Asesoramiento genético: autismo-1

· Autisim Contents 1 What is autism? 2 Traits associated with autism 3 Incidencia 4 Can autism "run in families"? 5 Genes involved in autism 6 Diagnóstico diferencial 7 Environmental factors 8 Web sites resources 9 Notes What is autism? Disorder of brain function that appears early in life -- before the age of 3 Autism belongs to a family of related brain conditions affecting behavior early in life, which are often referred to as pervasive developmental disorder Cause of autism is unknown Traits associated with autism social detachment, p. ej.., failure to smile at parents and an unawareness of events around them abnormal language development, such as repeating phrases in a mechanical voice unusual repetitive movements, p. ej.., rocking and flicking fingers mental retardation Traits vary in severity and persist into adulthood Some individuals with autism have amazing skills (ie Rainman) Incidence Savant syndrome is quite rare (only about 200 cases ever recorded) childhood autism is more common, affecting about one in 700 children Boys are affected four times more often than girls Can autism "run in families"? If a child has autism, each of the parent's later children has a 3% Para 9% chance of having autism. Esto es 100 Para 200 times greater than in the general population. Believed to be multifactorial inheritance Genetic component supported by twin studies Type of twin pair Number of twin pairs Twin pairs in which both twins had autism ("tasa de concordancia") Identical twins 25 60% (15 de 25 Pares) Non-identical twins 20 0% (0 de 20 Pares) The second study used the same twins, but changed the definition of autism new definition was looser -- people with milder behavioral problems were counted as autistic Type of twin pair Number of twin pairs Twin pairs in which both twins had "expanded" autism ("tasa de concordancia") Identical twins 25 92% (23 de 25 Pares) Non-identical twins 20 10% (2 de 20 Pares) Genes involved in autism no gene found yet Several candidate regions on chromosomes have been identified through linkage studies Differential Diagnosis (known genetic conditions that may share some symptoms of autism) Fragile X syndrome (the FMR1 gene on the X chromosome). Esclerosis tuberosa (the TSC1 gene on chromosome 9). Duplications of part of the long arm of chromosome 15. Untreated phenylketonuria (the PAH gene on chromosome 12) Environmental factors UNKNOWN Autism was thought to result from certain events before or shortly after birth Infection of the brain with herpes virus and infection of the pregnant mother with rubella virus Problems with brain structure are associated with autism, including hydrocephalus and, very rarely, a brain tumor 1993 British study was reviewed by both the Medical Research Council in Great Britain and the Centers for Disease Control in the United States The Centers for Disease Control concluded that: "to date there is no conclusive evidence that any vaccine can cause autism" Web sites resources The autism page at the National Institute for Neurological Disorders and Stroke: [1] The MedlinePlus web site for autism: [2] The February 2000 issue of Scientific American has an article entitled "The Early Origins of Autism" (full text not on-line). [3] More about autism from the National Immunization Program at the Centers for Disease Control: [4] Notas La información de este esquema se actualizó por última vez en 2002. Material obtained under GFDL Licence from http://en.wikibooks.org/wiki/Handbook_of_Genetic_Counseling Permission is granted to copy, distribuir y/o modificar este documento bajo los términos de la Licencia de Documentación Libre GNU, Versión 1.2 o cualquier versión posterior publicada por la Free Software Foundation; sin secciones invariantes, sin textos de portada, y sin textos de contraportada. Se incluye una copia de la licencia en la sección titulada "Licencia de documentación libre GNU."

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