Pathology · Genetic and Chromosomal Disorders

A male infant is born with overlapping fingers (second over third, fifth over fourth), rocker-bottom feet, prominent occiput, and a ventricular septal defect. Karyotype shows 47, XY +18. The eponym for this syndrome is:

  • A Down syndrome
  • B Edwards syndrome
  • C Patau syndrome
  • D Cri-du-chat syndrome
Correct answer: B. Edwards syndrome

Explanation

Trisomy 18 (Edwards syndrome) presents with overlapping fingers, rocker-bottom feet, prominent occiput, micrognathia, and congenital heart defects. Most die within the first year. Trisomy 21 (Down) has different facies and cardiac defects; trisomy 13 (Patau) has midline defects (holoprosencephaly) and polydactyly; cri-du-chat is a deletion of 5p causing a high-pitched cry.

Reference: Robbins & Cotran Pathologic Basis of Disease, 10th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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