{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T03:00:30Z","timestamp":1761102030800,"version":"3.40.5"},"reference-count":19,"publisher":"American Academy of Pediatrics (AAP)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2012,11,1]]},"abstract":"<jats:p>Down syndrome (DS) is recognized by characteristic facial features, intellectual disability, and an increased risk for cardiac malformations and duodenal atresia. Recently, Hirschsprung disease (HSCR), or congenital aganglionic megacolon, has been seen more often among patients with DS. Given the systemic nature of DS-related features, it is natural to attribute neonatal complications to the chromosomal aberration. We describe a biracial male infant with DS who had significantly delayed defecation and required continuous ventilator support, but had no primary cardiac or lung disease. Subsequent evaluations confirmed total colonic aganglionosis. Because we were unable to safely extubate the infant, a diagnosis of congenital central hypoventilation syndrome (CCHS) was considered and confirmed by molecular analysis of the PHOX2B gene, revealing a heterozygous polyalanine repeat-expansion mutation containing 27 repeats (normal gene contains 20 repeats). HSCR coexisting with CCHS is known as Haddad syndrome. This is the first reported case with co-occurrence of DS, CCHS, and HSCR.<\/jats:p>","DOI":"10.1542\/peds.2011-3844","type":"journal-article","created":{"date-parts":[[2012,10,9]],"date-time":"2012-10-09T01:01:54Z","timestamp":1349744514000},"page":"e1382-e1384","source":"Crossref","is-referenced-by-count":5,"title":["A Triple Threat: Down Syndrome, Congenital Central Hypoventilation Syndrome, and Hirschsprung Disease"],"prefix":"10.1542","volume":"130","author":[{"given":"Kelly L.","family":"Jones","sequence":"first","affiliation":[{"name":"Department of Pediatrics and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Enik\u00f6 K.","family":"Pivnick","sequence":"additional","affiliation":[{"name":"Department of Pediatrics and"},{"name":"Division of Clinical Genetics and Department of Ophthalmology, University of Tennessee Health Science Center, Memphis, Tennessee;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stacy","family":"Hines-Dowell","sequence":"additional","affiliation":[{"name":"Nursing Administration, Division of Medical Genetics, Le Bonheur Children\u2019s Hospital, Memphis, Tennessee;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Debra E.","family":"Weese-Mayer","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Children\u2019s Memorial Hospital, Northwestern University Feinberg School of Medicine, Chicago, Illinois; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth M.","family":"Berry-Kravis","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Neurologic Sciences, Biochemistry, Rush University Medical Center, Chicago, Illinois"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Teresa","family":"Santiago","sequence":"additional","affiliation":[{"name":"Department of Pediatrics 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