Genetics and Dysmorphology Flashcards
Name any 5 genetic conditions inherited in an autosomal dominant fashion
Achondroplasia
Hereditary elliptocytosis
Hereditory spherocytosis
Huntington’s disease
Marfans Syndrome
Myotonic Dystrophy
NF1
NF2
Tuberous Sclerosis
Noonan Syndrome
Von Willebrands Disease
Name any 5 genetic conditions inherited in an autosmal recessive fashion
alpha-1-antitrypsin deficiency
ataxia telangectasia
beta thalassaemia
cystic fibrosis
fanconi anaemia
sickle cell
galactosaemia
glycogen storage disorders
homocystinuria
Name any 5 genetic conditions inherited in an x-linked fashion (dominant or recessive)
Haemophilia A and B
Wiskot-Aldritch Disease
Duchenne muscular dystrophy
Becker muscular dystrophy
Glucose-6-phosphate dehydrogenase deficiency
Incontinentia pigmenti
Hypohydrotic ectodermal dysplasia
Rett Syndrome
How many conditions conditions are screened for in the newborn screening test and what are they?
9
sickle cell disease
cystic fibrosis
hypothyroidism
phenylketonuria
medium-chain acyl CoA dehydrogenase deficiency (MCADD)
maple syrup urine disease
isovaleric acidaemia
glutaric aciduria type 1
homocystinuria
What are the classical phenotypic features of Patau syndrome and from what genetic abnormality does it arise?
Trisomy 13
Cleft lip + palate, polydactyly
<3 = ASD+ VSD
I = coloboma ,micropthalmia
Sig CNS problems holoprosencephal and menigomyeloceole
Death in 12 months
What are the classical phenotypic features of Edwards syndrome and from what genetic abnormality does it arise?
Trisomy 17
Folded over fingers at birth CLASSIC
<3 = ASD+ VSD
I = coloboma ,micropthalmia
Sig brain problems
Death in 12 months
What are the classical phenotypic features of Downs syndrome and from what genetic abnormality does it arise?
Trisomy 21
Single palmar creases, midface hypoplasia, intellectual disablilty
<3= AVSD, VSD, ASD
I= Cataracts, brusfield spots, epicanthal folds
Hypotonia, hypermobility
What are the classical phenotypic features of Turners syndrome and from what genetic abnormality does it arise?
45 X0 OR 45 X mosaicism
Short GIRL with webbed neck, wide spaced nipples, low hairline
<3 =Biscuspid aortic valve, coarctation of aorta
I- NAD
What are the classical phenotypic features of Klinfelters syndrome and from what genetic abnormality does it arise?
47 XXY
Abiguous genitalia
Small/ absent testes, Micropenis/ hypospadias, gynaecomastia
Some have neurodevelopmental delay
What are the classical phenotypic features of Di George Syndrome and from what genetic abnormality does it arise?
22q11.2 deletion
Big forehead, widely-spaced eyes, low set ears.
I= epicanthal folds, downslanting palpebral fissures
<3= Truncus arteriosus, tetralogy of fallot, VSD, ASD
Cleft lip and palate
hypoplastic thymus- therefore leucopenia
hypoplastic parathyroid - therefore hypocalcaemia
What are the classical phenotypic features of Williams Syndrome and from what genetic abnormality does it arise?
A.D. 7q11.23 deletion.
Short. Broad foreahead, small nose, long filtrum, wide mouth and widely spaced teeth.
<3= supravalvular aortic stenosis
Hypercalcaemia
renal artery stenois + hypothyroidism
+++ sociable
What are the classical phenotypic features of Prader-Willi Syndrome and from what genetic abnormality does it arise?
Absence of paternal copy of 15q OR maternal disomy of same
Reduce foetal movement, polyhydramnios, weak cry, hypotonia, poor feed.
almond shaped eyes, downturned mouth, thin upper lip
Short (growth hormone issue), obesity > 2 years,
What are the classical phenotypic features of Angleman Syndrome and from what genetic abnormality does it arise?
Absence of maternal copy of 15q OR paternal disomy of same.
Symptoms appear > 6 -12 month
Stiff, wide based gait, wide mouth
Often smiling, laughing, hand-clapping
Sig. developmental delay -> microcephaly
What are the classical phenotypic features of Peutz-Jeghers Syndrome and from what genetic abnormality does it arise?
A.D. mutation STK11 q9
Mucocutaneous pigmentation of lips
multiple pre-malignant polyps in gastrointestinal tract- may undergo malignant change.
What are the classical phenotypic features of Beckwith-Widemann Syndrome and from what genetic abnormality does it arise?
Imprinted gene abnormality q11
Macrosomia
Macroglossia, hemi-hypertrophy, crease in pinna of ear.
Risk hyperinsulinism due to pancreatic hyperplasia
Increased risk nephroblastoma