474 lines
26 KiB
HTML
474 lines
26 KiB
HTML
|
||
<!DOCTYPE html>
|
||
<html lang="en" id="understanding_genetics" class="nojs us" data-root="https://medlineplus.gov/">
|
||
|
||
<head>
|
||
|
||
<meta charset="utf-8" />
|
||
<meta http-equiv="X-UA-Compatible" content="IE=edge,chrome=1" />
|
||
<meta http-equiv="window-target" content="_top" />
|
||
<meta http-equiv="Content-Type" content="text/html; charset=UTF-8" />
|
||
<meta name="viewport" content="width=device-width, initial-scale=1" />
|
||
|
||
|
||
|
||
|
||
|
||
<link rel="canonical" href="https://medlineplus.gov/genetics/understanding/inheritance/anticipation/" />
|
||
|
||
|
||
|
||
|
||
<link rel="alternate" hreflang="en" href="https://medlineplus.gov/genetics/understanding/inheritance/anticipation/" />
|
||
<link rel="alternate" hreflang="es" href="https://medlineplus.gov/spanish/genetica/entender/herencia/anticipacion/" />
|
||
|
||
|
||
|
||
|
||
<meta name="ac-dictionary" content="medlineplus-ac-dictionary" />
|
||
|
||
<meta name="description" content="When certain genetic disorders are passed from one generation to the next, the signs and symptoms may become more severe. This is known as anticipation. " />
|
||
|
||
|
||
|
||
<link rel="shortcut icon" href="https://medlineplus.gov/images/favicon.ico" type="image/x-icon" />
|
||
<link rel="apple-touch-icon" href="https://medlineplus.gov/images/touch-icon.png" />
|
||
|
||
|
||
<meta property="fb:app_id" content="1042245625821448" />
|
||
|
||
|
||
|
||
<meta property="og:title" content="What do geneticists mean by anticipation?: MedlinePlus Genetics" />
|
||
<meta property="og:url" content="https://medlineplus.gov/genetics/understanding/inheritance/anticipation/" />
|
||
|
||
|
||
|
||
<meta property="og:image" content="https://medlineplus.gov/images/InheritedGenetic_Share.jpg" />
|
||
|
||
|
||
|
||
<meta property="og:description" content="When certain genetic disorders are passed from one generation to the next, the signs and symptoms may become more severe. This is known as anticipation. " />
|
||
|
||
|
||
<meta name="twitter:card" content="summary_large_image" />
|
||
<meta name="twitter:site" content="@medlineplus" />
|
||
<meta name="twitter:creator" content="@medlineplus" />
|
||
<meta name="twitter:title" content="What do geneticists mean by anticipation?: MedlinePlus Genetics" />
|
||
<meta name="twitter:description" content="When certain genetic disorders are passed from one generation to the next, the signs and symptoms may become more severe. This is known as anticipation. " />
|
||
<meta name="twitter:image" content="https://medlineplus.gov/images/InheritedGenetic_Share.jpg" />
|
||
|
||
<meta name="twitter:image:alt" content=""/>
|
||
<meta property="og:image:alt" content="" />
|
||
|
||
|
||
|
||
|
||
|
||
|
||
<title>What do geneticists mean by anticipation?: MedlinePlus Genetics</title>
|
||
|
||
<link rel="stylesheet" href="https://medlineplus.gov/css/common_new.css?1738957193266" />
|
||
<!--[if IE 8]> <link rel="stylesheet" href="https://medlineplus.gov/css/ie8/common.css"> <![endif]-->
|
||
<link rel="stylesheet" href="https://medlineplus.gov/uswds/css/uswds_styles.css" />
|
||
|
||
<link rel="stylesheet" href="https://medlineplus.gov/utilities/lostatic.css">
|
||
|
||
|
||
|
||
<script type="text/javascript">document.getElementsByTagName('html')[0].className = document.getElementsByTagName('html')[0].className.replace( /(?:^|\s)nojs(?!\S)/g , '').trim();</script>
|
||
<script src="https://medlineplus.gov/uswds/js/uswds-init.min.js" type="text/javascript"></script>
|
||
|
||
|
||
|
||
|
||
<script>(function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':
|
||
new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],
|
||
j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src=
|
||
'https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);
|
||
})(window,document,'script','dataLayer','GTM-MMVM77');</script>
|
||
</head>
|
||
|
||
<body>
|
||
|
||
<noscript><iframe src="https://www.googletagmanager.com/ns.html?id=GTM-MMVM77"
|
||
height="0" width="0" style="display:none;visibility:hidden" title="googletagmanager"></iframe></noscript>
|
||
|
||
|
||
|
||
<a name="top" id="top"></a>
|
||
<a class="hide-offscreen" href="#start">Skip navigation</a>
|
||
|
||
|
||
|
||
<section
|
||
class="usa-banner"
|
||
aria-label="Official website of the United States government"
|
||
>
|
||
<div class="usa-accordion">
|
||
<header class="usa-banner__header">
|
||
<div class="usa-banner__inner">
|
||
<div class="grid-col-auto">
|
||
<img
|
||
aria-hidden="true"
|
||
class="usa-banner__header-flag"
|
||
src="https://medlineplus.gov/uswds/img/us_flag_small.png"
|
||
alt=""
|
||
/>
|
||
</div>
|
||
<div class="grid-col-fill tablet:grid-col-auto" aria-hidden="true">
|
||
<p class="usa-banner__header-text">
|
||
An official website of the United States government
|
||
</p>
|
||
<p class="usa-banner__header-action">Here’s how you know</p>
|
||
</div>
|
||
<button
|
||
type="button"
|
||
class="usa-accordion__button usa-banner__button"
|
||
aria-expanded="false"
|
||
aria-controls="gov-banner-default-default"
|
||
>
|
||
<span class="usa-banner__button-text">Here’s how you know</span>
|
||
</button>
|
||
</div>
|
||
</header>
|
||
<div
|
||
class="usa-banner__content usa-accordion__content"
|
||
id="gov-banner-default-default"
|
||
>
|
||
<div class="grid-row grid-gap-lg">
|
||
<div class="usa-banner__guidance tablet:grid-col-6">
|
||
<img
|
||
class="usa-banner__icon usa-media-block__img"
|
||
src="https://medlineplus.gov/uswds/img/icon-dot-gov.svg"
|
||
role="img"
|
||
alt=""
|
||
aria-hidden="true"
|
||
/>
|
||
<div class="usa-media-block__body">
|
||
<p>
|
||
<strong>Official websites use .gov</strong><br />A
|
||
<strong>.gov</strong> website belongs to an official government
|
||
organization in the United States.
|
||
</p>
|
||
</div>
|
||
</div>
|
||
<div class="usa-banner__guidance tablet:grid-col-6">
|
||
<img
|
||
class="usa-banner__icon usa-media-block__img"
|
||
src="https://medlineplus.gov/uswds/img/icon-https.svg"
|
||
role="img"
|
||
alt=""
|
||
aria-hidden="true"
|
||
/>
|
||
<div class="usa-media-block__body">
|
||
<p>
|
||
<strong>Secure .gov websites use HTTPS</strong><br />A
|
||
<strong>lock</strong> (
|
||
<span class="icon-lock"
|
||
><svg
|
||
xmlns="http://www.w3.org/2000/svg"
|
||
width="52"
|
||
height="64"
|
||
viewBox="0 0 52 64"
|
||
class="usa-banner__lock-image"
|
||
role="img"
|
||
aria-labelledby="banner-lock-description-default"
|
||
focusable="false"
|
||
>
|
||
<title id="banner-lock-title-default">Lock</title>
|
||
<desc id="banner-lock-description-default">Locked padlock icon</desc>
|
||
<path
|
||
fill="#000000"
|
||
fill-rule="evenodd"
|
||
d="M26 0c10.493 0 19 8.507 19 19v9h3a4 4 0 0 1 4 4v28a4 4 0 0 1-4 4H4a4 4 0 0 1-4-4V32a4 4 0 0 1 4-4h3v-9C7 8.507 15.507 0 26 0zm0 8c-5.979 0-10.843 4.77-10.996 10.712L15 19v9h22v-9c0-6.075-4.925-11-11-11z"
|
||
/>
|
||
</svg> </span
|
||
>) or <strong>https://</strong> means you’ve safely connected to
|
||
the .gov website. Share sensitive information only on official,
|
||
secure websites.
|
||
</p>
|
||
</div>
|
||
</div>
|
||
</div>
|
||
</div>
|
||
</div>
|
||
</section>
|
||
|
||
|
||
<div id="mplus-wrap">
|
||
<header>
|
||
<div id="mplus-header">
|
||
|
||
<div id="mplus-orgs">
|
||
<a href="https://www.nih.gov/" class="nih-org" target="_blank" title="National Institutes of Health">
|
||
<img class="nihlogo" src="https://medlineplus.gov/images/nihlogo.png" alt="National Institutes of Health"/>
|
||
</a><a href="https://www.nlm.nih.gov/" target="_blank"> National Library of Medicine</a>
|
||
</div>
|
||
|
||
|
||
<div id="mplus-logo" class="years-25">
|
||
<a href="https://medlineplus.gov/">
|
||
<img alt="MedlinePlus Trusted Health Information for You" title="MedlinePlus Trusted Health Information for You" src="https://medlineplus.gov/images/m_logo_25.png"/>
|
||
</a>
|
||
</div>
|
||
|
||
|
||
<div id="mplus-nav">
|
||
|
||
<div aria-live="polite" class="sm-live-area hide-offscreen"></div>
|
||
<button id="sm-menu-btn" class="navmenu-btn" title="Menu" role="button" aria-controls="mplus-menu-list" type="submit">Menu<span class="icon icon-nav-menu"></span></button>
|
||
<ul id="mplus-menu-list" class="nav-list">
|
||
<li><a href="https://medlineplus.gov/healthtopics.html">Health Topics</a></li>
|
||
<li><a href="https://medlineplus.gov/druginformation.html">Drugs & Supplements</a></li>
|
||
<li><a href="https://medlineplus.gov/genetics/">Genetics</a></li>
|
||
<li><a href="https://medlineplus.gov/lab-tests/">Medical Tests</a></li>
|
||
<li><a href="https://medlineplus.gov/encyclopedia.html">Medical Encyclopedia</a></li>
|
||
<li><a href="https://medlineplus.gov/about/">About MedlinePlus</a></li>
|
||
</ul><button id="sm-search-btn" class="navmenu-btn" title="Search" role="button" aria-controls="mplus-search" type="submit"><span class="hide-offscreen"></span>Search<span class="icon icon-nav-search"></span></button>
|
||
|
||
<div class="top-1">
|
||
|
||
<form id="mplus-search" method="get" action="https://vsearch.nlm.nih.gov/vivisimo/cgi-bin/query-meta" title="Search MedlinePlus" target="_self">
|
||
|
||
<input type="hidden" name="v:project" value="medlineplus"/>
|
||
<input type="hidden" name="v:sources" value="medlineplus-bundle"/>
|
||
|
||
<div class="form-box text-combo">
|
||
<div class="form-area"><label class="hide-offscreen" for="searchtext_primary">Search MedlinePlus</label>
|
||
<input id="searchtext_primary" class="form-text" type="text" placeholder="Search MedlinePlus" alt="#Site Search input" title="Site Search input" maxlength="400" size="40" name="query" autocomplete="off" role="textbox" aria-autocomplete="list" aria-haspopup="true"/>
|
||
</div>
|
||
<div class="button-area">
|
||
<button class="form-btn" title="Search MedlinePlus" alt="Search MedlinePlus" type="submit">GO</button>
|
||
</div>
|
||
</div>
|
||
</form>
|
||
|
||
<div class="secondarynav">
|
||
<ul class="nav-list">
|
||
<li><a href="https://medlineplus.gov/about/"><span>About MedlinePlus</span></a></li>
|
||
<li><a href="https://medlineplus.gov/whatsnew/">What's New</a></li>
|
||
<li><a href="https://medlineplus.gov/sitemap.html"><span>Site Map</span></a></li>
|
||
|
||
|
||
<li><a href="https://support.nlm.nih.gov/knowledgebase/category/?id=CAT-01231&category=medlineplus&from=https%3A//medlineplus.gov/genetics/understanding/inheritance/anticipation/" target="_blank"><span>Customer Support</span></a></li>
|
||
|
||
</ul>
|
||
</div>
|
||
|
||
</div>
|
||
<div id="mplus-nav-bar">
|
||
<ul class="nav-list">
|
||
<li><a href="https://medlineplus.gov/healthtopics.html">Health Topics</a></li><li><a href="https://medlineplus.gov/druginformation.html">Drugs & Supplements</a></li><li><a href="https://medlineplus.gov/genetics/">Genetics</a></li><li><a href="https://medlineplus.gov/lab-tests/">Medical Tests</a></li><li><a href="https://medlineplus.gov/encyclopedia.html">Medical Encyclopedia</a></li>
|
||
</ul>
|
||
</div>
|
||
|
||
|
||
<a id="mplus-lang-toggle" href="https://medlineplus.gov/spanish/genetica/entender/herencia/anticipacion/" title="Español">Español</a>
|
||
|
||
</div>
|
||
</div>
|
||
</header>
|
||
|
||
<div id="mplus-content">
|
||
|
||
<div id="breadcrumbs">
|
||
<div itemprop="breadcrumb" itemscope="" itemtype="http://schema.org/BreadcrumbList">
|
||
<span class="hide-offscreen">You Are Here:</span>
|
||
<div itemscope itemprop="itemListElement" itemtype="http://schema.org/ListItem">
|
||
<a href="https://medlineplus.gov/" itemprop="item"><span itemprop="name">Home</span></a>
|
||
→
|
||
<meta itemprop="position" content="1"/>
|
||
</div>
|
||
|
||
|
||
<div itemscope itemprop="itemListElement" itemtype="http://schema.org/ListItem">
|
||
<a href="https://medlineplus.gov/genetics/" itemprop="item"><span itemprop="name">Genetics</span></a>
|
||
→
|
||
<meta itemprop="position" content="2"/>
|
||
</div>
|
||
|
||
|
||
|
||
<div itemscope itemprop="itemListElement" itemtype="http://schema.org/ListItem">
|
||
<a href="https://medlineplus.gov/genetics/understanding/" itemprop="item"><span itemprop="name">Help Me Understand Genetics</span></a>
|
||
→
|
||
<meta itemprop="position" content="3"/>
|
||
</div>
|
||
|
||
|
||
|
||
<div itemscope itemprop="itemListElement" itemtype="http://schema.org/ListItem">
|
||
<a href="https://medlineplus.gov/genetics/understanding/inheritance/" itemprop="item"><span itemprop="name">Inheriting Genetic Conditions</span></a>
|
||
→
|
||
<meta itemprop="position" content="4"/>
|
||
</div>
|
||
|
||
|
||
|
||
<div>
|
||
<span>What do geneticists mean by anticipation?</span>
|
||
</div>
|
||
|
||
|
||
</div>
|
||
</div>
|
||
<span class="page-url print-only">URL of this page: https://medlineplus.gov/genetics/understanding/inheritance/anticipation/</span>
|
||
|
||
<div >
|
||
|
||
<article>
|
||
<div class="page-info">
|
||
<div class="page-title">
|
||
<a name="start" id="start"></a>
|
||
<h1>What do geneticists mean by anticipation?</h1>
|
||
</div>
|
||
<div class="page-actions"></div>
|
||
<noscript><span class="js-disabled-message">To use the sharing features on this page, please enable JavaScript.</span></noscript>
|
||
</div>
|
||
|
||
<div class="main">
|
||
|
||
<section><div class="mp-content"><p>The signs and symptoms of some genetic conditions tend to become more severe and appear at an earlier age as the disorder is passed from one generation to the next. This phenomenon is called anticipation. Anticipation is most often seen with certain genetic disorders of the nervous system, such as<a data-pid="14419" href="https://medlineplus.gov/genetics/condition/huntingtons-disease/"> Huntington's disease</a>, <a data-pid="14409" href="https://medlineplus.gov/genetics/condition/myotonic-dystrophy/">myotonic dystrophy</a>, and <a data-pid="14513" href="https://medlineplus.gov/genetics/condition/fragile-x-syndrome/">fragile X syndrome</a>.</p>
|
||
<p>Anticipation typically occurs with disorders that are caused by an unusual type of variant (mutation) called a trinucleotide repeat expansion. A trinucleotide repeat is a sequence of three <a data-pid="20107" href="https://medlineplus.gov/genetics/understanding/basics/dna/">DNA building blocks</a> (nucleotides) that is repeated a number of times in a row. DNA segments with an abnormal number of these repeats are unstable and prone to errors during cell division. The number of repeats can change as the gene is passed from parent to child. If the number of repeats increases, it is known as a trinucleotide repeat expansion. In some cases, the trinucleotide repeat may expand until the gene stops functioning normally. This expansion causes the features of some disorders to become more severe with each successive generation.</p>
|
||
<p>Most genetic disorders have signs and symptoms that differ among affected individuals, including affected people in the same family. Not all of these differences can be explained by anticipation. A combination of genetic, environmental, and lifestyle factors is probably responsible for the variability, although many of these factors have not been identified. Researchers study multiple generations of affected family members and consider the genetic cause of a disorder before determining that it shows anticipation.</p></div>
|
||
</section>
|
||
|
||
</div>
|
||
|
||
<div class="side">
|
||
<aside>
|
||
|
||
<section><div class="side-section"><div class="mp-content"><div class="section-header long-header"><h2>For more information about anticipation:</h2></div><div class="section-body"><p>The Merck Manual Professional Version provides a brief explanation of anticipation as part of its chapter on <a href="https://www.merckmanuals.com/professional/special-subjects/general-principles-of-medical-genetics/dna-variants-and-mutations" rel="noopener noreferrer" target="_blank">nontraditional inheritance</a>.</p>
|
||
<p>The Myotonic Dystrophy Foundation describes <a href="https://www.myotonic.org/digital-academy/dm-anticipation-part-1" rel="noopener noreferrer" target="_blank">anticipation in the context of myotonic dystrophy</a>. </p></div></div>
|
||
</div></section>
|
||
|
||
</aside>
|
||
</div>
|
||
|
||
|
||
<div class="bottom">
|
||
|
||
<section><div class="mp-exp mp-content"><h2>Topics in the Inheriting Genetic Conditions chapter</h2><ul><li><a data-pid="20159" href="https://medlineplus.gov/genetics/understanding/inheritance/runsinfamily/">What does it mean if a disorder seems to run in my family?</a></li><li><a data-pid="20161" href="https://medlineplus.gov/genetics/understanding/inheritance/familyhistory/">Why is it important to know my family health history?</a></li><li><a data-pid="20163" href="https://medlineplus.gov/genetics/understanding/inheritance/inheritancepatterns/">What are the different ways a genetic condition can be inherited?</a></li><li><a data-pid="20165" href="https://medlineplus.gov/genetics/understanding/inheritance/riskassessment/">If a genetic disorder runs in my family, what are the chances that my children will have the condition?</a></li><li><a data-pid="20167" href="https://medlineplus.gov/genetics/understanding/inheritance/penetranceexpressivity/">What are reduced penetrance and variable expressivity?</a></li><li>What do geneticists mean by anticipation?</li><li><a data-pid="20171" href="https://medlineplus.gov/genetics/understanding/inheritance/updimprinting/">What are genomic imprinting and uniparental disomy?</a></li><li><a data-pid="20173" href="https://medlineplus.gov/genetics/understanding/inheritance/chromosomalinheritance/">Are chromosomal disorders inherited?</a></li><li><a data-pid="20175" href="https://medlineplus.gov/genetics/understanding/inheritance/ethnicgroup/">Why are some genetic conditions more common in particular ethnic groups?</a></li><li><a data-pid="20177" href="https://medlineplus.gov/genetics/understanding/inheritance/heritability/">What is heritability?</a></li></ul><p><a data-pid="20081" href="https://medlineplus.gov/genetics/understanding/">Other chapters in Help Me Understand Genetics</a></p></div>
|
||
</section>
|
||
|
||
<section>
|
||
<!--
|
||
<div class="from-ghr">
|
||
<img src="https://medlineplus.gov/images/fromGHR.png" alt="From Genetics Home Reference" />
|
||
<p>Genetics Home Reference has merged with MedlinePlus. Genetics Home Reference content now can be found in the "Genetics" section of MedlinePlus. <a href="https://medlineplus.gov/about/general/genetics/newhome/">Learn more</a></p>
|
||
</div>
|
||
-->
|
||
|
||
|
||
<p>The information on this site should not be used as a substitute for professional medical care or advice. Contact a health care provider if you have questions about your health.</p>
|
||
|
||
</section>
|
||
|
||
</div>
|
||
|
||
</article>
|
||
|
||
</div>
|
||
|
||
|
||
<div id="citation-how-to">
|
||
<button><span>Learn how to cite this page</span></button>
|
||
</div>
|
||
|
||
</div>
|
||
|
||
<footer>
|
||
<div id="mplus-footer">
|
||
<div class="footer1">
|
||
|
||
<ul class="secondarynav">
|
||
<li><a href="https://medlineplus.gov/about/">About MedlinePlus</a></li>
|
||
<li><a href="https://medlineplus.gov/whatsnew/">What's New</a></li>
|
||
<li><a href="https://medlineplus.gov/sitemap.html">Site Map</a></li>
|
||
|
||
|
||
<li><a href="https://support.nlm.nih.gov/knowledgebase/category/?id=CAT-01231&category=medlineplus&from=https%3A//medlineplus.gov/genetics/understanding/inheritance/anticipation/" target="_blank"><span>Customer Support</span></a></li>
|
||
|
||
</ul>
|
||
|
||
<ul class="follow-footer">
|
||
<li>
|
||
<a href="https://medlineplus.gov/rss.html" class="follow-item">Subscribe to RSS<img src="https://medlineplus.gov/images/feed.png" class="social-media-toolkit-icon" alt="RSS" title="RSS"></a>
|
||
</li>
|
||
<li>
|
||
<span class="follow-label">Follow us</span>
|
||
<a href="https://twitter.com/medlineplus" class="follow-item" target="_blank">
|
||
<img src="https://medlineplus.gov/images/i_share_twitter.png" class="follow-icon" alt="X" title="X">
|
||
</a>
|
||
<a href="https://facebook.com/Mplus.gov/" class="follow-item" target="_blank">
|
||
<img src="https://medlineplus.gov/images/i_share_fb.png" class="follow-icon" alt="Facebook" title="Facebook">
|
||
</a>
|
||
<a href="https://www.instagram.com/mplusgov/" class="follow-item" target="_blank">
|
||
<img src="https://medlineplus.gov/images/Instagram_Glyph_Gradient_RGB.png" class="follow-icon" alt="Instagram" title="Instagram">
|
||
</a>
|
||
</li>
|
||
<li>
|
||
<a href="https://medlineplus.gov/social-media-toolkit/" class="social-media-toolkit-item">Social Media Toolkit<img src="https://medlineplus.gov/images/i_social_media_toolkit.png" class="social-media-toolkit-icon" alt="Social Media Toolkit" title="Social Media Toolkit"></a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
|
||
<div class="footer2">
|
||
<ul>
|
||
|
||
|
||
<li><a href=" https://www.nlm.nih.gov/web_policies.html" target='_blank'>NLM Web Policies</a></li>
|
||
|
||
<li><a href="https://medlineplus.gov/about/using/usingcontent/" >Copyright</a></li>
|
||
|
||
<li><a href="https://medlineplus.gov/accessibility.html">Accessibility</a></li>
|
||
<li><a href="https://medlineplus.gov/about/using/criteria/">Guidelines for Links</a></li>
|
||
<li><a href="https://medlineplus.gov/plugins.html">Viewers & Players</a></li>
|
||
<li><a href="https://www.hhs.gov/vulnerability-disclosure-policy/index.html" target="_blank">HHS Vulnerability Disclosure</a></li>
|
||
|
||
<li><a href="https://medlineplus.gov/medlineplus-connect/">MedlinePlus Connect for EHRs</a></li>
|
||
<li><a href="https://medlineplus.gov/about/developers/">For Developers</a></li>
|
||
|
||
</ul>
|
||
|
||
<div class="address">
|
||
<a href="https://www.nlm.nih.gov" target="_blank">National Library of Medicine</a>
|
||
<span>8600 Rockville Pike, Bethesda, MD 20894</span>
|
||
<a href="https://www.hhs.gov" target="_blank">U.S. Department of Health and Human Services</a>
|
||
<a href="https://www.nih.gov" target="_blank">National Institutes of Health</a>
|
||
|
||
</div>
|
||
|
||
|
||
<div class="date">
|
||
|
||
|
||
|
||
<span id="lastupdate">Last updated April 19, 2021</span>
|
||
|
||
|
||
|
||
</div>
|
||
|
||
|
||
<div class="return-top"><a href="#top" title="Return to top"><img class="return-top-icon" alt="Return to top" src="https://medlineplus.gov/images/return-top.png"></a></div>
|
||
</div>
|
||
</div>
|
||
</footer>
|
||
</div>
|
||
|
||
|
||
<script src="https://medlineplus.gov/jslib/jquery-3.6.0.min.js" type="text/javascript"></script>
|
||
<script src="https://medlineplus.gov/jslib/mplus-frontend-controls-new.js" type="text/javascript"></script>
|
||
<script src="https://medlineplus.gov/jslib/mplus-share.js?id=1112022" type="text/javascript"></script>
|
||
<!--[if lte IE 9]><script src="//www.nlm.nih.gov/medlineplus/jslib/jquery.placeholder.js" type="text/javascript"></script><![endif]-->
|
||
<script src="https://medlineplus.gov/jslib/control.js" type="text/javascript"></script>
|
||
<script src="https://medlineplus.gov/uswds/js/uswds.min.js" type="text/javascript"></script>
|
||
|
||
|
||
|
||
|
||
|
||
</body>
|
||
</html>
|