Exploring New Insights on 11q23 Chromosome Deletion Cases - Rare Disease

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Are there any cases available for inquiry regarding the deletion of the 11q23 chromosome region?


Zhen was born 7 years ago and was diagnosed with a partial deletion of chromosome 11q23 at National Taiwan University Hospital.
At that time, there was insufficient literature or symptomatology available for consultation.
Now that 7 years have passed, is there more information available for inquiry? Thank you!

Zhen Mami, 30~39 year old female. Ask Date: 2010/04/14

Dr. Jian Yingxiu reply Rare Disease


Hello, Ms.
Zhen:
Based on the literature you have searched, the clinical manifestations associated with the deletion of chromosome 11q23 (also known as Jacobsen syndrome) may include the following for your reference.
It is recommended to regularly monitor platelet counts through blood tests and assess developmental learning status.
Thank you for your letter.
Growth status: Intrauterine growth restriction, growth delay
Head and neck: Triangular head, microcephaly, macrocephaly, flat occiput
Facial abnormalities: Mandibular hypoplasia, low-set ears, epicanthic folds, ptosis of the upper eyelids, narrow nasal bridge, upturned nose, larger mouth, shorter neck
Cardiac: Ventricular septal defect, atrial septal defect
Respiratory system: Recurrent respiratory infections
Hematological: Thrombocytopenia
Laboratory abnormalities: Deletion of the long arm of chromosome 11 (11q23-qter)
Other: 75% of patients are female
Wishing you good health,
Sincerely,
Qianhui, Assistant

Reply Date: 2010/04/14

More Info


The deletion of chromosome 11q23 is a genetic anomaly that has been increasingly studied over the past few years. This specific deletion can lead to a variety of clinical manifestations, which may include developmental delays, intellectual disabilities, and various physical anomalies. The 11q23 region is known to harbor several important genes that are involved in growth and development, and deletions in this area can disrupt normal biological processes.

As of now, research has identified a range of symptoms associated with 11q23 deletions, but the presentation can be quite variable among individuals. Some common features reported in patients with this deletion include:
1. Developmental Delays: Many children with 11q23 deletions experience delays in reaching developmental milestones, such as walking and talking.

2. Intellectual Disabilities: Cognitive impairments are frequently observed, with some individuals requiring special education services.

3. Physical Anomalies: Some patients may present with distinct facial features, skeletal abnormalities, or other congenital malformations.

4. Behavioral Issues: There may be an increased incidence of behavioral problems, including attention deficit hyperactivity disorder (ADHD) or autism spectrum disorders.

5. Seizures: Some individuals may experience seizures, which can complicate their clinical picture.

6. Growth Issues: Growth retardation can also be a concern, with some children being smaller than their peers.

In recent years, advancements in genetic testing and research have provided more insights into the implications of 11q23 deletions. Genetic counseling is recommended for families affected by this deletion, as it can help them understand the potential risks, inheritance patterns, and management strategies.

Furthermore, there is ongoing research into the specific genes located within the 11q23 region. Some studies have suggested that certain genes may be more critical than others in determining the severity of symptoms. For instance, the presence of additional genetic factors or variations may influence the clinical outcome in individuals with 11q23 deletions.

If your child, 蓁, was diagnosed with an 11q23 deletion seven years ago, it would be beneficial to consult with a geneticist or a genetic counselor who can provide updated information and resources. They can also help you understand any new research findings that may be relevant to your child's condition.

Additionally, support groups and organizations focused on genetic disorders can be invaluable resources for families. They often provide access to the latest research, connect families with similar experiences, and offer emotional support.

In conclusion, while the understanding of 11q23 chromosome deletions has improved over the past seven years, the clinical presentation remains highly variable. Continuous research is essential to uncover more about the genetic mechanisms at play and to develop targeted interventions that can improve the quality of life for affected individuals. If you have specific concerns or questions about your child's health, it is always best to discuss them with a healthcare professional who specializes in genetics.

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