By Harold Chen MD, FAAP, FACMG (auth.)
Many start defects, even though infrequent separately, are encountered in scientific perform and feature now develop into treatable if effectively clinically determined. within the Atlas of Genetic analysis and Counseling, Harold Chen, MD, stocks his nearly forty years of scientific genetics perform in a accomplished pictorial atlas of 203 genetic problems, malformations, and malformation syndromes. the writer presents a close define for every affliction, describing its genetics, easy defects, scientific positive aspects, diagnostic exams, and counseling matters, together with recurrence possibility, prenatal prognosis, and administration. a number of colour images of prenatal ultrasounds, imagings, cytogenetics, and postmortem findings illustrate the scientific positive factors of sufferers at diversified a while, sufferers with various levels of severity, and the optimum diagnostic recommendations. The issues stated are supplemented via case histories and diagnostic affirmation by way of cytogenetics, biochemical, and molecular thoughts, while to be had. additionally on hand in a CD-ROM version (ISBN: 1-58829-974-5).
Authoritative and up to date, the Atlas of Genetic analysis and Counseling might help all physicians to appreciate and realize genetic illnesses and malformation syndromes, and for this reason larger assessment, suggestions, and deal with affected sufferers.
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Extra resources for Atlas of Genetic Diagnosis and Counseling
Aicardi syndrome with multiple tumors: a case report with literature review. Brain Dev 17:283–285, 1995. AICARDI SYNDROME Fig. 1. A 8 month old girl with Aicardi syndrome characterized by infantile spasms, chrioretinopathy, brain malformation, and costovertebral anomalies. 31 Alagille Syndrome In 1969, Alagille et al. described a syndrome characterized by chronic cholestasis resulting from paucity of interlobular bile ducts, peripheral pulmonary stenosis, butterfly-like vertebral arch defect, posterior embryotoxon, and peculiar facies.
Rare autosomal recessive inheritance 3. Possible autosomal dominant inheritance a. Supported by an observation of dysgnathia in mother and daughter b. Possibility of a defect in the OTX2 gene as the basis of the disorder 4. A prechordal mesoderm inductive defect affecting neural crest cells a. A developmental field defect b. Different etiologic agents (etiological heterogeneity) acting on the same developmental field producing a highly similar complex of malformations 5. Possible existence of a mild form of agnathia without brain malformation (holoprosencephaly) a.
Absence of olfactory bulbs and grooves (arrhinencephaly) were demonstrated by necropsy. Additional anomalies included 13 pairs of ribs, atresia of left ureter with resultant hydronephrosis, and left renal cortical cysts. Maternal hydramnios was present. Aicardi Syndrome 5. Extra-CNS tumors a. Soft palatal benign teratoma b. Hepatoblastoma c. Parapharyngeal embryonal cell carcinoma d. Limb angiosarcoma e. Scalp lipoma f. Multiple gastrointestinal polyps 6. Scoliosis or costovertebral anomalies 7.