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DOWN SYNDROME *Down syndrome is a genetic disorder caused by an extra copy of chromosome 21. *Causes and Risk Factors:* 1. Genetic mutation: Extra copy of chromosome 21. 2. Advanced maternal age (35+ years). 3. Family history. 4. Genetic carriers. *Symptoms:* 1. Intellectual disability. 2. Delayed speech and language development. 3. Physical characteristics: - Flat face. - Short neck. - Protruding tongue. - Small ears. - Short stature. 4. Health issues: - Congenital heart defects. - Vision and hearing problems. - Respiratory issues. - Increased risk of Alzheimer's. *Diagnosis:* 1. Prenatal testing (amniocentesis, chorionic villus sampling). 2. Postnatal diagnosis (physical examination, genetic testing). *Treatment and Management:* 1. Early intervention programs. 2. Speech and language therapy. 3. Occupational and physical therapy. 4. Medications for related health issues. 5. Supportive care. *Types of Down Syndrome:* 1. Trisomy 21 (most common). 2. Mosaicism (mix of normal and abnormal cells). 3. Translocation (part of chromosome 21 attached to another chromosome). *Interesting Facts:* 1. 1 in 700 births. 2. Over 5 million people worldwide have Down syndrome. 3. Life expectancy: 50-60 years (increasing with medical advancements). 4. Individuals with Down syndrome can lead fulfilling lives with proper support.

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