Cri Du chat syndrome
*Synonyms:-
- chromosome 5p deletion syndrome.
- 5p minus syndrome.
- Lejeune’s syndrome.
*Pathophysiology:-
results from deletion of the distal short arm of chromosome no 5 (1).
*Karyotype :-
46,xx,5p-(female).
46,xy,5p-(male).
(5p- means that the short arm of chromosome 5 is shorter than normal).
*Clinical picture:-
- characteristic cry of affected infants, which is similar to that of cat ( i.e a high-pitched cry ) due to problems with the larynx and nervous system,about 1/3 of children lose the cry by age 2.
- feeding problems because of difficulty swallowing and sucking.
- low birth weight
- growth retardation.
- Mental retardation.
- hypotonia.
- microcephaly.
- cardiac defects (eg, ventricular septal defect [VSD],atrial septal defect [ASD], patent ductus arteriosus [PDA], tetralogy of Fallot).
*Treatment:-
- No specific treatment is available for this syndrome.
- The mental retardation must be addressed.
*References:-
Principles of histology vol1,staff members ,faculty of medicine,mansoura university,ch3,p.g74.
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