University of Wisconsin–Madison Medical College of Wisconsin

Endocrine Abnormalities in Mosaic Trisomy 16 Adolescent: A Case Report

Fahad Naeem, MBBS; Sohaib Sajid Zaheer, MBBS; Khawaja Uzair, MBBS; Mohsina Ibrahim, MBBS

WMJ. 2024;123(5):390-393.

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ABSTRACT

Chromosomal trisomy presents with a range of clinical manifestations, from subtle to life-threatening conditions that include trisomy 16, the most common aneuploidy in first trimester abortions. Most cases are linked to maternal complications and spontaneous abortions, typically detected prenatally. Infants who survive with trisomy 16 often have mosaic variants and may exhibit various anatomical and metabolic abnormalities, though a trisomy 16 diagnosis does not guarantee the presence of such abnormalities. We share the case of a 15-year-old boy who has mosaic trisomy 16. He was diagnosed after birth and showed mild symptoms without any major anatomical issues. However, he did experience several metabolic problems, such as insulin resistance, obesity, hormonal imbalances, and vitamin D deficiency. This report highlights the diverse clinical characteristics of trisomy 16, comparing them to previously reported cases.


Author Affiliations: Department Of Internal Medicine, Jinnah Sindh Medical University, Karachi, Pakistan (Naeem, Zaheer, Uzair); Department Of Pediatrics, National Institute Of Child Health, Karachi, Pakistan (Ibrahim).
Corresponding Author: Fahad Naeem, MBBS; phone +92 3076695277; email fahadnaeemf057@gmail.com; ORCID ID 0000-0003-0172-0547
Financial Disclosures: None declared.
Funding/Support: None declared.
Acknowledgements: The authors wish to thank the patient and his family for their willingness to participate in this study, which was approved by the institution’s ethics committee. Consent obtained from both the patient and guardian.
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