Background:The overall prevalence of intellectual disability is approximately 2-3% in the general population and can be caused by genetic and environmental factors. Genetic factors include chromosomal anomalies, single-gene disorder, deregulation of imprinted genes, and multiple malformation syndromes without an identified genetic basis and idiopathic. In Bangladesh, the genetic diagnosis of dysmorphic patients has not yet been well established. Therefore, gestalt diagnosis has a crucial role in establishing the differential diagnosis, management, counseling and genetic diagnostic approach. Aim of the study: The aim of the present study was to assess the effectiveness and necessity of gestalt diagnosis on the suspected genetic syndrome with intellectual disability and comorbidities. Methods: This prospective study was conducted at Dhaka Shishu Hospital during the period from December 2017 to May 2018. The study included 21 children with intellectual and developmental disabilities (IDD) who attended OPD and Mental Health
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