Genetics of Developmental Disorders: MECP2 Mutation
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Questions and Answers

What is the primary reason for the child being brought to the pediatrician?

  • Fever and rash
  • Seizures and tremors
  • Vomiting and diarrhea
  • Developmental regression (correct)
  • What is the expected growth pattern in a child with Rett syndrome?

  • Normal growth rate
  • Accelerated growth rate
  • Deceleration in head growth (correct)
  • Stunted growth
  • What is the significance of stereotypical hand movements in this patient?

  • Caused by a viral infection
  • Supports a diagnosis of Rett syndrome (correct)
  • Indicates developmental progress
  • Reflects normal variation in motor skills
  • What is the genetic basis of Rett syndrome?

    <p>Mutation in the MECP2 gene</p> Signup and view all the answers

    What is the name of the syndrome characterized by the symptoms described in the case?

    <p>Rett syndrome</p> Signup and view all the answers

    What is the most likely explanation for the deceleration in head growth in this patient?

    <p>Increased apoptosis in the brain due to MECP2 mutation</p> Signup and view all the answers

    What is the likely fate of the neurons affected by the MECP2 mutation in this patient?

    <p>They will undergo apoptosis leading to neuronal loss</p> Signup and view all the answers

    What is the primary mechanism underlying the loss of purposeful hand skills in this patient?

    <p>Dysregulation of gene expression leading to neuronal dysfunction</p> Signup and view all the answers

    What is the expected impact of the MECP2 mutation on the patient's cognitive development?

    <p>It will result in cognitive regression and loss of acquired skills</p> Signup and view all the answers

    What is the likely outcome of the patient's communication skills over time?

    <p>They will decline and eventually become non-verbal</p> Signup and view all the answers

    Study Notes

    Developmental Regression in a 3-year-old Girl

    • A 3-year-old girl is brought to the pediatrician due to developmental regression, having previously met developmental milestones but now showing a loss of acquired skills.
    • The child exhibits stereotypical hand movements, including wringing and washing, indicating a potential neurological disorder.
    • There is a loss of purposeful hand skills, suggesting a decline in fine motor abilities.
    • Deceleration in head growth compared to peers is a notable physical finding, indicating a possible neurodevelopmental disorder.
    • Genetic testing reveals a mutation in the MECP2 gene, a key indicator of a specific genetic disorder.
    • The combination of symptoms and genetic mutation points to a likely diagnosis of Rett syndrome.

    Developmental Regression in a 3-year-old Girl

    • A 3-year-old girl is brought to the pediatrician due to developmental regression, having previously met developmental milestones but now showing a loss of acquired skills.
    • The child exhibits stereotypical hand movements, including wringing and washing, indicating a potential neurological disorder.
    • There is a loss of purposeful hand skills, suggesting a decline in fine motor abilities.
    • Deceleration in head growth compared to peers is a notable physical finding, indicating a possible neurodevelopmental disorder.
    • Genetic testing reveals a mutation in the MECP2 gene, a key indicator of a specific genetic disorder.
    • The combination of symptoms and genetic mutation points to a likely diagnosis of Rett syndrome.

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    Description

    A 3-year-old girl's developmental regression is investigated, revealing a mutation in the MECP2 gene. Identify the likely diagnosis. This quiz covers genetic disorders affecting child development.

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