2;spage=46;epage=52;aulast=Belmokhtar
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author Fayza Belmokhtar
Rahma Belmokhtar
Ahmed Kerfouf
author_facet Fayza Belmokhtar
Rahma Belmokhtar
Ahmed Kerfouf
author_sort Fayza Belmokhtar
collection DOAJ
description Background: Down syndrome (DS) is the most common type of chromosomal trisomy found in newborn. It is associated with mental retardation and characteristic facial features. A clinical diagnosis of DS may be unconfirmed in one-third of cases. Objective: This study was conducted to confirm the clinical diagnosis of suspected cases with DS by a cytogenetic analysis and to evaluate several risk factors associated with trisomy 21 in a group of patients from West region of Algeria, Tlemcen. Materials and Methods: Karyotype analysis was carried out for 22 patients with the clinical diagnosis of DS. GTG-band and RTG-band have been made according to the standard protocols. Results: Among the 22 cases with DS, free trisomy 21 was presented in 20 cases (91%). One case (4.5%) had translocation DS. One other case had mosaic DS. There was an excess of male than female; sex ratio was 1.75:1. The mean maternal age at birth of the affected children was 36.27 ± 7.59 years. It was significantly higher than this of mothers of nontrisomic children (27.83 ± 6.34 years; P = 0.0002). Higher parity was an important risk factor associated with trisomy 21, 81% of affected children were of last or second last birth order. Paternal age and consanguinity had no effect. Conclusion: The identification of specific types of chromosomal abnormalities in DS children is very significant. It greatly helped in the management of these children and to make aware the affected families about the recurrence risk and the options available.
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spelling doaj.art-4d390a94ec70401585a40b64227449e02022-12-21T19:04:26ZengWolters Kluwer Medknow PublicationsJournal of Medical Sciences1011-45642016-01-01362465210.4103/1011-4564.181526Cytogenetic study of down syndrome in Algeria: Report and reviewFayza BelmokhtarRahma BelmokhtarAhmed KerfoufBackground: Down syndrome (DS) is the most common type of chromosomal trisomy found in newborn. It is associated with mental retardation and characteristic facial features. A clinical diagnosis of DS may be unconfirmed in one-third of cases. Objective: This study was conducted to confirm the clinical diagnosis of suspected cases with DS by a cytogenetic analysis and to evaluate several risk factors associated with trisomy 21 in a group of patients from West region of Algeria, Tlemcen. Materials and Methods: Karyotype analysis was carried out for 22 patients with the clinical diagnosis of DS. GTG-band and RTG-band have been made according to the standard protocols. Results: Among the 22 cases with DS, free trisomy 21 was presented in 20 cases (91%). One case (4.5%) had translocation DS. One other case had mosaic DS. There was an excess of male than female; sex ratio was 1.75:1. The mean maternal age at birth of the affected children was 36.27 ± 7.59 years. It was significantly higher than this of mothers of nontrisomic children (27.83 ± 6.34 years; P = 0.0002). Higher parity was an important risk factor associated with trisomy 21, 81% of affected children were of last or second last birth order. Paternal age and consanguinity had no effect. Conclusion: The identification of specific types of chromosomal abnormalities in DS children is very significant. It greatly helped in the management of these children and to make aware the affected families about the recurrence risk and the options available.http://jms.ndmctsgh.edu.tw/article.asp?issn=1011-4564;year=2016;volume=36;issue=2;spage=46;epage=52;aulast=BelmokhtarCytogenetic analysisdown syndromekaryotypematernal ageAlgeria
spellingShingle Fayza Belmokhtar
Rahma Belmokhtar
Ahmed Kerfouf
Cytogenetic study of down syndrome in Algeria: Report and review
Journal of Medical Sciences
Cytogenetic analysis
down syndrome
karyotype
maternal age
Algeria
title Cytogenetic study of down syndrome in Algeria: Report and review
title_full Cytogenetic study of down syndrome in Algeria: Report and review
title_fullStr Cytogenetic study of down syndrome in Algeria: Report and review
title_full_unstemmed Cytogenetic study of down syndrome in Algeria: Report and review
title_short Cytogenetic study of down syndrome in Algeria: Report and review
title_sort cytogenetic study of down syndrome in algeria report and review
topic Cytogenetic analysis
down syndrome
karyotype
maternal age
Algeria
url http://jms.ndmctsgh.edu.tw/article.asp?issn=1011-4564;year=2016;volume=36;issue=2;spage=46;epage=52;aulast=Belmokhtar
work_keys_str_mv AT fayzabelmokhtar cytogeneticstudyofdownsyndromeinalgeriareportandreview
AT rahmabelmokhtar cytogeneticstudyofdownsyndromeinalgeriareportandreview
AT ahmedkerfouf cytogeneticstudyofdownsyndromeinalgeriareportandreview