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Down Syndrome

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Copyright 1984, 1985, 1987, 1988, 1990, 1992, 1996, 1997, 1998, 1999, 2000, 2002, 2003, 2008

NORD is very grateful to the National Down Syndrome Society for assistance in the preparation of this report.

Synonyms of Down Syndrome
  • Chromosome 21, Mosaic 21 Syndrome
  • Chromosome 21, Translocation 21 Syndrome
  • Trisomy 21 Syndrome
  • Trisomy G Syndrome

Disorder Subdivisions



General Discussion
Down syndrome is a chromosomal condition in which all or a portion of chromosome 21 appears three times (trisomy) rather than twice in cells of the body. In some affected individuals, only a percentage of cells may contain the chromosomal condition (mosaicism).

Symptoms and findings may vary greatly in range and degree, depending on the specific length and location of the duplicated (trisomic) portion of chromosome 21 as well as the percentage of cells containing the condition. However, in many affected individuals, such characteristics may include low muscle tone (hypotonia); a tendency to keep the mouth open with protrusion of the tongue; and distinctive facial characteristics including a short, small head (microbrachycephaly), upwardly slanting eyelid folds (palpebral fissures), a depressed nasal bridge, a small nose, and a relatively flat facial profile. Individuals with Down syndrome may also have unusually small, misshapen (dysplastic) ears; a narrow roof of the mouth (palate); vertical skin folds covering the inner corners of the eyes (epicanthal folds); dental abnormalities; and excessive skin on the back of the neck. Other characteristics include unusually short arms and legs; short fingers; and unusual skin ridge patterns (dermatoglyphics) on the fingers, palms, and toes. Individuals with Down syndrome may also have short stature, poor coordination, mild to severe intellectual disability, and hearing impairment.

In some cases, Down syndrome may also be characterized by structural malformations of the heart at birth (congenital heart defects). In addition, those with the condition may have an increased susceptibility to respiratory disease (e.g., pneumonia), other infectious diseases, and malignancies in which there is an increased proliferation of certain white blood cells (leukemia). Rarely do these conditions lead to potentially life-threatening complications.

Organizations related to Down Syndrome
  • ANDO (Apoyo al Nino Down)
    Dept. of Medical Genetics, Children's Hospital
    111 Michigan Ave
    Washington DC 20010
    Phone #: 202-884-2187
    800 #: N/A
    e-mail: curuburo@cnmc.org
    Home page: N/A
  • Arc (a national organization on mental retardation)
    1010 Wayne Ave
    Suite 650
    Silver Spring MD 20910
    Phone #: 301-565-3842
    800 #: 800-433-5255
    e-mail: info@thearc.org
    Home page: http://www.thearc.org/
  • Association for Children with Down Syndrome, Inc.
    4 Fern Place
    Plainview NY 11803
    Phone #: 516-933-4700
    800 #: --
    e-mail: msmith@acds.org
    Home page: http://www.acds.org
  • Birth Defect Research for Children, Inc.
    800 Celebration Ave, Suite 225
    Orlando FL 34747
    Phone #: 407-566-8304
    800 #: --
    e-mail: staff@birthdefects.org
    Home page: http://www.birthdefects.org
  • Child Neurology Foundation
    2000 West 98th Street
    Bloomington MN 55431
    Phone #: 952-641-6100
    800 #: 800-263-5430
    e-mail: jstone@childneurologyfoundation.org
    Home page: http://www.childneurologyfoundation.org
  • Genetic and Rare Diseases (GARD) Information Center
    PO Box 8126
    Gaithersburg MD 20898-8126
    Phone #: 301-251-4925
    800 #: 888-205-2311
    e-mail: ordr@od.nih.gov
    Home page: http://rarediseases.info.nih.gov/Default.aspx
  • International Mosaic Down Syndrome Association
    PO Box 1052
    Franklin TX 77856
    Phone #: 979-828-4177
    800 #: 888-637-5465
    e-mail: president@imdsa.org
    Home page: http://www.imdsa.org/
  • MUMS (Mothers United for Moral Support, Inc) National Parent-to-Parent Network
    150 Custer Court
    Green Bay WI 54301-1243
    Phone #: 920-336-5333
    800 #: 877-336-5333
    e-mail: mums@netnet.net
    Home page: http://www.netnet.net/mums/
  • Madisons Foundation
    PO Box 241956
    Los Angeles CA 90024
    Phone #: 310-264-0826
    800 #: N/A
    e-mail: getinfo@madisonsfoundation.org
    Home page: http://www.madisonsfoundation.org
  • March of Dimes Birth Defects Foundation
    1275 Mamaroneck Avenue
    White Plains NY 10605
    Phone #: 914-997-4488
    800 #: 888-663-4637
    e-mail: Askus@marchofdimes.com
    Home page: http://www.marchofdimes.com
  • NIH/National Institute of Child Health and Human Development
    31 Center Dr
    Building 31, Room 2A32
    MSC2425
    Bethesda MD 20892
    Phone #: 301-496-5133
    800 #: --
    e-mail: N/A
    Home page: http://www.nichd.nih.gov/
  • National Center for Down's Syndrome
    9 Westbourne Road
    EDG Baston
    Birmingham None B-15
    Phone #: 021-454-3126
    800 #: --
    e-mail: N/A
    Home page: N/A
  • National Consortium on Deaf-Blindness (NCDB)
    The Teaching Research Institute
    Western Oregon University
    345 N. Monmouth Ave.
    Monmouth OR 97361
    Phone #: 800-438-9376
    800 #: 800-438-9376
    e-mail: info@nationaldb.org
    Home page: http://www.nationaldb.org
  • National Down Syndrome Congress
    1370 Center Drive
    Suite 102
    Atlanta GA 30338
    Phone #: 770-604-9500
    800 #: 800-232-6372
    e-mail: info@ndsccenter.org
    Home page: http://www.ndsccenter.org
  • National Down Syndrome Society
    666 Broadway
    8th Floor
    New York NY 10012-2317
    Phone #: 212-460-9330
    800 #: 800-221-4602
    e-mail: info@ndss.org
    Home page: http://www.ndss.org/
  • National Foundation for Celiac Awareness
    P.O. Box 544
    Ambler PA 19002
    Phone #: 215-325-1306
    800 #: N/A
    e-mail: info@CeliacCentral.org
    Home page: http://www.CeliacCentral.org
  • National Institute of Mental Retardation
    York University
    Kinsmen NIMR Building
    4700 Keele Street
    North York, Toronto
    Ontario None M3J 1P3
    Phone #: 416-661-9611
    800 #: --
    e-mail: N/A
    Home page: N/A
  • New Horizons Un-Limited, Inc.
    811 East Wisconsin Ave
    Suite 937
    Milwaukee WI 53202
    Phone #: 414-299-0124
    800 #: N/A
    e-mail: horizons@new-horizons.org
    Home page: http://www.new-horizons.org
  • PHP - Parents Helping Parents, Inc.
    Sobrato Center For Nonprofits-San Jose
    1400 Parkmoor Avenue
    Suite 100
    Sant Jose CA 95126
    Phone #: 408-727-5775
    800 #: 866-747-4040
    e-mail: info@php.com
    Home page: http://www.php.com
  • PLAN Institute for Caring Citizenship
    260-3665 Kingsway
    Vancouver
    British Columbia None V5R 5W2
    Phone #: 604--43-9-9566
    800 #: N/A
    e-mail: inquiries@planinstitute.ca
    Home page: http://www.planinstitute.ca/?q=learnfromus/library
  • Perkins School for the Blind
    175 North Beacon St.
    Watertown MA 02472
    Phone #: 617-924-3434
    800 #: N/A
    e-mail: Info@Perkins.org
    Home page: http://www.Perkins.org
  • R.O.C.K. (Raising Our Celiac Kids)
    3527 Fortuna Ranch Rd
    Encinitas CA 92024
    Phone #: 858-395-5421
    800 #: N/A
    e-mail: info@celiackids.com
    Home page: http://www.celiackids.com

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Last modified Wednesday, November 26, 2008