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Digynic triploidy in a fetus presenting with semilobar holoprosencephaly
Tzu-Yun Chuang1, Shu-Yuan Chang1, Chih-Ping Chen2
1Department of Obstetrics and Gynecology, MacKay Memorial Hospital, Taipei, Taiwan.
Objective:
We present digynic triploidy in a fetus with semilobar holoprosencephaly (HPE).
Case Report:
A 32-year-old, gravid 1, para 0, woman underwent prenatal ultrasound examination at 12 weeks of gestation, and the ultrasound showed relative macrocephaly, a small non-cystic placenta, and a fetus with absent nasal bone and semilobar HPE. The pregnancy was terminated subsequently, and a 50-g fetus was delivered with a relatively enlarged head and premaxillary agenesis. The placenta was small and non-cystic. Postnatal cytogenetic analysis of the umbilical cord revealed a karyotype of 69, XXX. Postnatal DNA marker analysis using quantitative fluorescent polymerase chain reaction assays and the polymorphic short tandem repeat markers for chromosome 18 and 20 on the placental tissues showed a diallelic pattern with a dosage of 1:2 (paternal allele to maternal allele ratio), indicating a maternal origin of the triploidy.
Conclusion:
Fetuses with digynic triploidy may present relative macrocephaly, semilobar HPE and a small placenta on prenatal ultrasound.
