Cause and types
John Langdon Down described the condition in 1866, and Lejeune and colleagues identified the extra chromosome 21 in 1959. About 95% of cases are standard trisomy from nondisjunction during meiosis; others are translocation or mosaic forms. Risk rises with maternal age.
Features and associated conditions
- Mild to moderate intellectual disability, speech delay and low muscle tone are common.
- Typical features include a flat facial profile, upward-slanting eyes and a single palmar crease.
- Congenital heart defects (about 40-50%), hypothyroidism, hearing and vision problems and early-onset Alzheimer's disease are more frequent.
Diagnosis and support
Prenatal screening uses blood tests, nuchal translucency ultrasound and cell-free DNA testing, with diagnosis confirmed by chorionic villus sampling or amniocentesis. Early intervention, inclusive education and regular health checks greatly improve outcomes; life expectancy now reaches around 60.
References
- Bull, M. J. (2020). Down syndrome. New England Journal of Medicine, 382(24), 2344-2352.
- Antonarakis, S. E., et al. (2020). Down syndrome. Nature Reviews Disease Primers, 6, 9.
- Lejeune, J., Gautier, M., & Turpin, R. (1959). Étude des chromosomes somatiques de neuf enfants mongoliens. Comptes Rendus de l'Académie des Sciences, 248, 1721-1722.