DiGeorge Syndrome (DGS) Symptoms, Diagnosis & Treatment (2024)

DiGeorge syndrome (DGS) is a primary immunodeficiency disease (PIDD) associated with susceptibility to infections due to decreased T cell production and function due to an absent or poorly developed thymus. The thymus is the “school house” where T-cells are educated to fight infection and prevent autoimmunity. DGS is caused by abnormal cell and tissue development during fetal growth. In addition to possible immune system problems, this abnormal development can result in altered facial characteristics, abnormal gland development (parathyroid or thyroid) or heart defects. DGS is a lifelong condition that is typically diagnosed in infancy or early childhood. Children with DGS differ in the organs and tissues affected, as well as in the severity of the disease.

The presentation of DGS varies. At one end of the spectrum is “Complete DGS” that is associated with total absence of the thymus and a severe deficiency in T-cells that requires thymic transplantation for survival. “Partial DGS” is associated with low, but not absent T-cell function and often improves during childhood. Still, approximately one-third of affected adults will have mild recurrent infections.

Most cases result from a deletion of chromosome 22q11.2 (the DGS chromosome region). A small number of cases of DGS have defects in another chromosome, notably 10p13. Infants with CHARGE syndrome (CHD7 gene) and infants of diabetic mothers also may present with DGS.

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DiGeorge Syndrome (DGS) Symptoms, Diagnosis & Treatment (2024)

FAQs

DiGeorge Syndrome (DGS) Symptoms, Diagnosis & Treatment? ›

Some develop arthritis. Individuals with DGS may have a variety of other abnormalities including cleft palate, delayed speech, and difficulty in feeding and swallowing. Some have learning disabilities, behavioral problems, psychiatric disorders (such as schizophrenia), and hyperactivity.

How is DiGeorge syndrome diagnosed? ›

It's often diagnosed soon after birth with a blood test to check for the genetic fault.

What is the average life expectancy of someone with DiGeorge syndrome? ›

Thus, regular follow-up and care are essential for the person to live a productive, long, and fulfilling life. With appropriate treatment, most children with DiGeorge syndrome grow into adulthood; however, children with severe defects may not survive beyond two to three years.

What are the interventions for DiGeorge syndrome? ›

Occupational therapy to improve developmental delays. Hormone replacement therapy to treat endocrine abnormalities. Surgery to repair internal organ symptoms or a cleft palate. Medicine to reduce seizures or neurological conditions.

Can DiGeorge syndrome go undetected? ›

With the implementation of screening tests, even mild cases have been able to be identified early. However, some rare cases of DiGeorge syndrome are not diagnosed until adulthood. DiGeorge syndrome is heterogeneous with a variable clinical picture. It can range from complete (severe) to partial (mild) forms.

What is DGS symptoms? ›

Deep gluteal syndrome (DGS) is an underdiagnosed entity characterized by pain and/or dysesthesias in the buttock area, hip or posterior thigh and/or radicular pain due to a non-discogenic sciatic nerve entrapment in the subgluteal space.

What organ does DiGeorge syndrome affect? ›

Symptoms of DiGeorge syndrome may include: Heart issues, such as problems with the structure of the heart and vessels, or a heart murmur and bluish skin because of poor circulation of blood, also known as cyanosis. Frequent infections.

What is the average IQ of a person with DiGeorge syndrome? ›

The majority of individuals with 22q11. 2DS will have an IQ in the range of 55-85 (general population average is 100). Problems with abstraction and comprehension in reading and math are usually apparent at school age. Severe intellectual disability is less frequent but may also be present with this syndrome.

Do kids with DiGeorge syndrome talk? ›

Some speech manifestations associated with DGS include delayed speech emergence, dysarthria, velopharyngeal dysfunction, childhood apraxia of speech, and phonological disorders, all of which may persist into adolescence [10].

Is DiGeorge syndrome a form of autism? ›

Is DiGeorge syndrome an autism spectrum disorder? DiGeorge syndrome is one of a growing list of genetic disorders whose symptoms sometimes overlap with those of autism. An estimated 15 to 20 percent of those with DiGeorge meet the behavioral criteria for a diagnosis of autism spectrum disorder (ASD).

What psychiatric disorders are associated with DiGeorge syndrome? ›

Research has demonstrated a strong association between DGS and psychiatric disorders such as psychotic disorders, attention-deficit or hyperactivity disorder, mood disorders, anxiety disorders and autistic spectrum disorders (ASD).

What heart defect is associated with DiGeorge? ›

2 deletion syndrome. The most common congenital heart defects are called conotruncal lesions and include interrupted aortic arch, truncus arteriosus, tetralogy of Fallot, and ventricular septal defects are also frequently diagnosed in children with 22q11. 2 deletion syndrome, as can other congenital heart defects.

What are the autoimmune diseases in DiGeorge syndrome? ›

Individuals with DGS can have autoimmune disease resulting in low platelets (which causes bleeding problems), low neutrophils (white blood cells that also fight infection), and low red blood cells, which carry oxygen in the blood.

Is DiGeorge syndrome more common in males or females? ›

It occurs in 1 in every 3000–6000 births and is equally distributed between males and females [1, 2].

What is the cause of death of DiGeorge syndrome? ›

Cardiac causes were the most common; they were listed as the single cause of death in 27 patients (45.8%) or in combination with other causes in 46 (78%) patients.

What kind of medical assistance will a child with DiGeorge syndrome need? ›

Your child likely will benefit from a range of therapies, including speech therapy, occupational therapy and developmental therapy. In the U.S., early intervention programs providing these types of therapy usually are available through a state or county health department.

What is the hallmark of DiGeorge syndrome? ›

Features of DGS include cardiac anomalies, recurrent infections, abnormal facies, thymic hypoplasia or aplasia, cleft palate, developmental delay, and hypocalcemia.

What is the blood test for DiGeorge syndrome? ›

DiGeorge syndrome is most commonly diagnosed with a blood test called a FISH analysis (Fluorescent In Situ Hybridization). A health care provider is likely to request a FISH analysis if a child has symptoms that may indicate DiGeorge syndrome, or if there are signs of a heart defect.

What do babies with DiGeorge syndrome look like? ›

Symptoms vary widely and can range from heart defects and developmental delays to seizures. A child's eyes, nose, or ears may look different. Or the child may have an opening in the roof of the mouth (cleft palate). The syndrome has no cure.

Can DiGeorge syndrome be detected before birth? ›

2 DS can be discovered prenatally through: Amniocentesis. Genetic screening. Prenatal ultrasound.

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