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?
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C: Cardiac defects (e.g. Tetralogy of Fallot, VSD)
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A: Abnormal facies (distinct facial features)
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T: Thymic hypoplasia (→ immune deficiency)
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C: Cleft palate (or velopharyngeal insufficiency)
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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:
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Tetralogy of Fallot
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Interrupted aortic arch
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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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