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Re: Japanese baby

Dianna - I've done that too!  A Caucasian baby girl who had Down features including low set ears, poor tone, simian crease, wide set eyes, etc.  Her chromosomes were normal.  I was quite embarassed but the parents were so relieved when I gave them the news.  This little girl is almost 5 years old now and her mom and I got to be good friends.  She didn't look like either parent in the beginning.

Eve H. Switzer, MD
rural peds

On Sat, 09 February 2002, "Dianna Tolen" wrote:

>
> I had the opposite situation, Caucasian family, both young first time
> parents.  Baby looked so abnormal to me and quite a few nurses too.
> Very slanted almond eyes, tongue protruding, ears sort of low set and
> pinky fingers turned somewhat.  I was about 80% sure she was Down's.
> Went in and looked at the parents and neither of them looked like her
> really AND I found out that mom had a scare because her AFP had been
> low but repeated as WNL.  So I made the speech, did the test, had
> them in tears and scared out of their minds.  A week later the test
> was neg.  Parents were relieved but a bit miffed at me putting them
> through it.  I felt so bad, I was so sure that she was going to be
> Down's.  Now at 6 months she looks NOTHING like how she did before
> and has not the slightest Down's features.  Oh well, I had to, I
> would have felt worse telling them after 4 months that she had Down's
> but I didn't have the guts to diagnose it .
> Dianna Tolen, M.D.
> 
> Kids First Pediatric Care
> Canfield, Ohio
>

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