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Care of the Adult Patient with Down Syndrome

Care of the Adult Patient with Down SyndromeWhitney Trotter Ross,MD,and Martin Olsen,MDAbstract:Individuals with Down Syndrome have an increased riskfor many conditions, including cardiovascular disease, cancer, infections,and osteoporosis, and endocrine, neurological, orthopedic, auditory, andophthalmic alsoare atincreased riskfor abuse and humanrights violations and receive fewer screenings and interventions than thepopulation without Down Syndrome . In this literature review, the mostcommon health conditions associated with Down Syndrome are exam-ined, along with the topics of sexual abuse, menstrual hygiene, contra-ception, and human rights.

Early Menopause Consensus exists that menopause occurs early in women with Down syndrome, but clinical management has not been determined.33,34 In2001,thegeneral populationmedianageof menopausewas51.2years,whereasthemedianageforwomen with Down syndrome ranged from 44.7 to 47.1.19,34,35 In women ages 13 to 27, there is no difference …

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