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Saba Parvin Haque
MSc in Neuroscience
from “Sophia College For
Women”, Mumbai.
selfexplanatory.2022
DIGEORGE
SYNDROME
(DGS)
DIGEORGE SYNDROME
 Velocardiofacial syndrome (VCFS)
 Conotruncal anomaly face syndrome (CTAF)
 Shprintzen syndrome
 Sedlackova syndrome.
 CATCH 22 syndrome.
 22q11.2 deletion syndrome
WHAT IS ANOTHER NAME
FOR DIGEORGE?
Fig: Angelo DiGeorge
He was an Italian American physician and
pediatric endocrinologist who contributed to the
research on the autosomal dominant
immunodeficiency now commonly referred to as
DiGeorge syndrome.
https://images.app.goo.gl/1suTqEzXo7vv62JH7
WHAT IS DI GEORGE
SYNDROME?
 DiGeorge syndrome is a chromosomal
disorder that typically affects the 22nd
chromosome.
 Several body systems develop poorly,
and there may be medical problems,
ranging from a heart defect to behavioral
problems and a cleft palate.
 The disorder has an autosomal
dominant inheritance pattern.
https://images.app.goo.gl/VRmtoriAEx9yrYU67
WHAT CAUSES DIGEORGE SYNDROME?
o About 90% of DGS cases are a result of a deletion in
chromosome 22, more specifically on the long arm
(q) at the 11.2 locus (22q11.2).
o Most of these mutations arise de novo with no genetic
abnormalities noted in the genome of the parents of
children with DGS.
o Researchers have identified over 90 different genes at
this locus, some of which they have studied in mouse
models.
o The most studied of these genes is T-box
transcription factor 1 (TBX1), which correlates with
severe defects in the development of the heart, thymus,
and parathyroid glands of mouse models.
o TBX1 also correlates with neuromicrovascular
anomalies, which may be responsible for the
behavioral and developmental abnormalities seen in
DGS
https://upload.wikimedia.org/wikipedia/commons/9/9e/22_del_q11.2.png
Fig: Schematic diagram depicting the
deletion and some of the genes in this region
SYMPTOMS
 Congenital Heart Problem (Heart murmur
and bluish skin)
 Frequent infections
 Specific facial features
 Cleft palate
 Delayed growth
 Difficulty feeding
 Failure to gain weight
 Gastrointestinal problems
 Breathing problem
 Poor muscle tone
 Delayed development
 Delayed Speech development or nasal
sounding speech
 Learning delay or disabilities
 Behavior problems
Fig: A child with DiGeorge syndrome showing
characteristic dysplasia of ears and mouth and
abnormally wide distance between the eyes.
https://images.app.goo.gl/K9zJYFCxuhZt2eRLA
SYMPTOMS
https://images.app.goo.gl/pntLm21Z4XB6iG1R7
https://noonansyndrome.com.au/wp-content/uploads/2016/12/Facial_Features.jpg
DIAGNOSIS
Fluorescent In Situ Hybridization (FISH)
https://youtu.be/b81DcJC1jAs
DiGeorge syndrome is
most commonly
diagnosed with a
blood test called a
FISH analysis.
TREATMENT
 Thymus transplantation can be used to address absence of the thymus
in the rare.
 Bacterial infections are treated with antibiotics.
 Cardiac surgery is often required for congenital heart abnormalities
 Hypoparathyroidism causing hypocalcaemia often requires lifelong
Vitamin D and calcium Supplements.
 Cleft palate by surgical repair.
 Immunization with live vaccines
Although there is no cure for DiGeorge syndrome (22q11. 2 deletion syndrome), treatments
can usually correct critical problems, such as a heart defect or cleft palate.
REFERENCES
 NHS website. (2021, November 18). DiGeorge syndrome (22q11 deletion). nhs.uk.
https://www.nhs.uk/conditions/digeorge-syndrome/
 NCBI - https://www.ncbi.nlm.nih.gov/books/NBK549798/
 Kindt, T. J., Osborne, B. A., & Goldsby, R. A. (2006, August 15). Kuby Immunology,
Sixth Edition (6th ed.). W. H. Freeman & Company.
 Bawle, E. V., MD. (2021, October 14). DiGeorge Syndrome: Practice Essentials,
Background, Pathophysiology. https://emedicine.medscape.com/article/886526-overview
 22q11.2 deletion syndrome: MedlinePlus Genetics. (n.d.).
https://medlineplus.gov/genetics/condition/22q112-deletion-syndrome/
 DiGeorge Syndrome - Developmental and Behavioral Pediatrics - Golisano Children’s
Hospital - University of Rochester Medical Center. (n.d.).
https://www.urmc.rochester.edu/childrens-hospital/developmental-
disabilities/conditions/digeorge-syndrome.aspx
DiGeorge Syndrome (DGS).pdf

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DiGeorge Syndrome (DGS).pdf

  • 1. Saba Parvin Haque MSc in Neuroscience from “Sophia College For Women”, Mumbai. selfexplanatory.2022
  • 3. DIGEORGE SYNDROME  Velocardiofacial syndrome (VCFS)  Conotruncal anomaly face syndrome (CTAF)  Shprintzen syndrome  Sedlackova syndrome.  CATCH 22 syndrome.  22q11.2 deletion syndrome WHAT IS ANOTHER NAME FOR DIGEORGE? Fig: Angelo DiGeorge He was an Italian American physician and pediatric endocrinologist who contributed to the research on the autosomal dominant immunodeficiency now commonly referred to as DiGeorge syndrome. https://images.app.goo.gl/1suTqEzXo7vv62JH7
  • 4. WHAT IS DI GEORGE SYNDROME?  DiGeorge syndrome is a chromosomal disorder that typically affects the 22nd chromosome.  Several body systems develop poorly, and there may be medical problems, ranging from a heart defect to behavioral problems and a cleft palate.  The disorder has an autosomal dominant inheritance pattern. https://images.app.goo.gl/VRmtoriAEx9yrYU67
  • 5. WHAT CAUSES DIGEORGE SYNDROME? o About 90% of DGS cases are a result of a deletion in chromosome 22, more specifically on the long arm (q) at the 11.2 locus (22q11.2). o Most of these mutations arise de novo with no genetic abnormalities noted in the genome of the parents of children with DGS. o Researchers have identified over 90 different genes at this locus, some of which they have studied in mouse models. o The most studied of these genes is T-box transcription factor 1 (TBX1), which correlates with severe defects in the development of the heart, thymus, and parathyroid glands of mouse models. o TBX1 also correlates with neuromicrovascular anomalies, which may be responsible for the behavioral and developmental abnormalities seen in DGS https://upload.wikimedia.org/wikipedia/commons/9/9e/22_del_q11.2.png Fig: Schematic diagram depicting the deletion and some of the genes in this region
  • 6. SYMPTOMS  Congenital Heart Problem (Heart murmur and bluish skin)  Frequent infections  Specific facial features  Cleft palate  Delayed growth  Difficulty feeding  Failure to gain weight  Gastrointestinal problems  Breathing problem  Poor muscle tone  Delayed development  Delayed Speech development or nasal sounding speech  Learning delay or disabilities  Behavior problems Fig: A child with DiGeorge syndrome showing characteristic dysplasia of ears and mouth and abnormally wide distance between the eyes. https://images.app.goo.gl/K9zJYFCxuhZt2eRLA
  • 8. DIAGNOSIS Fluorescent In Situ Hybridization (FISH) https://youtu.be/b81DcJC1jAs DiGeorge syndrome is most commonly diagnosed with a blood test called a FISH analysis.
  • 9. TREATMENT  Thymus transplantation can be used to address absence of the thymus in the rare.  Bacterial infections are treated with antibiotics.  Cardiac surgery is often required for congenital heart abnormalities  Hypoparathyroidism causing hypocalcaemia often requires lifelong Vitamin D and calcium Supplements.  Cleft palate by surgical repair.  Immunization with live vaccines Although there is no cure for DiGeorge syndrome (22q11. 2 deletion syndrome), treatments can usually correct critical problems, such as a heart defect or cleft palate.
  • 10. REFERENCES  NHS website. (2021, November 18). DiGeorge syndrome (22q11 deletion). nhs.uk. https://www.nhs.uk/conditions/digeorge-syndrome/  NCBI - https://www.ncbi.nlm.nih.gov/books/NBK549798/  Kindt, T. J., Osborne, B. A., & Goldsby, R. A. (2006, August 15). Kuby Immunology, Sixth Edition (6th ed.). W. H. Freeman & Company.  Bawle, E. V., MD. (2021, October 14). DiGeorge Syndrome: Practice Essentials, Background, Pathophysiology. https://emedicine.medscape.com/article/886526-overview  22q11.2 deletion syndrome: MedlinePlus Genetics. (n.d.). https://medlineplus.gov/genetics/condition/22q112-deletion-syndrome/  DiGeorge Syndrome - Developmental and Behavioral Pediatrics - Golisano Children’s Hospital - University of Rochester Medical Center. (n.d.). https://www.urmc.rochester.edu/childrens-hospital/developmental- disabilities/conditions/digeorge-syndrome.aspx