Racial microaggressions are subtle forms of verbal and behavioral discrimination toward people of color. The current qualitative study explores the experiences of Filipino American participants (N= 12), who described 13 categories of microaggressions, including being treated as an alien in one's own land or as a 2nd‐class citizen, being presumed to have inferior status or intellect, being assumed to uphold Filipino stereotypes, or being mistaken for another identity. Recommendations for counseling and development are discussed. Las microagresiones raciales son formas sutiles de discriminación verbal y conductiva hacia las personas de color. El estudio actual cualitativo explora las experiencias de participantes Filipinoamericanos (N= 12), quienes describieron 13 categorías de microagresiones, incluido el ser tratados como extranjeros o como ciudadanos de segunda clase en su propio país, pertenecer presuntamente a una clase social inferior o tener un nivel intelectual inferior, ser presuntamente representantes de estereotipos Filipinos, o ser confundidos con individuos de otra identidad. Se discuten recomendaciones para la consejería y el desarrollo.

Monozygotic twins with discordant karyotypes for trisomy 13 are rare. We report a case of a spontaneously conceived pregnancy who presented with first trimester ultrasound finding of umbilical cord cyst and increased nuchal translucency in Twin A and no abnormalities in Twin B. Amniocentesis revealed 47,XY,+13 karyotype in Twin A and 46,XY karyotype in Twin B. Selective fetal reduction was performed for Twin A. Twin B was delivered at 32 weeks gestation with normal phenotype. Peripheral blood karyotype revealed 15% mosaicism for trisomy 13 and skin fibroblast revealed 46,XY karyotype. The surviving twin will be monitored for potential complication of uniparental disomy 13 and mosaic trisomy 13. This case reinforces the need for early ultrasound and nuchal translucency measurements, especially in twin gestations.

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Monozygotic twins with discordant karyotypes for trisomy 13 are rare. We report a case of a spontaneously conceived pregnancy who presented with first-trimester ultrasound finding of umbilical cord cyst and increased nuchal translucency in Twin A and no abnormalities in Twin B. Amniocentesis revealed 47,XY,+13 karyotype in Twin A and 46,XY karyotype in Twin B. Selective fetal reduction was performed for Twin A. Twin B was delivered at 32 weeks gestation with normal phenotype. Peripheral blood karyotype revealed 15% mosaicism for trisomy 13 and skin fibroblast revealed 46,XY karyotype. The surviving twin will be monitored for potential complication of uniparental disomy 13 and mosaic trisomy 13. This case reinforces the need for early ultrasound and nuchal translucency measurements, especially in twin gestations.