Medical Issues in Patients With Down Syndrome
Carmen D. Chase, M.D., Thomas Osinowo, M.D.
& Robert J. Pary, M.D.

In 1866, when Down syndrome was first described by John Langdon Down, most of the individuals affected would die early, usually in their teens or twenties. As recently as the 1970's, individuals who lived longer than 45 were rare. However, today a patient with Down syndrome does not necessarily die young. A report by Baird and Sadovnick in 1989 indicated that over half the individuals born with Down syndrome live into their 50's, 40% into their 60's and 13% to the age of 68. Today's physician will find the care of individuals with Down syndrome extending into their 60's and 70's. What may be unique about caring for these patients, however, is the kind of care they require. The medical management of Down syndrome spans the lifetime, from childhood to geriatrics. Patients with Down syndrome require the same preventative care as any other patient: vaccinations, dental care and medical care. They also require a few specialized screenings and appropriate follow up care. Not only are there issues specific to age of the patient, but also specific to systems of the body. This article will describe some of the standard and specialized care that may be required for a patient with Down syndrome.

Ment Health Aspects Dev Disabil 2002;5(2):34-45