Genetic developmental disability diagnosed in adulthood: a case report.

Background: Developmental disabilities (DD) are an umbrella term for conditions associated with functional impairments in physical, learning, language, or behavior areas. Intellectual disability (ID) is a type of developmental disability that results in delays in cognitive or intellectual functionin...

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Publicado en:Journal of Medical Case Reports Vol. 15; no. 1; pp. 1 - 6
Autores principales: Langenfeld, Adam, Schema, Lynn, Eckerle, Judith K.
Formato: case study Journal Article
Publicado: BioMed Central 1/25/2021
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 1/25/2021
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      pub: BioMed Central
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        10.1186/s13256-020-02590-8
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        atl: Genetic developmental disability diagnosed in adulthood: a case report.
      aug:
        au:
          Langenfeld, Adam
          Schema, Lynn
          Eckerle, Judith K.
        affil: Division of Clinical Behavioral Neuroscience, Department of Pediatrics, University of Minnesota, 717 Delaware Street SE, 55414, Minneapolis, MN, USA
      sug:
        subj:
          Intellectual Disability
          Developmental Disabilities
          Intellectual Disability Diagnosis
          Developmental Disabilities Diagnosis
          Microarray Analysis
          Child, Preschool
          Female
          Chromosomes
          Adolescence
          Adult
          Child
          Mutation
          Caregiver Strain Index
          Checklists
          Short Portable Mental Status Questionnaire
          Death Depression Scale
          Clinical Assessment Tools
          Social Readjustment Rating Scale
          Child, Preschool: 2-5 years
          Adolescent: 13-18 years
          Adult: 19-44 years
          Child: 6-12 years
          Female
      ab: Background: Developmental disabilities (DD) are an umbrella term for conditions associated with functional impairments in physical, learning, language, or behavior areas. Intellectual disability (ID) is a type of developmental disability that results in delays in cognitive or intellectual functioning, such as reasoning, learning, and problem-solving, and adaptive behaviors including social and practical life skills. DD can be due to a variety of factors, ranging from environmental exposures to genetic mutations, and studies suggest that up to 40% of DDs may be caused by genetic issues.Case Presentation: In this case study, we present an 18-year-old internationally adopted female Chinese American patient with a known history of developmental delay, intellectual disability, strabismus, and a congenital heart defect who had not been tested for genetic causes of her delay prior to presentation. When evaluated with chromosomal microarray, the patient demonstrated a deletion on the short arm of chromosome 5, an area associated with Cri-du-chat syndrome. This chromosomal deletion was a likely explanation for her history of developmental delays, intellectual disability, and congenital heart defect, in addition to her history of institutionalization and the trauma of multiple caregiver transitions in early childhood. The patient was referred for further evaluation by a geneticist and genetic counselor.Conclusions: This case highlights that the underlying cause of developmental delay is often multifactorial, and underscores the importance of a full medical evaluation, including genetic testing, for children with intellectual disability. Using this approach, healthcare professionals can identify potential diagnoses and provide more targeted resources to families.
      pubtype: Academic Journal
      doctype:
        case study
        Journal Article
      ougenre: Article
    language: English
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