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🌟 Edwards Disease: Causes, Symptoms, Diagnosis & Facts

Edwards disease, also known as Edwards Syndrome or Trisomy 18, is a rare but serious genetic condition caused by an extra 18th chromosome. This condition affects approximately 1 in 5,000 live births and is associated with severe developmental delays and physical abnormalities.

In this article, we will define Edwards Syndrome, explore its features, understand the risk of Edwards Syndrome, look at clinical features, survival rates, and share important facts and statistics. 📊


🧬 What Is Edwards Disease?

Edwards disease is a genetic disorder where a person has three copies of chromosome 18 instead of the usual two.

This is why it’s also referred to as Trisomy 18 or Edward Syndrome 18. The additional genetic material disrupts normal development, leading to various physical and intellectual disabilities.


📘 Define Edwards Syndrome

To define Edwards Syndrome, we must understand that it’s a chromosomal condition resulting from nondisjunction — an error in cell division that causes a full extra 18th chromosome in each cell of the body. There are three forms:

  • Full Edwards Syndrome: Every cell has an extra chromosome 18.
  • Mosaic Edwards Syndrome: Some cells have the extra chromosome; others do not.
  • Partial Trisomy 18: Only part of chromosome 18 is present in triplicate.

📚 Definition of Edwards Syndrome

Edwards Syndrome (Trisomy 18) is a chromosomal condition associated with abnormalities in many parts of the body, caused by the presence of an extra chromosome 18 in a person’s cells.”


🧠 Edwards Syndrome Meaning & Origins

The meaning of Edwards Syndrome lies in its genetic cause and clinical impact. First described by Dr. John H. Edwards in 1960, this syndrome is the second most common autosomal trisomy after Down syndrome.

🕰️ Edwards Syndrome History

  • 🧪 1960: Discovered by Dr. John Edwards.
  • 🧬 First linked to a third copy of chromosome 18.
  • 📈 Since then, screening methods have evolved, improving posterior risk for Edwards Syndrome detection during pregnancy.

👶 Edwards Syndrome Clinical Features

Common Edward Syndrome Features include:

  • Low birth weight
  • Small, abnormally shaped head
  • Cleft lip or palate
  • Clenched fists with overlapping fingers ✊
  • Heart and kidney defects
  • Developmental delays
  • Rocker-bottom feet 🦶

These clinical features of Edwards Syndrome vary depending on whether the case is full, mosaic, or partial.


📉 Effects of Edwards Syndrome

The effects of Edwards Syndrome are both physical and neurological. Infants born with the full form often suffer from:

  • Severe intellectual disability
  • Failure to thrive
  • Seizures
  • Difficulty feeding
  • Breathing difficulties 😔

Children with mosaic Edwards Syndrome may live longer and have fewer complications, but significant challenges persist.


📊 Real Statistics on Edwards Disease

Here’s a look at key statistics:

AspectDataSource
Incidence1 in 5,000 live birthsCDC
Live births with full trisomy 18~95% do not survive pregnancyNIH
Median survival time3 to 14.5 daysPubMed
One-year survival~10%NIH
Mosaic/partial survival rateCan live into adolescenceGenetics Home Reference

🎯 Posterior Risk for Edwards Syndrome

Posterior risk refers to the adjusted risk of a baby having Edwards disease after prenatal screening. It’s based on:

  • Maternal age
  • Ultrasound results (e.g., nuchal translucency)
  • Blood test markers
  • Non-invasive prenatal testing (NIPT)

Women over 35 have a significantly higher risk of Edwards Syndrome in pregnancy.


🧪 Diagnosing Edwards Disease

Before Birth:

  • 🧫 NIPT (Non-Invasive Prenatal Testing)
  • 💉 Amniocentesis
  • 🧬 Chorionic Villus Sampling (CVS)

After Birth:

  • Karyotype testing (to detect extra 18th chromosome disease)
  • Clinical observation of features
  • Echocardiograms for heart defects


👩‍⚕️ Edwards Syndrome Specialists

Management of Edwards disease requires a multidisciplinary team of specialists:

  • Pediatric geneticists 🧬
  • Neonatologists 👶
  • Cardiologists ❤️
  • Neurologists 🧠
  • Palliative care experts

Edwards Syndrome specialists focus on supportive care and improving quality of life where possible.


❓ Interesting Facts About Edwards Syndrome

Let’s look at some Edwards Disease facts and Edwards Syndrome interesting facts:

  • 💔 95% of fetuses with full Edwards Syndrome do not survive to term.
  • 🧬 It affects more females than males.
  • 🤱 Only 10% of babies live past their first birthday.

  • 👨‍👩‍👧 Most cases are not inherited, but random.
  • 💉 Prenatal tests can detect the condition with high accuracy.

📈 Survival Rate of Edwards Syndrome

Here’s a breakdown of the survival rate of Edwards Syndrome:

AgeFull Trisomy 18Mosaic/Partial Trisomy 18
At birth~5% survive to birth~90% survive
1 week~50% survive~80% survive
1 month~30% survive~75% survive
1 year~10% survive~50–60% survive
5+ yearsRareCan survive into adulthood


🌐 Syndrome de Edwards: International Terminology

In Spanish and French-speaking regions, Edwards Syndrome is called Syndrome de Edwards or Syndrome Edwards. Global research and advocacy groups use these terms in awareness campaigns and support programs.


🧭 Coping and Care for Edwards Disease

💞 Raising a child with Edwards disease can be emotionally overwhelming. Families benefit from:

  • Genetic counseling 👨‍⚕️
  • Palliative care services 🏥
  • Support groups (e.g., SOFT – Support Organization for Trisomy)

Check out SOFT UK and Trisomy 18 Foundation for resources.


💡 Final Thoughts on Edwards Disease

Edwards disease, or Edward Syndrome 18, is a challenging diagnosis that affects families around the world. Although there’s no cure, ongoing research offers hope for better outcomes and early interventions.

Raising awareness, improving prenatal screening, and offering compassionate care can make a world of difference.


❓FAQs on Edwards Disease

What is Edwards disease?

Edwards disease, also known as Trisomy 18 or Edward Syndrome, is a genetic disorder caused by an extra copy of chromosome 18.

What are the signs of Edwards Syndrome?

Common signs of Edwards Syndrome include low birth weight, small head, clenched fists, heart defects, and developmental delays.

How common is Edwards disease?

It occurs in about 1 in 5,000 live births.

Is there a cure for Edwards Syndrome?

There is no cure, but treatment focuses on comfort and supportive care.

What causes Edwards Syndrome?

It’s typically caused by random genetic errors during cell division (nondisjunction), not inherited factors.

What is the survival rate of Edwards Syndrome?

Only 10% of babies with full Edwards Syndrome survive past their first birthday.

Who can help treat Edwards Syndrome?

A team of Edwards Syndrome specialists including geneticists, pediatricians, and cardiologists is involved in care.


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