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Recurrent cystic hygroma with hydrops
Laxmi Baxi1, Stephen Brown, Kavita Desai
1Department of Obstetrics and Gynecology, College of Physicians and Surgeons of Columbia University and Sloane Hospital for Women of Columbia University Medical Center at NY Presbyterian Hospital, New York, NY 10032, USA. lvb1@columbia.edu
Fetal Diagnosis and Therapy
|March 12, 2009
Summary
This study presents a patient with recurrent cystic hygroma (CH) and hydrops in five fetuses across four pregnancies. The findings suggest a potential new autosomal recessive disorder causing fetal abnormalities.
Area of Science:
- Medical Genetics
- Prenatal Diagnosis
- Fetal Abnormalities
Background:
- Recurrent fetal abnormalities pose diagnostic challenges.
- Cystic hygroma (CH) and hydrops fetalis are significant indicators of underlying fetal conditions.
- Genetic counseling is crucial for recurrent pregnancy complications.
Observation:
- A 39-year-old patient experienced recurrent fetal cystic hygroma and hydrops in five fetuses over four pregnancies.
- Three affected fetuses had normal karyotypes, excluding aneuploidy as the sole cause.
- The patient's spouse has Gaucher disease, but the patient is not a carrier.
Findings:
- Products of conception showed low normal glucocerebrosidase levels without a known Gaucher mutation.
- Recurrent CH and hydrops in fetuses with normal karyotypes were observed.
- The pattern suggests a novel autosomal recessive condition.
Implications:
- This case highlights a potential new genetic disorder.
- Further research is needed to identify the specific gene responsible for this autosomal recessive condition.
- Understanding this disorder can improve genetic counseling and prenatal diagnosis for similar cases.
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