Mosaicism

Mosaicism

Mosaicism refers to the presence of a genetically distinct cell population within an organism. In other words, the same person caries cells with different genetic makeup. There is presence of two or more population of cells with different genotypes in an individual developed from a single fertilized egg. Mosaicism can affect any kind of cells such as those of the skin, blood, eggs, or sperms.

Causes and risk factors

Mosaicism is caused by a defect in the cell division during the early embryonic development of the fetus. It occurs when 2 DNA molecules exchange genetic information during mitosis. The disease is associated with VHL (Von Hippel-Lindau tumor).

Clinical presentation

The person has both normal as well as abnormal cells. The symptoms produced are extremely varied and cannot be predicted. E.g., heterochromia, i.e., different color of iris (eye color) in same person, shaded pattern of skin. The severity depends upon which body parts are affected. People with a small number of abnormal cells have a much better prognosis than people with a large number of abnormal cells.

Investigations

Medical history by the patient helps in diagnosis. Genetic testing is required. Blood test is recommended.

Treatment

Treatment will be decided on the basis of presentation of the disease. Genetic counseling is required.

Complications

Complications occur depending upon which body tissues and organs are affected and the number of abnormal cells.

When to Contact a Doctor  

One must consult a doctor if the features of mosaicism are bothering the patient.

Systems involved

Immune system, genetic system

Organs involved

Eyes, skin, blood, etc.

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