Newborn Nursery at LPCH

Down's Syndrome

photo byHenry Lee, MD

In contrast, this pretem newborn does not exhibit typical facial features of Down's syndrome. In this case, the diagnosis was made after duodenal atresia was detected. Because trisomy 21 affects all the cells in the body, clinical symptoms related to the underlying diagnosis can appear in practically every organ system. Evaluation is generally guided by symptoms, but it is reasonable to screen every baby with Down's syndrome with cardiac echo (as heart defects are noted in 50%), and with a complete blood count (as congenital leukemia can occur).

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