Tuesday, 29 July 2025

🔍 QUIZ: DiGeorge Syndrome

 


1. What chromosome is affected in DiGeorge Syndrome?
Chromosome 22q11.2 deletion

2. What is the mnemonic used to remember symptoms?
CATCH-22

3. What does CATCH-22 stand for?

  • C: Cardiac defects (e.g. Tetralogy of Fallot, VSD)

  • A: Abnormal facies (distinct facial features)

  • T: Thymic hypoplasia (→ immune deficiency)

  • C: Cleft palate (or velopharyngeal insufficiency)

  • H: Hypocalcemia (→ seizures, due to parathyroid hypoplasia)

4. What is a common immune system issue in DiGeorge syndrome?
T-cell deficiency due to underdeveloped thymus

5. Why do patients often have seizures?
Hypocalcemia from underdeveloped parathyroid glands

6. What heart defects are commonly seen?
Conotruncal heart defects such as:

  • Tetralogy of Fallot

  • Interrupted aortic arch

  • Truncus arteriosus

7. Is DiGeorge syndrome inherited or spontaneous?
→ Often spontaneous, but can be autosomal dominant if inherited

8. How is it diagnosed?
FISH test or microarray (genetic testing for 22q11.2 deletion)

9. What are common developmental and learning issues?
Speech delay, learning disabilities, behavioral issues

10. What kind of facial features might be seen?
Low-set ears, hooded eyelids, small chin, wide nasal bridge

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