Trisomy 13 is caused by an extra chromosome 13.
Infants are typically small and often have major brain, eye, face, and heart defects.
Tests can be done before or after birth to confirm the diagnosis.
There is no cure for trisomy 13.
(See also Overview of Chromosome and Gene Disorders Overview of Chromosome and Gene Disorders Chromosomes are structures within cells that contain a person's genes. Genes are segments of deoxyribonucleic acid ( DNA) and contain the code for a specific protein that functions in one or... read more .)
Chromosomes Chromosomes Genes are segments of deoxyribonucleic acid (DNA) that contain the code for a specific protein that functions in one or more types of cells in the body or the code for functional ribonucleic... read more are structures within cells that contain DNA DNA Genes are segments of deoxyribonucleic acid (DNA) that contain the code for a specific protein that functions in one or more types of cells in the body or the code for functional ribonucleic... read more and many genes. Genes Genes Genes are segments of deoxyribonucleic acid (DNA) that contain the code for a specific protein that functions in one or more types of cells in the body or the code for functional ribonucleic... read more are segments of deoxyribonucleic acid (DNA) and contain the code for a specific protein that functions in one or more types of cells in the body. Genes contain instructions that determine how the body is supposed to look and function. (See Genes and Chromosomes Genes and Chromosomes Genes are segments of deoxyribonucleic acid (DNA) that contain the code for a specific protein that functions in one or more types of cells in the body or the code for functional ribonucleic... read more for a discussion about genetics.)
An extra chromosome, making three of the same chromosome (instead of the normal two), is called trisomy. Children who have trisomy 13 have a third chromosome 13.
Trisomy 13 occurs in about 2 out of 10,000 pregnancies. The extra chromosome usually comes from the mother. The risk of trisomy 13 increases with the mother's age.
Symptoms of Trisomy 13
In the womb, affected fetuses are typically not very active. The amount of amniotic fluid may be too much or too little.
Physical abnormalities
At birth, newborns tend to be small Small-for-Gestational-Age (SGA) Newborns A newborn who weighs less than 90% of newborns of the same gestational age at birth (below the 10th percentile) is considered small for gestational age. Newborns may be small because their parents... read more . The brain typically does not develop properly, and these children have many facial abnormalities such as cleft lip and cleft palate Cleft Lip and Cleft Palate A cleft is an opening that can form in the lip (cleft lip), roof of the mouth (cleft palate), or both if the tissue does not join together completely during pregnancy. Cleft lip and cleft palate... read more , small eyes, defects of the iris (the colored area of the eye), and underdeveloped retinas (the clear, light-sensitive structures at the back of the eyes).
The ears are abnormally shaped and usually low-set. Defects in the scalp and openings in the skin are common. Loose folds of skin often are present over the back of the neck.
Newborns commonly have a single crease in the palm, extra fingers and toes (polydactyly Finger and Toe Defects The fingers and toes may be abnormally formed, incompletely formed, or missing at birth. Birth defects, also called congenital anomalies, are physical abnormalities that occur before a baby... read more ), and poorly developed fingernails.
Cleft Lip and Cleft Palate: Defects of the Face
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Other abnormalities
About 80% of newborns have severe heart defects. A defect called ventricular septal defect Atrial and Ventricular Septal Defects Atrial and ventricular septal defects are holes in the walls (septa) that separate the heart into the left and right sides. Holes can be present in the walls of the heart between the upper heart... read more , in which there is an abnormal opening between the right and left ventricles, is common.
Undescended testes Undescended testes Undescended testes (cryptorchidism) are testes that remain in the abdomen or the groin instead of descending into the scrotum. Retractile testes (hypermobile testes) have descended into the... read more and an abnormal scrotum occur in boys. An abnormally formed uterus occurs in girls.
Newborns frequently have prolonged periods of no breathing (apnea).
Hearing loss Hearing Loss Worldwide, about half a billion people (almost 8% of the world's population) have hearing loss. More than 15% of people in the United States have some degree of hearing loss that affects their... read more is common and is often suspected but can be difficult to confirm because these children are severely intellectually disabled Intellectual Disability Intellectual disability is significantly below average intellectual functioning present from birth or early infancy, causing limitations in the ability to conduct normal activities of daily... read more .
Diagnosis of Trisomy 13
Before birth, ultrasonography of the fetus or blood tests of the mother
Before birth, chorionic villus sampling, amniocentesis, or both
After birth, the appearance of the infant and blood tests of the infant
(See also Next-generation sequencing technologies Next-generation sequencing technologies Genetic diagnostic technologies are scientific methods that are used to understand and evaluate an organism's genes. (See also Genes and Chromosomes.) Genes are segments of deoxyribonucleic... read more .)
Before birth, trisomy 13 may be suspected based on findings detected during an ultrasound of the fetus. Doctors also can do a test to find deoxyribonucleic acid (DNA) from the fetus in the mother's blood and use this DNA to determine an increased risk of trisomy 13. This test is called noninvasive prenatal screening (NIPS) or cell-free fetal DNA analysis.
If doctors suspect trisomy 13 based on the results of these tests, they often confirm the diagnosis using chorionic villus sampling Chorionic Villus Sampling Prenatal testing for genetic disorders and birth defects involves testing a pregnant woman or fetus before birth (prenatally) to determine whether the fetus has certain abnormalities, including... read more , amniocentesis Amniocentesis Prenatal testing for genetic disorders and birth defects involves testing a pregnant woman or fetus before birth (prenatally) to determine whether the fetus has certain abnormalities, including... read more , or both.
After birth, the infant's physical appearance may suggest the diagnosis of trisomy 13. To confirm the diagnosis, the infant's chromosomes are analyzed using a blood test.
Treatment of Trisomy 13
Support for the family
There is no cure for trisomy 13.
It is recommended that family members seek support.
Prognosis for Trisomy 13
In the past, most infants died soon after birth. However, in recent times, some infants have been living longer.
More Information
The following English-language resource may be useful. Please note that THE MANUAL is not responsible for the content of this resource.
SOFT (Support Organization for Trisomy 18, 13, and Related Disorders): An organization providing resources, research information, and community and support services to people caring for others who have trisomy 18, 13, or another related chromosome disorder