{"id":580,"date":"2024-01-09T15:28:42","date_gmt":"2024-01-09T21:28:42","guid":{"rendered":"https:\/\/wp.uthscsa.edu\/chromosome-18\/?page_id=580"},"modified":"2024-01-18T14:06:09","modified_gmt":"2024-01-18T20:06:09","slug":"tetrasomy-18p-treatment-and-surveillance-2","status":"publish","type":"page","link":"https:\/\/wp.uthscsa.edu\/chromosome-18\/resources\/clinical-management-guides\/tetrasomy-18p-treatment-and-surveillance-2\/","title":{"rendered":"Tetrasomy 18p: Treatment and Surveillance"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row][vc_column width=&#8221;2\/3&#8243;][vc_column_text]<img loading=\"lazy\" decoding=\"async\" class=\"alignright wp-image-816\" src=\"https:\/\/wp.uthscsa.edu\/chromosome-18\/wp-content\/uploads\/sites\/247\/2024\/01\/Screen-Shot-2021-05-17-at-4.42.55-PM.png\" alt=\"\" width=\"324\" height=\"300\" \/>These recommendations are inclusive of the entire population of people with Tetrasomy 18p. It should be noted that there is a great deal of variation among individuals with Tetrasomy 18p. Not all complications or concerns will be listed in this document. However, the recommendations contained here should be used as a baseline for monitoring and the health of individuals with Tetrasomy 18p[\/vc_column_text][vc_row_inner][vc_column_inner width=&#8221;1\/2&#8243;][vc_column_text]<a href=\"https:\/\/wp.uthscsa.edu\/chromosome-18\/resources\/clinical-management-guides\/tetrasomy-18p-treatment-and-surveillance-2\/potential-conditions\/\"><strong>Potential conditions in a neonate<\/strong><\/a><\/p>\n<ul>\n<li>Structural\n<ul>\n<li>Palate abnormality \u2013 81%<\/li>\n<li>Heart abnormalities -47% by Echo\/ECG<\/li>\n<li>Congenital orthopedic abnormalities-45%<\/li>\n<li>Hernias-12%<\/li>\n<li>Myelomeningocele-7%<\/li>\n<\/ul>\n<\/li>\n<li>Functional\n<ul>\n<li>Feeding problems \u2013 83%<\/li>\n<li>Respiratory distress \u2013 31%<\/li>\n<\/ul>\n<\/li>\n<li>Biochemical\n<ul>\n<li>Jaundice \u2013 57%<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><strong>Initial evaluations after diagnosis<\/strong><\/p>\n<ul>\n<li>Ophthalmology\n<ul>\n<li>Strabismus \u2013\u00a0 75%<\/li>\n<li>Refractive errors \u2013\u00a0 71%<\/li>\n<\/ul>\n<\/li>\n<li>Audiology \/ Otolaryngology\n<ul>\n<li>Hearing loss \u2013 32%<\/li>\n<li>Recurrent otitis media \u2013\u00a0 57%<\/li>\n<\/ul>\n<\/li>\n<li>Genitourinary\n<ul>\n<li>Cryptorchidism \u2013\u00a0 63%<\/li>\n<li>Hypospadias \u2013 7%<\/li>\n<li>Urinary tract anomalies \u2013 28%<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><strong>Immediate Referrals to:<\/strong><\/p>\n<ul>\n<li>Appropriate sub-specialist as indicated by initial evaluations<\/li>\n<li>Genetics follow-up if not previous to diagnosis<\/li>\n<li>Early intervention\/developmental services<\/li>\n<li>The Chromosome 18 Registry &amp; Research Society<\/li>\n<li>The Chromosome 18 Clinical Research Center<\/li>\n<\/ul>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=&#8221;1\/2&#8243;][vc_column_text]<strong>Closely monitor and manage:<\/strong><\/p>\n<ul>\n<li>Failure to thrive\/growth failure\n<ul>\n<li>Underweight (&lt; 3rd percentile)<\/li>\n<\/ul>\n<\/li>\n<li>Endocrinology\n<ul>\n<li>Short stature (&lt; 25th percentile)<\/li>\n<li>Growth hormone deficiency<\/li>\n<\/ul>\n<\/li>\n<li>Otorhinolaryngology\n<ul>\n<li>Recurrent otitis media<\/li>\n<li>Hearing loss<\/li>\n<\/ul>\n<\/li>\n<li>Gastrointestinal\n<ul>\n<li>Constipation<\/li>\n<li>GE reflux<\/li>\n<li>Hernias<\/li>\n<li>Eosinophilic esophagitis<\/li>\n<\/ul>\n<\/li>\n<li>Immunology\/Rheumatology\n<ul>\n<li>Atopic disorders<\/li>\n<li>IgA deficiency<\/li>\n<li>Eosinphiilic esophagitis<\/li>\n<\/ul>\n<\/li>\n<li>Orthopedics\n<ul>\n<li>Congenital hip dysplasia<\/li>\n<li>Foot abnormalities<\/li>\n<li>Decreased bone mineral density<\/li>\n<\/ul>\n<\/li>\n<li>Development\n<ul>\n<li>Milestones<\/li>\n<li>School performance<\/li>\n<li>Psychometric data<\/li>\n<\/ul>\n<\/li>\n<li>Dental<\/li>\n<li>Neurology\n<ul>\n<li>Seizure<\/li>\n<li>Hypotonia<\/li>\n<\/ul>\n<\/li>\n<li>Behavioral\/mood changes<\/li>\n<\/ul>\n<p>Annual Screenings<\/p>\n<ul>\n<li>Vision<\/li>\n<li>Hearing<\/li>\n<\/ul>\n<p>Current Adult Status<\/p>\n<p>Age and Cause of Death<\/p>\n<p>Updated 2020[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner][vc_column_text]There is additional information on each of the areas mentioned above within the\u00a0<a href=\"https:\/\/wp.uthscsa.edu\/chromosome-18\/wp-content\/uploads\/sites\/247\/2024\/01\/Tet18P_Tx_Surveil_Guidelines.pdf\">downloadable PDF document.<\/a><\/p>\n<p>Updated 2020[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][vc_column width=&#8221;1\/3&#8243;]<nav id=\"subnav\" class=\"null\" aria-label=\"Sub navigation for Chromosome 18 Subnav\"><ul id=\"menu-chromosome-18-subnav\" class=\"subnav vertical menu drilldown\" data-drilldown><li id=\"menu-item-506\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-home menu-item-506\"><a href=\"https:\/\/wp.uthscsa.edu\/chromosome-18\/\">Home<\/a><\/li>\n<li 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href=\"https:\/\/wp.uthscsa.edu\/chromosome-18\/resources\/clinical-management-guides\/tetrasomy-18p-treatment-and-surveillance-2\/initial-evaluations\/\">Initial Evaluations After Diagnosis<\/a><\/li>\n\t\t\t<li id=\"menu-item-663\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-663\"><a href=\"https:\/\/wp.uthscsa.edu\/chromosome-18\/resources\/clinical-management-guides\/tetrasomy-18p-treatment-and-surveillance-2\/potential-conditions\/\">Potential Conditions in a Neonate<\/a><\/li>\n\t\t\t<li id=\"menu-item-661\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-661\"><a href=\"https:\/\/wp.uthscsa.edu\/chromosome-18\/resources\/clinical-management-guides\/tetrasomy-18p-treatment-and-surveillance-2\/immediate-referrals\/\">Immediate Referrals to<\/a><\/li>\n\t\t<\/ul>\n<\/li>\n\t\t<li id=\"menu-item-851\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-851\"><a href=\"https:\/\/wp.uthscsa.edu\/chromosome-18\/resources\/clinical-management-guides\/tetrasomy-18p-treatment-and-surveillance-2\/\">Tetrasomy 18p: Treatment and Surveillance<\/a><\/li>\n\t\t<li id=\"menu-item-668\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-668\"><a href=\"https:\/\/wp.uthscsa.edu\/chromosome-18\/resources\/clinical-management-guides\/trisomy-18p-summary\/\">What is Trisomy 18p: A Sixty-Second Summary<\/a><\/li>\n\t\t<li id=\"menu-item-664\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-664\"><a href=\"https:\/\/wp.uthscsa.edu\/chromosome-18\/resources\/clinical-management-guides\/trisomy-18p-treatment-and-surveillance\/\">Trisomy 18p: Treatment and Surveillance<\/a><\/li>\n\t<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<li id=\"menu-item-512\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-512\"><a href=\"https:\/\/wp.uthscsa.edu\/chromosome-18\/contact-us\/\">Contact Us<\/a><\/li>\n<li id=\"menu-item-669\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-669\"><a href=\"https:\/\/www.chromosome18.org\/\">Chromosome 18 Registry &amp; Research Society<\/a><\/li>\n<\/ul><\/nav> \n        <a class=\"callout panel-mobile text-center colorized\" href=\"https:\/\/wp.uthscsa.edu\/chromosome-18\/wp-content\/uploads\/sites\/247\/2024\/01\/Tet18P_Tx_Surveil_Guidelines.pdf\" >\n            <span class=\"fa-stack fa-2x\">\n            <i class=\"fas fa-circle fa-stack-2x\"><\/i>\n            <i class=\"fas fa-fas fa-file fa-stack-1x fa-inverse\"><\/i>\n            <\/span><h3 class=\" \">Tetrasomy 18p Treatment &amp; Surveillance PDF<\/h3>\n        <\/a>[\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row][vc_column width=&#8221;2\/3&#8243;][vc_column_text]These recommendations are inclusive of the entire population of people with Tetrasomy 18p. It should be noted that there is a great deal of variation among individuals with Tetrasomy 18p. Not all complications or concerns will be listed in this document. However, the recommendations contained here should be used as a baseline for monitoring [&hellip;]<\/p>\n","protected":false},"author":326,"featured_media":398,"parent":569,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-templates\/basic-page.php","meta":{"footnotes":""},"categories":[],"class_list":["post-580","page","type-page","status-publish","has-post-thumbnail","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Tetrasomy 18p: Treatment and Surveillance - Chromosome 18<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/wp.uthscsa.edu\/chromosome-18\/resources\/clinical-management-guides\/tetrasomy-18p-treatment-and-surveillance-2\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Tetrasomy 18p: Treatment and Surveillance - Chromosome 18\" \/>\n<meta property=\"og:description\" content=\"[vc_row][vc_column width=&#8221;2\/3&#8243;][vc_column_text]These recommendations are inclusive of the entire population of people with Tetrasomy 18p. It should be noted that there is a great deal of variation among individuals with Tetrasomy 18p. Not all complications or concerns will be listed in this document. 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