Meta-analysis of second-trimester markers for
trisomy 21. Ultrasound Obstetrics Gynecol 2013;41:247-61.
Theoretically, the copy number of chromosome 21 in cfDNA with x% fetal fraction would be 2 for a normal fetus and 2 + x% for a fetus with
trisomy 21 {[2 X (100 - x) + 3x]/100}.
An uncommon presentation of stroke in a child with
trisomy 21. Pediatr Emerg Care.
Of the 80 NIPT results that were reported, 79 (98.8%) indicated a low risk of
trisomy 21 and 18.
The descriptive study was conducted at Layton Rahmatullah Benevolent Trust (LRBT), Lahore, Pakistan, from October 2013 to April 2014, and comprised children under 15 years of age who had rubella syndrome, herpes simplex, birth trauma,
trisomy 21, Nance-Horan syndrome or Lowe's syndrome.
"It's all based around the number 21 because Laurie has Down's syndrome
trisomy 21," he said.
Down syndrome (DS) is the most common autosomal abnormality and is the most genetic cause of mental retardation, appearing in about 1 of every 700 newborns.[sup][1],[2] DS can be caused by three types of chromosomal abnormalities:
Trisomy 21, translocation, or mosaicism.[sup][2]
Trisomy 21 is characterized by the presence of three copies of chromosomes 21, generally resulting from nondisjunction during maternal meiosis whereas the extra chromosome 21 in mosaic DS arises from mitotic nondisjunction in a chromosomally normal zygote.[sup][3] For DS by translocation, the extra chromosome 21 translocated to other chromosomes or to the acrocentric chromosomes of D and G group that is, 13, 14, 15, 21, and 22.[sup][4]
(3,6,9) Although the laboratories use somewhat different techniques, all of them share very high sensitivity and specificity for detection of
trisomy 21 (TABLE 1).
In both live and non-live births, the incidence of
trisomy 21 was 5 of 1909 cases (0.3%) and the incidence of trisomy 18 was 2 of 1905 cases (0.1%).
In a prospective, international study published earlier this year that compared cfDNA testing to standard screening for
trisomy 21, cfDNA testing identified
trisomy 21 in all 38 women with the abnormality, compared to 30 ]of 38 with standard screening.