[Perspectives] Medical compartmentalisation: a patient with chromosome 22q11.2 deletion syndrome in Japan

Cocoro is a 22-year-old woman with chromosome 22q11.2 deletion syndrome. At age 1 year, she had surgery in a children's hospital in a metropolitan area of Japan to repair tetralogy of Fallot. Her intelligence quotient of 70 put her on the border of intellectual disability, and when she was aged 6 years she was diagnosed with autism spectrum disorder. She had fatigability due to mild heart failure and skeletal malformations. When enrolling in elementary school, the school board decided that she was not eligible for a school for students with physical or intellectual disabilities.