A Trissomia X ou Síndrome do Triplo X síndrome XXX, só ocorre em indivíduos ovarianos, sendo eles reconhecidos assim, como superfêmeas. Nas células 47, XXX, dois dos cromossomos X são inativados e de replicação tardia. Quase todos os casos resultam de erros na meiose materna. É caracterizada por apresentar um cariótipo 47,XXX, é uma perturbação cromossómica aneuploidia em que uma mulher tem uma cópia extra do cromossoma X. Isto cria um cariótipo XXX com 47 cromossomas em vez do XX normal de 46 cromossomas. É relativamente comum e ocorre numa em cada 1.
Introdução
O que você precisa saber de cara
Trissomia 1 em mosaico é uma condição genética rara caracterizada pela presença de três cópias do cromossomo 1 em algumas células do corpo. Apresenta um espectro de malformações, incluindo cisto da fossa posterior, escoliose e anomalias nos membros e face.
Escala de raridade
<1/50kMuito rara
1/20kRara
1/10kPouco freq.
1/5kIncomum
1/2k
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Entender a doença
Do básico ao detalhe, leia no seu ritmo
Preparando trilha educativa...
Sinais e sintomas
O que aparece no corpo e com que frequência cada sintoma acontece
Partes do corpo afetadas
+ 18 sintomas em outras categorias
Características mais comuns
Os sintomas variam de pessoa para pessoa. Abaixo estão as 60 características clínicas mais associadas, ordenadas por frequência.
Linha do tempo da pesquisa
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Genética e causas
O que está alterado no DNA e como passa nas famílias
Condição cromossômica — cromossomo 1
Causada pelo excesso de material do cromossomo 1. O fenótipo resulta da alteração na dose de múltiplos genes simultaneamente — não há gene causal único. Diagnóstico por cariótipo, CMA ou FISH.
Genes triplosensíveis (sensíveis ao excesso de dose)
Genes do cromossomo 1 com evidência de sensibilidade à dose segundo ClinGen Dosage Map . São fortes candidatos a explicar parte do fenótipo.
Fontes: ClinGen Dosage Sensitivity Map · GENCODE v44 (GRCh38)
Diagnóstico
Os sinais que médicos procuram e os exames que confirmam
Tratamento e manejo
Remédios, cuidados de apoio e o que precisa acompanhar
Onde tratar no SUS
Hospitais de referência no Brasil e o protocolo oficial do SUS (PCDT)
🇧🇷 Atendimento SUS — Trissomia 1 em mosaico
Selecione um estado ou use sua localização para ver resultados.
Dados de DATASUS/CNES, SBGM, ABNeuro e Ministério da Saúde. Sempre confirme a disponibilidade diretamente com o estabelecimento.
Pesquisa ativa
Ensaios clínicos abertos e novidades científicas recentes
Pesquisa e ensaios clínicos
Nenhum ensaio clínico registrado para esta condição.
Publicações mais relevantes
Concomitant Chromosomal and Molecular Aberrations in Trisomy 8 Mosaicism and Associated Compound Phenotypes: Report of Three Cases and Review of Literature.
Trisomy 8 mosaicism (T8M) syndrome is a rare aneuploidy condition affecting 1/25,000-50,000 live births. Affected individuals have highly variable phenotypes from very mild dysmorphism to severe structural anomalies caused by chromosomal mosaicism and possibly undetected molecular aberrations. The utilization of chromosome microarray analysis (CMA) and exome sequencing (ES) in clinical laboratories enable the identification of genomic copy number imbalances and pathogenic gene variants. We presented one patient with a double aneuploid mosaic pattern of Monosomy X and Trisomy 8 for a compound phenotype of Turner syndrome (TS) and T8M syndrome, the second patient with T8M and a mosaic pathogenic variant in the PTEN gene detected by ES, and the third patient with typical phenotypic constellation of malformations with no other genetic aberrations detected by CMA and ES. Classification of mosaic findings was provided using a recommended six-attribute scheme. Review of the literature summarized cases of T8M with concomitant molecular defects of a deletion at 22q11.2 and pathogenic variants in the SALL1, RECQL4, NF1, CASK, and PAH genes. These observations indicated that integrated cytogenetic and genomic analyses should be offered to patients with phenotypic abnormalities outside the spectrum of the T8M syndrome for comprehensive laboratory diagnosis and clinical management. Trisomy 13 is a chromosomal aneuploidy originally described by Patau et al in 1960. The incidence of trisomy 13 is 1 in 10,000 to 20,000 live births, with antenatal mortality exceeding 95% of gestations. This condition can occur as a complete, partial, or mosaic expression. Complete trisomy is the most common presentation, accounting for about 80% of patients. This expression characteristically shows 3 copies of chromosome 13. Partial trisomy 13 most commonly results from a Robertsonian translocation, typically involving chromosomes 13 and 14 [t(13;14)]. Mosaic trisomy 13, accounting for approximately 5% of cases, arises postzygotically and is characterized by a mixture of euploid and trisomic cells. Trisomy 13 arises from nondisjunction of germ cells during meiosis I or II in either parental cell line. Nonetheless, maternal meiotic nondisjunction, associated with increased maternal age at conception, accounts for approximately 91% of trisomy 13 cases. Complete trisomy 13 most commonly results from sporadic meiotic nondisjunction, typically arising during maternal gametogenesis. In contrast, familial inheritance of trisomy 13 occurs in a minority of cases and is usually due to a balanced Robertsonian translocation in 1 parent, which can be vertically transmitted and result in partial or complete trisomy 13 in the offspring. Phenotypic findings in trisomy 13 include patterns of congenital anomalies and profound neurodevelopmental impairment, typically incompatible with long-term survival. The embryological defects in trisomy 13 develop in the absence of prechordal mesoderm fusion, which phenotypically manifests as midline defects. These midline defects are associated with aberrant SHH genes. Despite the high mortality associated with trisomy 13, it remains clinically significant because patients with mosaic trisomy 13 can exhibit variable expressivity and survive longer.
Clinical significance and association with pregnancy outcome of positive non-invasive prenatal screening for trisomy 15 in singleton pregnancy: prospective cohort study, systematic review and meta-analysis.
To investigate the incidence and clinical significance of a positive result on genome-wide non-invasive prenatal screening (NIPS) for trisomy 15. We conducted a prospective cohort study of singleton pregnancies that underwent genome-wide NIPS at a single center in Hong Kong between January 2020 and April 2023. The incidence of a positive genome-wide NIPS result for trisomy 15, positive predictive value (PPV) for trisomy 15 and risk of uniparental disomy 15 (UPD15) were assessed based on cytogenetic and molecular analyses at amniocentesis. Adverse fetal outcomes were reviewed. Furthermore, a systematic review of cohort studies reporting positive trisomy 15 results from genome-wide NIPS was performed, including data from our prospective cohort. Random-effects meta-analysis was used to obtain pooled estimates of incidence and PPV. The risk of UPD15 and adverse pregnancy outcomes was also evaluated. Heterogeneity was evaluated using Higgins' I2 statistic. In our cohort of 36 466 singleton pregnancies that underwent genome-wide NIPS, 10 (0.027%) cases were screen-positive for trisomy 15 (2.7 per 10 000 singleton pregnancies). Results from invasive diagnostic testing were available for all screen-positive cases. The PPV of genome-wide NIPS for trisomy 15 was 40.0% (4/10), and 3/10 (30.0%) cases were confirmed to have maternal UPD15. Together with our study, a total of 30 cohorts from 29 studies were included in the systematic review and meta-analysis, comprising 175 pregnancies that were screen-positive for trisomy 15. In 26 cohorts in which the total number of cases screened using NIPS were specified, the pooled incidence of trisomy 15 was 145/1 009 301 (0.013% (95% CI, 0.009-0.019%; I2 = 78.4%)), or 1.3 per 10 000 singleton pregnancies. The pooled incidence was significantly higher among women screened in the first trimester compared with those tested in the second trimester. Among 102 cases with a diagnostic result from invasive testing, 22 were confirmed as having fetal trisomy 15, including eight with full trisomy 15 and 14 with true fetal mosaicism. The pooled PPV for fetal trisomy 15 was 17.4% (95% CI, 4.0-35.0%; I2 = 51.5%). Among 69 cases with a result from UPD15 testing, 14 (20.3%) had maternal UPD15. Assuming that all diploid cases that did not undergo UPD15 testing had normal biparental inheritance of chromosome 15, the pooled PPV for either fetal trisomy 15 or UPD15 was 32.6% (95% CI, 14.4-53.0%; I2 = 55.3%), and the residual risk of UPD15 after a fetal normal karyotype was at least 11.3%. Among patients with clinical follow-up, 68.4% experienced an adverse pregnancy outcome, including fetal loss (29.1%), termination of pregnancy (21.5%) and/or pregnancy complication (17.7%). Although the PPV of genome-wide NIPS for fetal trisomy 15 was relatively low, a significant proportion of cases with a positive NIPS result for trisomy 15 had maternal UPD15 or fetal mosaicism, underscoring the need for diagnostic confirmation via amniocentesis. Amniocentesis should be strongly recommended for any case with a positive NIPS result for trisomy 15 to investigate UPD15 and true fetal mosaicism and guide subsequent clinical management. © 2025 International Society of Ultrasound in Obstetrics and Gynecology.
Long-Term Survival Among Children With Trisomy 13 and Trisomy 18 by Cytogenetic Status.
Trisomy 13 (T13) and trisomy 18 (T18) are chromosomal abnormalities with high mortality rates in the first year of life. Understanding differences in long-term survival between children with full vs mosaic or partial trisomy is crucial for prognosis and health care planning. To examine the differences in 10-year survival between children with full T13 and T18 vs those with mosaic or partial trisomy. This retrospective, population-based cohort study assessed liveborn infants with T13 and T18 in the Texas Birth Defects Registry (deliveries from January 1, 1999, to December 31, 2008). Follow-up was through December 31, 2018 (the last date available at the time of analyses) to allow for 10 years of follow-up for all infants. All analyses were conducted from January 1, 2022, to December 31, 2024. Cytogenetic status (full trisomy vs mosaic or partial trisomy). The primary outcome was survival to 10 years of age, assessed using Kaplan-Meier survival estimates. The association between cytogenetic status and mortality by 10 years of age was assessed using Cox proportional hazards regression to generate hazard ratios (HRs). Population attributable fraction was calculated to determine the percentage of survival attributable to mosaic or partial trisomy status. The study cohort included 798 infants (463 female infants [58.0%]; mean [SD] maternal age, 30.9 [8.0] years) with T13 (n = 295) or T18 (n = 503). Among all cases with T13, 25 infants (8.5%; 95% CI, 5.5%-12.3%) survived to 10 years of age. Similarly, among all infants with T18, 43 (8.6%; 95% CI, 6.3%-11.3%) survived to 10 years of age. Kaplan-Meier survival estimates to 10 years of age were statistically significantly higher among children with mosaic or partial trisomy (13 [25.0%] and 14 [43.8%], respectively) compared with full trisomy (12 [4.9%] and 29 [6.6%], respectively) (both P < .001). Infants with full trisomy had statistically significantly increased 10-year mortality hazards compared with those with mosaic or partial trisomy for both T13 (HR, 2.00; 95% CI, 1.42-2.82) and T18 (HR, 3.34; 95% CI, 2.08-5.38). The results of the calculated proportion of 10-year survival due to the presence of nonfull trisomy status (population attributable fraction) was 41.7% for children with T13 and 27.9% for children with T18. The findings of this cohort study of infants with T13 and T18 support differences in long-term survival based on cytogenetic status and emphasize the need to potentially reassess the context of these conditions generally being considered incompatible with life, particularly for those with mosaic trisomies. These findings offer context surrounding treatment decisions, such as withholding interventions, for affected infants in the future.
An integrated platform for concurrent structural and single-nucleotide variants improves copy-number detection and reveals pathogenic alleles in undiagnosed Mendelian families.
Copy number variation (CNV) is a class of genomic structural variation (SV) that contributes to genomic disorders and can significantly impact health. Short-read genome sequencing (sr-GS) enables genome-wide SV calling which has been shown to increase diagnosis in unsolved rare disease families. The growing number of large sequencing cohort projects with sr-GS data available requires open free analytical tools that provide visualization of CNV and SV integrated calls associated with gene annotation, proband-parent trio analysis to enable prioritization of de novo variants, B-allele frequency (BAF) plots to support CNV calls, parent of origin assessment and mosaicism detection. To support those needs, we developed VizCNV, an open-source platform that incorporates read depth and BAF to enable haplotype-aware CNV analysis. The tool incorporates multiple interactive view modes for SV concurrent calls and annotation tracks for analyzing chromosomal abnormalities [e.g., aneuploidy, segmental aneusomy, and chromosome translocations], gene exonic rearrangements and non-coding gene regulatory regions. In addition, VizCNV includes a built-in filter schema for trio genomes, prioritizing the detection of de novo CNVs. We optimized VizCNV using 1000 Genomes Project data and benchmarked its performance against a cohort containing CNVs validated by multiple technologies. Finally, we applied VizCNV to a molecularly unsolved primary immunodeficiency disease cohort (PIDD, n = 39) previously analyzed by exome sequencing. Upon computational optimization, VizCNV achieved approximately 82.3% recall and 76.3% precision for deletions > 10 kb. VizCNV accurately detected all 71 validated copy number gains and correctly indicated potential underlying genomic complexities. Haplotype-aware CNV analysis identified a meiosis I non-disjunction event (trisomy 21), three de novo CNVs at two unique loci and 48 inherited candidate CNVs in the PIDD cohort of which 42% (20/48) were validated by integrated CNV/BAF analysis. Moreover, genotype-phenotype analyses revealed that a compound heterozygous combination of a paternal 12.8 kb deletion of exon 5 and a maternal missense variant allele of DOCK8 are the molecular cause of one proband diagnosed with Hyper-IgE syndrome. VizCNV provides a robust and flexible platform for identification of aneuploidies, CNV, SV discovery and visualization of CNV and BAF data. It is also a useful tool to investigate features of genomic rearrangements such as parental origin which has implications for genetic counseling and mechanistic studies. The tool is freely available through https://doi.org/10.6084/m9.figshare.25869523 .
Beyond the Diagnosis: A Journey of an 8-Year-Old Girl with Patau Syndrome: Case Report.
Background/Objectives: Patau syndrome (trisomy 13) is a rare genetic disorder with high mortality, and poor prognosis. Patients surviving beyond infancy usually present with severe psychomotor delays, failure to thrive, intellectual disabilities and seizures. Female sex and mosaic trisomy 13 are considered positive prognostic factors. Methods: Here we report an 8-year-old female patient with Patau syndrome, diagnosed prenatally, born prematurely at 35 + 4 weeks of gestation via vaginal delivery as a third child of 33 years old healthy and unrelated parents. The birth weight was 2087 g, Apgar scored 9 at 1 min and 10 at 5 min, also self-ventilating in room air since birth. The patient has several associated congenital abnormalities; however, medical adjustments such as multiple surgeries, PEG, hearing aids, glasses, anti-epileptic medications, and suction support the girl's daily life. The patient attends a primary school with specialist support that fosters her physical and sensory development and promotes progress in communication. Despite the numerous obstacles she faces, the girl's journey demonstrates remarkable growth and development with the support of an interdisciplinary care team. It highlights the critical role of personalized care and early intervention. Conclusions: Due to the increasing survival rates of patients with Patau syndrome, complex and multidisciplinary care is required for both the patients and their families to achieve the best possible outcomes and ensure proper care, growth, and development of the child. All medical procedures must be thoroughly assessed for potential complications and viable improvement in quality of life.
Publicações recentes
Ver todas no PubMed📚 EuropePMCmostrando 198
Concomitant Chromosomal and Molecular Aberrations in Trisomy 8 Mosaicism and Associated Compound Phenotypes: Report of Three Cases and Review of Literature.
Case reports in geneticsAn integrated platform for concurrent structural and single-nucleotide variants improves copy-number detection and reveals pathogenic alleles in undiagnosed Mendelian families.
Genome medicineBeyond the Diagnosis: A Journey of an 8-Year-Old Girl with Patau Syndrome: Case Report.
Children (Basel, Switzerland)[Prenatal diagnosis and genetic analysis of four fetuses with Uniparental disomy].
Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chinese journal of medical geneticsCo-Occurrence of Urogenital Anomalies and Congenital Heart Disease in a Child With Alpha-Thalassemia Mental Retardation Syndrome Associated With Chromosome 16 Abnormalities due to Partial Monosomy 16p13.3 and Partial Trisomy 16q22.1-q24.3.
Congenital anomaliesThe spectrum of cytogenetics and clinical profile in Robertsonian translocations: An experience of two decades from tertiary referral center in India.
Medical journal, Armed Forces IndiaPrenatal diagnosis of Prader-Willi syndrome via maternal UPD15 with placental mosaicism: incidental discovery of fetal DMD carrier status.
Frontiers in geneticsClinical significance and association with pregnancy outcome of positive non-invasive prenatal screening for trisomy 15 in singleton pregnancy: prospective cohort study, systematic review and meta-analysis.
Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and GynecologyOphthalmological and Orthoptic Findings in Down Syndrome: Is Genotype-Phenotype Correlation Possible?
Molecular syndromology[A case of mosaicism involving trisomy 21, maternal uniparental isodisomy, and normal diploid cells: Challenges and reflections in prenatal diagnosis].
Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chinese journal of medical geneticsLong-Term Survival Among Children With Trisomy 13 and Trisomy 18 by Cytogenetic Status.
JAMA network openXXX/XY chimerism with urogenital malformations in a Japanese black calf.
Irish veterinary journalExome sequencing uncovers promising candidate genes for foetal structural malformations.
The Indian journal of medical research[A case of Turner syndrome with double pseudo-isodicentric X chromosome and mosaic karyotype diagnosed prenatally and a literature review].
Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chinese journal of medical geneticsPaternal UPD (15) With Disease-Causing Mutation and Small Supernumerary Ring Chromosome 15: A Case Report.
Case reports in genetics[Development and application of a digital PCR-based assay for rapid diagnosis of common fetal chromosomal aneuploidies].
Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chinese journal of medical genetics[Results of screening and prenatal diagnosis for 71 fetuses with high risk for trisomy/monosomy 13 syndrome by non-invasive prenatal screening].
Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chinese journal of medical geneticsPrenatal diagnosis of imprinted associated chromosome abnormalities identified by noninvasive prenatal testing (NIPT).
Scientific reportsGenetic Diagnosis and Clinical Features of Fetuses With Congenital Diaphragmatic Hernia.
Prenatal diagnosisNeuropathology of trisomy 21 mosaicism in a case with early-onset dementia.
Alzheimer's & dementia : the journal of the Alzheimer's AssociationGenetic Analysis of 17q Terminal Partial Trisomy.
Clinical case reportsTimeline to symptomatic Alzheimer's disease in people with Down syndrome as assessed by amyloid-PET and tau-PET: a longitudinal cohort study.
The Lancet. NeurologyLow-level mosaic trisomy 21 due to mosaic unbalanced Robertsonian translocation of 46,XX,+21,der(21;21) (q10;q10)/46,XX at amniocentesis in a pregnancy associated with a favorable fetal outcome, cytogenetic discrepancy between cultured amniocytes and uncultured amniocytes, cytogenetic discrepancy among various tissues and perinatal progressive decrease of the trisomy 21 cell line.
Taiwanese journal of obstetrics & gynecologyLow-level mosaic trisomy 21 at amniocentesis and cordocentesis in a pregnancy associated with a favorable fetal outcome and perinatal progressive decrease of the trisomy 21 cell line.
Taiwanese journal of obstetrics & gynecologyMassive parallel sequencing-based non-invasive prenatal test (NIPT) identifies aberrations on chromosome 13.
European journal of obstetrics, gynecology, and reproductive biologyAligning genotyping and copy number data in single trophectoderm biopsies for aneuploidy prediction: uncovering incomplete concordance.
Human reproduction open[Prenatal diagnosis of a fetus with 15q11q13 complex duplication syndrome and a literature review].
Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chinese journal of medical geneticsCauses of Hospitalization in Children with Down Syndrome.
Medicina (Kaunas, Lithuania)Management and Outcomes of Hepatoblastoma in Patients With Trisomy 18: A Systematic Review and Pooled Analysis of 70 Patients.
Journal of pediatric surgeryLow-level mosaic trisomy 21 at amniocentesis in a pregnancy associated with cytogenetic discrepancy between cultured amniocytes and uncultured amniocytes, perinatal progressive decrease of the trisomy 21 cell line and a favorable fetal outcome.
Taiwanese journal of obstetrics & gynecologyLow-level mosaic trisomy 21 at amniocentesis and cordocentesis in the second trimester in a pregnancy associated with positive non-invasive prenatal testing for trisomy 21, perinatal progressive decrease of the trisomy 21 cell line and a favorable fetal outcome.
Taiwanese journal of obstetrics & gynecologyCombined first-trimester screening and invasive diagnostics for atypical chromosomal aberrations: Danish nationwide study of prenatal profiles and detection compared with NIPT.
Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and GynecologyA case report of Pallister-Killian syndrome with an unusual mosaic supernumerary marker chromosome 12 with interstitial 12p13.1-p12.1 duplication.
Frontiers in geneticsTrisomy 21-driven metabolite alterations are linked to cellular injuries in Down syndrome.
Cellular and molecular life sciences : CMLSA 29-Year-Old Patient With Patau Syndrome: A Case Report on Medical Management.
CureusHealthy Live Births after the Transfer of Mosaic Embryos: Self-Correction or PGT-A Overestimation?
GenesUse of the MS-MLPA assay in prenatal diagnosis of Prader-Willi syndrome with mosaic trisomy 15.
Taiwanese journal of obstetrics & gynecologyMosaicism for trisomy 13 in a single colony at amniocentesis in a pregnancy associated with a favorable outcome.
Taiwanese journal of obstetrics & gynecologyPositive non-invasive prenatal testing for Turner syndrome and low-level mosaicism for 45,X in 45,X/46,XX at amniocentesis in a pregnancy associated with a favorable fetal outcome and a normal 46,XX karyotype at birth.
Taiwanese journal of obstetrics & gynecologyRelationships among maternal monosomy X mosaicism, maternal trisomy, and discordant sex chromosome aneuploidies.
Clinica chimica acta; international journal of clinical chemistryCell type-specific enrichment of somatic aneuploidy in the mammalian brain.
bioRxiv : the preprint server for biology[Genetic analysis of the false positive trisomy 7 and false negative trisomy 18 by NIPT-PLUS].
Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chinese journal of medical geneticsLimited additional value of karyotyping cultured amniotic fluid cell colonies in addition to microarray on uncultured cells for confirmation of abnormal non-invasive prenatal testing results.
Prenatal diagnosisPerinatal detection of disomy X cell line by fluorescence in situ hybridization in a pregnancy with 45,X/47,XXX at amniocentesis, cytogenetic discrepancy in various tissues and a favorable outcome.
Taiwanese journal of obstetrics & gynecology45,X/46,XX at the first amniocentesis, and 45,X/47,XXX/46,XX at the repeat amniocentesis and at birth in a pregnancy associated with a favorable fetal outcome, perinatal progressive decrease of the 45,X cell line and cytogenetic discrepancy between cultured amniocytes and uncultured amniocytes.
Taiwanese journal of obstetrics & gynecologyLow-level mosaic trisomy 21 at amniocentesis in a pregnancy associated with cytogenetic discrepancy in various tissues, perinatal progressive decrease of the trisomy 21 cell line and a favorable fetal outcome.
Taiwanese journal of obstetrics & gynecologyThe correlation with abnormal fetal outcome and a high level of amniotic fluid alpha-fetoprotein in mid-trimester.
Taiwanese journal of obstetrics & gynecologyPrevalence of high-penetrant copy number variants in 7734 low-risk pregnancies.
American journal of obstetrics & gynecology MFMEvaluation of the clinical utility of extended non-invasive prenatal testing in the detection of chromosomal aneuploidy and microdeletion/microduplication.
European journal of medical researchNon-Invasive Screening Test Paradox in a Case Born with Mixed Gonadal Dysgenesis (45,X/46,Xy).
Balkan journal of medical genetics : BJMG[Clinical and genetic analysis of a case of Turner syndrome with rapidly progressive puberty and a literature review].
Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chinese journal of medical genetics[Accidental discovery of copy number variation on chromosome 1 in a fetus with high risk of trisomy 13 suggested by NIPT].
Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chinese journal of medical geneticsTwo cases of placental trisomy 21 mosaicism causing false-negative NIPT results.
Molecular cytogeneticsLow-level mosaic trisomy 21 at amniocentesis in a pregnancy associated with a negative NIPT result, cytogenetic discrepancy in various tissues, perinatal progressive decrease of the aneuploid cell line and a favorable fetal outcome.
Taiwanese journal of obstetrics & gynecologyLow-level mosaic trisomy 13 at amniocentesis in a pregnancy associated with a positive NIPT result suspicious of trisomy 13, a CVS result of mosaic trisomy 13, cytogenetic discrepancy in various tissues and a favorable fetal outcome.
Taiwanese journal of obstetrics & gynecologySex chromosome aneuploidies and fertility: 47,XXY, 47,XYY, 47,XXX and 45,X/47,XXX.
Endocrine connectionsRuptured Sinus of Valsalva Aneurysm Diagnosed on Coronary Computed Tomography Angiography in a Patient With Trisomy 13 Syndrome.
Texas Heart Institute journalPrenatal diagnosis and molecular genetic analysis of recurrent trisomy 18 of maternal origin in two consecutive pregnancies.
Taiwanese journal of obstetrics & gynecologyChromosomal abnormalities detected by karyotyping among patients with secondary amenorrhea: a retrospective study.
Sao Paulo medical journal = Revista paulista de medicinaCase report: Detection of fetal trisomy 9 mosaicism by multiple genetic testing methods: Report of two cases.
Frontiers in geneticsLow-level mosaic trisomy 13 at amniocentesis in a pregnancy associated with a favorable fetal outcome and cytogenetic discrepancy in various tissues.
Taiwanese journal of obstetrics & gynecologyGeneration of functional oocytes from male mice in vitro.
NaturePhenotypic Spectrum of Trisomy 18 Mosaicism: a New Patient and Literature Review.
Clinical laboratoryTen-year survival of children with trisomy 13 or trisomy 18: a multi-registry European cohort study.
Archives of disease in childhoodCytogenetic study of subtypes of Down syndrome and its relation with pattern of congenital cardiac defects.
JPMA. The Journal of the Pakistan Medical AssociationMosaic 46,XY,der(15)t(6;15)(q25.1;p12)/46,XY at amniocentesis in a pregnancy associated with a favorable fetal outcome and postnatal decrease of the aneuploid cell line with the unbalanced translocation.
Taiwanese journal of obstetrics & gynecologyMosaic trisomy 21 at amniocentesis in a twin pregnancy associated with a favorable fetal outcome, maternal uniparental disomy 21 and postnatal decrease of the trisomy 21 cell line.
Taiwanese journal of obstetrics & gynecologyMosaic trisomy 21 at amniocentesis associated with a favorable fetal outcome and perinatal progressive decrease of the trisomy 21 cell line.
Taiwanese journal of obstetrics & gynecologyTwo clinical case reports of embryonic mosaicism identified with PGT-A persisting during pregnancy as true fetal mosaicism.
Human reproduction (Oxford, England)Maternal Copy Number Imbalances in Non-Invasive Prenatal Testing: Do They Matter?
Diagnostics (Basel, Switzerland)Case report: Molecular analysis of a 47,XY,+21/46,XX chimera using SNP microarray and review of literature.
Frontiers in geneticsMultidisciplinary Intervention for Patau Syndrome Patient with Long-Term Survival: A Case Report of Single Institution-Based Detailed Clinical Management.
Journal of microscopy and ultrastructurePerinatal outcomes of prenatal cases testing positive for trisomy 9 by noninvasive prenatal testing.
Taiwanese journal of obstetrics & gynecologyPrenatal and fetal diagnosis of trisomy 18 after low-risk cell-free fetal DNA screening: A report of four cases.
Prenatal diagnosisMosaic embryo transfer-first report of a live born with nonmosaic partial aneuploidy and uniparental disomy 15.
F&S reportsTrisomy 12p mosaicism syndrome in a patient with hypopigmented cutaneous mosaicism and three cell lines in peripheral blood.
Journal of the European Academy of Dermatology and Venereology : JEADVAnalysis results of 169 cases of chorionic villus samples of missed abortion using high throughput sequencing.
European review for medical and pharmacological sciencesChromosomal Numerical Aberrations and Rare Copy Number Variation in Patients with Inflammatory Bowel Disease.
Journal of Crohn's & colitisPrenatal diagnosis of fetuses with region of homozygosity detected by single nucleotide polymorphism array: a retrospective cohort study.
Journal of human geneticsMosaic trisomy 18 at amniocentesis associated with a favorable fetal outcome in a pregnancy.
Taiwanese journal of obstetrics & gynecologyEarly and Innovative Rehabilitation in Warkany Syndrome 2 Associated with Agenesis of the Corpus Callosum: A Case Report.
Children (Basel, Switzerland)Perinatal cytogenetic discrepancy in a pregnancy with mosaic 45,X/46, XY at amniocentesis and a favorable outcome.
Taiwanese journal of obstetrics & gynecologyIn vitro fertilization and preimplantation genetic diagnosis outcomes in mosaic Turner's syndrome: A retrospective cohort study from a single referral center experience.
Journal of gynecology obstetrics and human reproductionThird-Generation Cytogenetic Analysis: Diagnostic Application of Long-Read Sequencing.
The Journal of molecular diagnostics : JMDTrisomy 18-when the diagnosis is compatible with life.
European journal of pediatricsThe use of oocyte cryopreservation for fertility preservation in patients with sex chromosome disorders: a case series describing outcomes.
Journal of assisted reproduction and geneticsHematological disorders in children with Down syndrome.
Expert review of hematologyPrenatal diagnosis of maternal uniparental disomy 21 in association with low-level mosaic trisomy 21 at amniocentesis in a pregnancy associated with intrauterine growth restriction and a favorable outcome.
Taiwanese journal of obstetrics & gynecologyCytogenetic Patterns, Congenital Heart Disease, and Thyroid Dysfunction in Children with Down Syndrome.
The Journal of pediatricsDevelopment and validation of a novel 26-plex system for prenatal diagnosis with forensic markers.
International journal of legal medicineA patient with Turner syndrome received the percutaneous vertebroplasty seven times: a case report and literature review.
European journal of medical researchLong-term bumetanide administration altered behavioral pattern in mosaic Down's Syndrome: A case report.
Applied neuropsychology. ChildPrenatal diagnosis of mosaic trisomy 16 by amniocentesis in a pregnancy associated with abnormal first-trimester screening result (low PAPP-A and low PlGF), intrauterine growth restriction and a favorable outcome.
Taiwanese journal of obstetrics & gynecologyMolecular Cytogenetic Classification of Down Syndrome and Screening of Somatic Aneuploidy in Mothers.
Cytogenetic and genome researchTrisomy 21 and Assisted Reproductive Technologies: A review.
JBRA assisted reproductionPrenatal Diagnosis of True Fetal Mosaicism with Small Supernumerary Marker Chromosome Derived from Chromosome 16 by Funipuncture and Molecular Cytogenetics Including Chromosome Microarray.
Diagnostics (Basel, Switzerland)Mosaic proximal trisomy 13q and regular trisomy 13 in a female patient with long survival: Involvement of an incomplete trisomic rescue and a chromothripsis event.
Molecular genetics & genomic medicineTrisomy 21-associated increases in chromosomal instability are unmasked by comparing isogenic trisomic/disomic leukocytes from people with mosaic Down syndrome.
PloS oneMosaic Xq duplication, or 46,X,der(X)dup(X)(q22.1q22.2)dup(X)(q25q22.3)/ 46,XX at amniocentesis in a pregnancy with a favorable outcome.
Taiwanese journal of obstetrics & gynecologyType 1 diabetes mellitus presenting with diabetic ketoacidosis in a child with Patau syndrome (trisomy 13) and persistent fetal haemoglobin.
BMJ case reportsPremature Ovarian Failure Related to Trisomy X: Two Case Reports with an Aberrant 47, XXX Karyotype.
Journal of human reproductive sciencesPerformance of a Paired-End Sequencing-Based Noninvasive Prenatal Screening Test in the Detection of Genome-Wide Fetal Chromosomal Anomalies.
Clinical chemistryPrenatal diagnosis of mosaicism for double aneuploidy of 47,XXY and trisomy 7 (48,XXY,+7) at amniocentesis in a pregnancy with a favorable outcome.
Taiwanese journal of obstetrics & gynecologyWhether to transfer mosaic embryos: a cytogenetic view of true mosaicism by amniocentesis.
Reproductive biomedicine onlineLow-degree trisomy 21 mosaicism promotes early-onset Alzheimer disease.
Neurobiology of agingGreen tea extracts containing epigallocatechin-3-gallate modulate facial development in Down syndrome.
Scientific reportsPrenatal diagnosis and molecular cytogenetic characterization of a small supernumerary marker chromosome derived from chromosome 15 in a pregnancy associated with recurrent Down syndrome.
Taiwanese journal of obstetrics & gynecology[Application of Array-based Comparative Genomic Hybridization in the Prenatal Diagnosis of Fetal Chromosomal Aberration in Gravidas with Advanced Age].
Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science editionMolecular characterization of a complex small supernumerary marker chromosome derived from chromosome 18p: an addition to the literature.
Molecular cytogeneticsPrenatal array comparative genomic hybridization in a well-defined cohort of high-risk pregnancies. A 3-year implementation results in a public tertiary academic referral hospital.
Prenatal diagnosisUnusual Longevity of Edwards Syndrome: A Case Report.
GenesAre paternal or grandmaternal age associated with higher probability of trisomy 21 in offspring? A population-based, matched case-control study, 1995-2015.
Paediatric and perinatal epidemiologyLow-level mosaic trisomy 13 at amniocentesis associated with a favorable outcome in a pregnancy.
Taiwanese journal of obstetrics & gynecologyA toddler with phylloid-type pigmentary mosaicism and ambiguous genitalia resulting from trisomy 14 induced by a der(Y)t(Y;14).
Human genome variation[Progress of research on induced pluripotent stem cell models for Down syndrome].
Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chinese journal of medical geneticsPrenatal diagnosis of partial monosomy 2q (2q37.3→qter) and partial trisomy 10q (10q24.31→qter) of paternal origin associated with increased nuchal translucency and abnormal maternal serum screening results.
Taiwanese journal of obstetrics & gynecologyPrenatal diagnosis of low-level mosaicism for trisomy 21 by amniocentesis in a pregnancy associated with maternal uniparental disomy of chromosome 21 in the fetus and a favorable outcome.
Taiwanese journal of obstetrics & gynecology[Clinical and genetic analysis of a rare case with mosaic partial trisomy 5p syndrome].
Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chinese journal of medical geneticsDetection of chromosomal abnormalities in spontaneous miscarriage by low‑coverage next‑generation sequencing.
Molecular medicine reportsGenome-wide non-invasive prenatal testing in single- and multiple-pregnancies at any risk: Identification of maternal polymorphisms to reduce the number of unnecessary invasive confirmation testing.
European journal of obstetrics, gynecology, and reproductive biologyClinical performance of non-invasive prenatal served as a first-tier screening test for trisomy 21, 18, 13 and sex chromosome aneuploidy in a pilot city in China.
Human genomicsPerinatal cytogenetic discrepancy in a fetus with low-level mosaicism for trisomy 21 and a favorable outcome.
Taiwanese journal of obstetrics & gynecologyAcute Megakaryoblastic Leukemia with Trisomy 21 and Tetrasomy 21 Clones in a Phenotypically Normal Child with Mosaic Trisomy 21.
Case reports in pediatricsApplications of Genome Editing Technology in Research on Chromosome Aneuploidy Disorders.
CellsChromosomal segregation in sperm of the Robertsonian translocation (21;22) carrier and its impact on IVF outcome.
Journal of assisted reproduction and geneticsPrevalence of mosaicism in uncultured chorionic villus samples after chromosomal microarray and clinical outcome in pregnancies affected by confined placental mosaicism.
Prenatal diagnosisTRIDENT-2: National Implementation of Genome-wide Non-invasive Prenatal Testing as a First-Tier Screening Test in the Netherlands.
American journal of human geneticsThe utility of nuchal translucency ultrasound in identifying rare chromosomal abnormalities not detectable by cell-free DNA screening.
Prenatal diagnosisSingle cell transcriptome in aneuploidies reveals mechanisms of gene dosage imbalance.
Nature communicationsA Systematic Clinical Review of Prenatally Diagnosed Tetrasomy 9p.
Balkan journal of medical genetics : BJMGSeizures in Down Syndrome: An Update.
Mymensingh medical journal : MMJShould cell-free DNA testing be used in pregnancy with increased fetal nuchal translucency?
Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and GynecologyOvarian reserve evaluation in a woman with 45,X/47,XXX mosaicism: A case report and a review of literature.
Molecular genetics & genomic medicineCycloid Psychosis Comorbid with Prader-Willi Syndrome: A Case Series.
American journal of medical genetics. Part AChromosomal Abnormalities in Patients with Intellectual Disability: A 21-Year Retrospective Study.
Human heredityFactors associated with common and atypical chromosome abnormalities after positive combined first-trimester screening in Chinese women: a retrospective cohort study.
BMC pregnancy and childbirth[Comparison of the etiological constitution of two and three or more recurrent miscarriage].
Zhonghua fu chan ke za zhiPrenatal Diagnosis of BACs-on-Beads Assay in 3647 Cases of Amniotic Fluid Cells.
Reproductive sciences (Thousand Oaks, Calif.)Follow-Up Studies of cf-DNA Testing from 101 Consecutive Fetuses and Related Ultrasound Findings.
Ultraschall in der Medizin (Stuttgart, Germany : 1980)A survey of undetected, clinically relevant chromosome abnormalities when replacing postnatal karyotyping by Whole Genome Sequencing.
European journal of medical genetics22q and two: 22q11.2 deletion syndrome and coexisting conditions.
American journal of medical genetics. Part AMosaic Turner syndrome shows reduced penetrance in an adult population study.
Genetics in medicine : official journal of the American College of Medical GeneticsMosaicism trisomy 10 in a 14-month-old child with additional neurological abnormalities: case report and literature review.
BMC pediatricsA Spontaneous Pregnancy in a Patient with Turner Syndrome with 45,X/47,XXX Mosaicism: A Case Report and Review of the Literature.
Journal of pediatric and adolescent gynecologyIsochromosome 21q is overrepresented among false-negative cell-free DNA prenatal screening results involving Down syndrome.
European journal of human genetics : EJHG[Application for prenatal diagnosis using both chromosomal karyotype analysis and BACs-on-Beads assay].
Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chinese journal of medical geneticsA boy with developmental delay and mosaic supernumerary inv dup(5)(p15.33p15.1) leading to distal 5p tetrasomy - case report and review of the literature.
Molecular cytogeneticsPlacental Pathology in Placental Mesenchymal Dysplasia with 13q12.11 Deletion and a 25-Week Gestation Female Infant.
The American journal of case reportsMusculo-mucous web velum and velopharyngeal dysfunction associated with 8q22.1-22.2 microduplication.
International journal of pediatric otorhinolaryngologyPrenatal diagnosis of low-level mosaicism for trisomy 13 at amniocentesis associated with a favorable outcome.
Taiwanese journal of obstetrics & gynecology[SNP array analysis of three cases with partial 21q trisomy].
Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chinese journal of medical geneticsA Small Supernumerary Marker Derived from the Pericentromeric Region of Chromosome 5: Case Report and Delineation of Partial Trisomy 5p Phenotype.
Cytogenetic and genome research[Application of Chromosomal Microarray Analysis for Chromosomal Abnormalities of Spontaneously Aborted Fetuses].
Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science editionMonozygotic twins discordant for trisomy 21: Discussion of etiological events involved.
Taiwanese journal of obstetrics & gynecologyThe First Reported Case of Meckel-Gruber Syndrome Associated With Abnormal Karyotype Mosaic Trisomy 17.
Pediatric and developmental pathology : the official journal of the Society for Pediatric Pathology and the Paediatric Pathology SocietyPrenatal diagnosis and molecular cytogenetic characterization of mosaicism for a small supernumerary marker chromosome derived from chromosome 16.
Taiwanese journal of obstetrics & gynecologyUnusual de novo Partial Trisomy 17p12p11.2 due to Unbalanced Insertion into 5p13.1 in a Severely Affected Boy.
Journal of pediatric geneticsUnrecognized viral infections and chromosome abnormalities as a cause of fetal death - examination with fluorescence in situ hybridization, immunohistochemistry and polymerase chain reaction.
APMIS : acta pathologica, microbiologica, et immunologica ScandinavicaRare X Chromosome Abnormalities in Systemic Lupus Erythematosus and Sjögren's Syndrome.
Arthritis & rheumatology (Hoboken, N.J.)Effect of extended oral contraception use on the prevalence of fetal trisomy 21 in women aged at least 35 years.
International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and ObstetricsStrawberry skull in Edwards syndrome.
BJR case reportsGenetic heterogeneity of patients with suspected Silver-Russell syndrome: genome-wide copy number analysis in 82 patients without imprinting defects.
Clinical epigeneticsMassively Parallel Sequencing (MPS) of Cell-Free Fetal DNA (cffDNA) for Trisomies 21, 18, and 13 in Twin Pregnancies.
Twin research and human genetics : the official journal of the International Society for Twin StudiesMosaic trisomy 1q: a recurring chromosome anomaly that is a diagnostic challenge and is associated with a Fryns-like phenotype.
Prenatal diagnosisNoninvasive Prenatal Screening of Fetal Aneuploidy without Massively Parallel Sequencing.
Clinical chemistryDiagnosis and clinical management of embryonic mosaicism.
Fertility and sterilityConstitutional Trisomy 8 Mosaicism with Persistent Macrocytosis.
Cytogenetic and genome researchUsing Array-Based Comparative Genomic Hybridization to Diagnose Pallister-Killian Syndrome.
Annals of laboratory medicineClinical Experience of Non-Invasive Prenatal Chromosomal Aneuploidy Testing in 190,277 Patient Samples.
Current molecular medicineValidation of a Chromosomal Microarray for Prenatal Diagnosis Using a Prospective Cohort of Pregnancies with Increased Risk for Chromosome Abnormalities.
Genetic testing and molecular biomarkersA neonate with a unique non-Down syndrome transient proliferative megakaryoblastic disease.
Pediatric blood & cancerMosaic trisomy 8 detected by fibroblasts cultured of skin.
Colombia medica (Cali, Colombia)Association of structural and numerical anomalies of chromosome 22 in a patient with syndromic intellectual disability.
European journal of medical geneticsExpanding non-invasive prenatal testing beyond chromosomes 21, 18, 13, X and Y.
Clinical geneticsThe accuracy of cell-free fetal DNA-based non-invasive prenatal testing in singleton pregnancies: a systematic review and bivariate meta-analysis.
BJOG : an international journal of obstetrics and gynaecologyAssociation of Parental Age and the Type of Down Syndrome on the Territory of Bosnia and Herzegovina.
Medical archives (Sarajevo, Bosnia and Herzegovina)Similar but different: identical pathology with differing outcome in 'Not-so-identical' twins.
British journal of haematologyDiscordance between ultrasound and cell free DNA screening for monosomy X.
Archives of gynecology and obstetricsTrisomy 13: Changing Perspectives.
Neonatal network : NNTrisomy 18: A single-center evaluation of management trends and experience with aggressive obstetric or neonatal intervention.
American journal of medical genetics. Part ABeyond Trisomy 21: Phenotypic Variability in People with Down Syndrome Explained by Further Chromosome Mis-segregation and Mosaic Aneuploidy.
Journal of Down Syndrome & chromosome abnormalitiesGood response to long-term therapy with growth hormone in a patient with 9p trisomy syndrome: A case report and review of the literature.
American journal of medical genetics. Part ARole of Trisomy 21 Mosaicism in Sporadic and Familial Alzheimer's Disease.
Current Alzheimer researchOral health needs in individuals with trisomy 18 and trisomy 13: Implications for dental professionals.
Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric DentistryPhenotypic extremes in liveborn monozygotic twins with mosaic Edwards syndrome.
BMJ case reportsSphincterplasty for Velopharyngeal Insufficiency in the Child Without a Cleft-Palate: Etiologies and Speech Outcomes.
The Journal of craniofacial surgery[Gastrointestinal obstruction in the mosaic trisomy X].
Acta gastroenterologica LatinoamericanaCytogenetic profile in 1,921 cases of trisomy 21 syndrome.
Archives of medical researchThe potential impact of NIPT as a second-tier screen on the outcomes of high-risk pregnancies with rare chromosomal abnormalities.
The Australian & New Zealand journal of obstetrics & gynaecologyDiscordant circulating fetal DNA and subsequent cytogenetics reveal false negative, placental mosaic, and fetal mosaic cfDNA genotypes.
Journal of translational medicine[Application of next-generation DNA sequencing for prenatal testing of fetal chromosomal aneuploidies].
Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chinese journal of medical geneticsPostnatal Identification of Trisomy 21: An Overview of 7,133 Postnatal Trisomy 21 Cases Identified in a Diagnostic Reference Laboratory in China.
PloS onePantothenate kinase-associated neurodegeneration (PKAN) in a child with Down syndrome. A case report and follow-up with MRI.
BJR case reportsA fertile patient with 45X/47XXX mosaicism.
Genetic counseling (Geneva, Switzerland)The unprecedented recurrent diploid/tetraploid mosaicism of trisomy-18 (mixoploidy; 4n+18/2n+18): clinical report.
American journal of medical genetics. Part AOpposite phenotypes of muscle strength and locomotor function in mouse models of partial trisomy and monosomy 21 for the proximal Hspa13-App region.
PLoS geneticsFirst trimester screening for other trisomies than trisomy 21, 18, and 13.
Prenatal diagnosisA case report of a fetus with mosaic autosomal variegated aneuploidies and literature review.
Annals of clinical and laboratory scienceAssociações
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Referências e fontes
Bases de dados externas citadas neste artigo
Publicações científicas
Artigos indexados no PubMed ligados a esta doença no grafo RarasNet — título, periódico e PMID direto da fonte, sem intermediação de IA.
- Concomitant Chromosomal and Molecular Aberrations in Trisomy 8 Mosaicism and Associated Compound Phenotypes: Report of Three Cases and Review of Literature.
- Clinical significance and association with pregnancy outcome of positive non-invasive prenatal screening for trisomy 15 in singleton pregnancy: prospective cohort study, systematic review and meta-analysis.Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology· 2026· PMID 41118657mais citado
- Long-Term Survival Among Children With Trisomy 13 and Trisomy 18 by Cytogenetic Status.
- An integrated platform for concurrent structural and single-nucleotide variants improves copy-number detection and reveals pathogenic alleles in undiagnosed Mendelian families.
- Beyond the Diagnosis: A Journey of an 8-Year-Old Girl with Patau Syndrome: Case Report.
- Consensuses and controversies on pseudomyxoma peritonei: a review of the published consensus statements and guidelines.
Bases de dados e fontes oficiais
Identificadores e referências canônicas usadas para montar este verbete.
- ORPHA:1692(Orphanet)
- MONDO:0015706(MONDO)
- GARD:18736(GARD (NIH))
- Busca completa no PubMed(PubMed)
- Q55785654(Wikidata)
Dados compilados pelo RarasNet a partir de fontes abertas (Orphanet, OMIM, MONDO, PubMed/EuropePMC, ClinicalTrials.gov, DATASUS, PCDT/MS). Este conteúdo é informativo e não substitui avaliação médica.
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