this post was submitted on 24 Feb 2024
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technically Trisomy 21 is the most common cause of Down syndrome. It is not actually synonymous, as some people with Down syndrome do not have Trisomy 21.
Well, Down Syndrome is always caused by a 3rd copy of chromosome 21. Sometimes it's translocated, attached to another chromosome, but the extra DNA is still there. A mosaic, where some cells have the trisomy and some don't, can also result in Down Syndrome, but again, it's caused by the extra DNA in those cells that have it. There are other conditions caused by trisomies of chromosome 13 or 18, or of the sex chromosomes, but those aren't Down Syndrome.
Translocation is not referred to as Trisomy 21
Correct, which is why I didn't use the word "trisomy" when referring to the translocation case. My point is that, even in that situation, the condition is caused by the presence of the translocated piece of chromosome 21 in addition to 2 normal copies. It's not referred to as a trisomy, as many times only part of the entire chromosome is translocated, but the functional cause of the condition is the same. So, when writing a paper for the general population, it's not a stretch to call Down Syndrome and Trisomy 21 synonymous.
I recall trisomy 21 being the variant with the highest survivability.
Definitely. Aside from sex chromosome trisomies which often have such little impact that they may go entirely undiagnosed, trisomy 21 is by far the least severe. Trisomy 13 and 18 are usually unviable pregnancies, and when they do survive until birth, they're severely disabled and often don't survive to their first year of life.