PMID- 33297534 OWN - NLM STAT- MEDLINE DCOM- 20210721 LR - 20210721 IS - 2073-4425 (Electronic) IS - 2073-4425 (Linking) VI - 11 IP - 12 DP - 2020 Dec 7 TI - Unusual Longevity of Edwards Syndrome: A Case Report. LID - 10.3390/genes11121466 [doi] LID - 1466 AB - BACKGROUND: Trisomy 18, also known as Edwards syndrome, was first described in the 1960s and is now defined as the second most common trisomy. While this genetic disease has been attributed to nondisjunction during meiosis, the exact mechanism remains unknown. Trisomy 18 is associated with a significantly increased mortality rate of about 5-10% of patients surviving until 1 year of age. We present a case of a 26-year-old female diagnosed with trisomy 18, well outliving her life expectancy, maintaining a stable state of health. CASE PRESENTATION: A 26-year-old female with non-mosaic Edwards syndrome presented to the clinic for follow up after recent hospitalization for aspiration pneumonia. The definitive diagnosis of trisomy 18 was made prenatally utilizing chromosomal analysis and G-banding and fluorescence in situ hybridization (FISH) on cells obtained via amniocentesis. Her past medical history is characterized by severe growth and intellectual limitations; recurrent history of infections, especially respiratory system infections; and a ventricular septal defect (VSD) that was never surgically repaired. She remains in good, stable health and is under close follow-up and monitoring. CONCLUSIONS: Despite the fact that Edwards syndrome carries a significantly high mortality rate due to several comorbidities, recent literature including this case report has identified patients surviving into adulthood. Advancements in early detection and parent education have likely allowed for these findings. We aim to present a case of an adult with trisomy 18, living in stable condition, with an importance on medical follow-up. FAU - Alshami, Abbas AU - Alshami A AUID- ORCID: 0000-0003-0726-3498 AD - Department of Medicine, Jersey Shore University Medical Center, Neptune, NJ 07753, USA. FAU - Douedi, Steven AU - Douedi S AUID- ORCID: 0000-0001-5006-828X AD - Department of Medicine, Jersey Shore University Medical Center, Neptune, NJ 07753, USA. FAU - Guida, Melissa AU - Guida M AD - Department of Biology, Ramapo College of New Jersey, Mahwah, NJ 07430, USA. FAU - Ajam, Firas AU - Ajam F AD - Department of Cardiology, Jersey Shore University Medical Center, Neptune, NJ 07753, USA. FAU - Desai, Dhaval AU - Desai D AD - Department of Cardiology, Jersey Shore University Medical Center, Neptune, NJ 07753, USA. FAU - Zales, Vincent AU - Zales V AD - Department of Pediatrics, Jersey Shore University Medical Center, Neptune, NJ 07753, USA. FAU - Calderon, Dawn M AU - Calderon DM AD - Department of Cardiology, Jersey Shore University Medical Center, Neptune, NJ 07753, USA. LA - eng PT - Case Reports DEP - 20201207 PL - Switzerland TA - Genes (Basel) JT - Genes JID - 101551097 SB - IM MH - Adult MH - Female MH - Humans MH - *Life Expectancy MH - *Longevity MH - Trisomy 18 Syndrome/*genetics PMC - PMC7762407 OTO - NOTNLM OT - Edwards syndrome OT - chromosome OT - genetic screening OT - karyotype OT - trisomy 18 COIS- The authors declare no conflict of interest. EDAT- 2020/12/11 06:00 MHDA- 2021/07/22 06:00 PMCR- 2020/12/07 CRDT- 2020/12/10 01:03 PHST- 2020/11/07 00:00 [received] PHST- 2020/11/29 00:00 [revised] PHST- 2020/12/04 00:00 [accepted] PHST- 2020/12/10 01:03 [entrez] PHST- 2020/12/11 06:00 [pubmed] PHST- 2021/07/22 06:00 [medline] PHST- 2020/12/07 00:00 [pmc-release] AID - genes11121466 [pii] AID - genes-11-01466 [pii] AID - 10.3390/genes11121466 [doi] PST - epublish SO - Genes (Basel). 2020 Dec 7;11(12):1466. doi: 10.3390/genes11121466.