Our mission is to help individuals with one or more Visit at AXYS extra X and/or Y www.genetic.org and their to learn more about the organization’s programs. families lead fuller and more productive lives.

Services available to all online visitors  Toll-free information and support helpline

staffed by experienced, trained volunteers

 An online library of resources and current articles and additional publications SUPPORT EDUCATION ADVOCACY  Access to conferences and webinars covering RESEARCH TREATMENT a variety of treatment and education topics

AXYS serves individuals and families affected by X  Regional and online support groups and Y including  Information about and opportunities to X, 47,XXY (), 47,XYY and participate in research and clinical studies associated conditions including 48,XXXY; 48,XXYY; 48,XXXX; 49,XXXXY; 49,XXXXX.  Assistance finding services and clinicians

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 Quarterly eNewsletter. Become a member of AXYS and support  Discounts on conference registration. 47,XYY our organization’s efforts to assist  Fellowship with a supportive group of individu- individuals and families. als, families and professionals dedicated to

improving the lives of those with X and variations.

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P.O. Box 861, Mendenhall, PA 19357 Helpline: 888-999-9428 [email protected]

About X and Y Chromosome Variations 47,XYY is a trisomy condition in which there is an extra Y chromosome. It affects 1 in 1,000 males. Many have no symptoms, but some are more significantly affected. X and Y chromosome variations affect 1 in 500 persons. Approximately 75% are never diagnosed. Diagnostic tools: blood test; XCAT buccal swab test; FISH (fluorescence in situ hybridization); or microarray.

Typical human cells have 46 chromosomes: 22 Prenatal diagnostic tools: ; chorionic villus pairs of and 1 pair of chromo- sampling; or, NIPT (noninvasive prenatal test). somes. have two X chromosomes (46,XX). Males have one X and one Y (46,XY). Diagnostic testing is indicated when a child or an adult displays Variations are called some of the constellation of symptoms listed below. (SCA). These are the most common chromosomal aneuploid conditions that affect humans. Effective Therapies & Treatment for In children, 47,XYY may produce some of the 47,XYY Syndrome (if indicated) The most common SCA in females is 47,XXX following symptoms: (). The most common in males are  Infants and very young children may be eligible for 47,XXY (Klinefelter syndrome) or 47,XYY. There  are numerous other SCA conditions involving 48 and 49 chromosomes, as well as   (45,X).   O 

SCA is associated with symptoms that vary along  a continuum from mild to severe. The associated   symptoms may include physical, hormonal,  neurocognitive, psychiatric and social issues In older teens and adults, 47,XYY  that can present functional challenges in daily may also be characterized by: life. Symptoms may include speech delay,   programs low muscle tone and poor coordination,  learning disabilities, and tall stature. There  may also be anxiety, depression, attention difficulties deficits, and social immaturity. Intellectual  disability is not common but may affect a  Adults may take several years longer to devel- few. It is rare to have all symptoms. op the emotional maturity to become self-  supporting Most symptoms can be addressed  and capable of living independently. Interventions successfully by early diagnosis and  Occasionally, that may be helpful include: detection, and with appropriate treatments (failure of testes to produce  such as speech and occupational therapy. adequate male hormone)  Special education services are indicated if there are learning disabilities. Persons with  Dental health preservation/restoration Men with 47,XYY are typically  A healthy diet and regular exercise to maintain SCA may be somewhat slower achieving capable of fathering children and do maturity as adults, but many live cardiovascular health not have lowered . The chances independently, have careers, and form of passing on the extra Y chromosome Occasionally, a boy with 47,XYY fails to complete families and typical adult relationships. are very small, but couples may wish or an adult experiences testicular failure, to have before resulting in hypogonadism. This can be treated becoming pregnant. with hormone replacement by an experienced endocrinologist.