Conditions

While we are still learning how chromosome 8p rearrangements specifically affect individuals, we know that it impacts every cell in the body. Any symptoms or conditions should be managed using standard medical practices, just as they would be for any other patient. Providers should adhere to established guidelines when treating Genitourinary or Reproductive conditions/symptoms in individuals with chromosome 8p rearrangements.
The following genitourinary and reproductive conditions have been reported in individuals with chromosome 8p rearrangements, however, limited data makes it challenging to determine the exact relationship between these conditions and the chromosome 8p rearrangements:
A condition in which one or both of the testicles fail to descend into the scrotum before birth.
A birth defect in boys where the opening of the urethra is not located at the tip of the penis but on the underside.
Swelling of one or both kidneys due to a build-up of urine, often caused by a blockage or obstruction in the urinary tract.
A blockage in the lower urinary tract that prevents urine from flowing properly, potentially leading to kidney damage.

A kidney disorder, also called nephrotic syndrome, where damaged kidney filters cause protein leakage into the urine, leading to swelling (edema).

While the exact prevalence and impact are still being studied, providers should be aware of these potential issues and manage them according to standard clinical practices.

Puberty & Sexuality

Puberty is a natural stage of development for all individuals, including those with Chromosome 8p rearrangements. As children transition into adolescence, they will experience various physical, emotional, and social changes. It is important for families, caregivers, and healthcare providers to approach this topic with sensitivity, providing clear, age-appropriate information to help them understand their bodies and emotions.

Just like their peers, individuals with Chromosome 8p rearrangements will go through the stages of puberty, though the timeline and experience may vary. They may experience changes such as:

  • Growth spurts
  • Development of body hair
  • Changes in voice
  • Menstruation in females

 

Open and honest conversations about these changes can help prepare them for what to expect. Visual aids, social stories, or step-by-step explanations can be especially helpful.

Individuals with Chromosome 8p rearrangements may require additional support to process and express these emotions related to sexuality. It is crucial to create a safe environment for them to ask questions and express their feelings. Use simple, clear language to explain concepts like personal boundaries, consent, and healthy relationships.

An essential aspect of sexuality education is teaching personal boundaries. It is important to discuss:

 

  • Private and Public Behaviors: Explain which behaviors are appropriate in private versus public settings.
  • Consent: Teach them to understand and respect personal space, as well as their right to say “no” in uncomfortable situations.
  • Safe Touch: Discuss the difference between safe and unsafe touch in a way they can understand.
  • Visual Aids: Use visual supports, social stories, or role-playing to discuss changes and behaviors.
  • Repetition: Regularly revisit conversations to reinforce understanding and address new questions.
  • Professional Guidance: Consider involving healthcare professionals, such as a therapist or counselor experienced in developmental disabilities, to provide additional support.

 

Every individual is unique, and discussions about puberty and sexuality should be tailored to their level of understanding and communication abilities. By providing clear information and support, we empower individuals with Chromosome 8p rearrangements to navigate puberty and develop a healthy understanding of their sexuality.

Moving Mountains Conference Presentation:

University of Michigan Disability Health Research: Sex Education/Puberty Resources for Individuals with Special Needs/Disabilities and for their Families, Partners, Caregivers, and Educators

https://disabilityhealth.medicine.umich.edu/sites/default/files/downloads/SexEducationResources.pdf

Vanderbilt Kennedy Center: Healthy Bodies for Girls.

https://vkc.vumc.org/HealthyBodies/girls.html

Vanderbilt Kennedy Center: Healthy Bodies for Boys.

https://vkc.vumc.org/HealthyBodies/boys.html

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This visualization is powered by research sponsored by Project 8p and survey data collected from the Chromosome 8p Registry, representing insights from a total of 120 8p heroes. It is part of the soon-to-launch Insights Portal, designed to offer advanced tools for data analysis, access, and visualizations, accelerating research and discovery for chromosome 8p disorders.

Add your piece to the puzzle

The Project 8p Foundation (Project 8p) was created in 2018 to:

  • Accelerate future treatments, not only for 8p, but potentially for other chromosome-wide diseases as well.
  • Lead with knowledge from patients. Currently, there is no cure for 8p disorders, nor is there a standard course of treatment.

The Project 8p Foundation (Project 8p) was created in 2018 to:

  • Raise transformative funding for pioneering scientific research into treatments for a complex, rare disease involving 250+ affected genes on the short arm of the 8 th chromosome (8p). Rearrangements of these genes causes significant abnormalities to the entire neurological system, thus all organs and functions of the body– with variance in cognitive functions, gross motor skills, social development and other challenges during infancy, and throughout life;
  • Empower a unified community of 8p patients and their families so they can have meaningful lives today; and
  • Accelerate future treatments, not only for 8p, but potentially for other chromosome-wide diseases as well.