家庭复发性胎怀孕:KHDC3L基因突变阳性
Abhipsa Rath1, Pruthwiraj Sethi2, Saubhagya Kumar Jena2
1Obstetrics & Gynaecology, AIIMS Bhubaneswar, Bhubaneswar, India dr.abhipsarath@gmail.com.
BMJ case reports
|November 2, 2023
概括
在姐妹身上发现了家族性复发性水性形,一种罕见的自体逆行性疾病. 基因分析揭示了同卵性KHDC3L基因突变,指导生育咨询和治疗选择.
科学领域:
- 生殖内分泌学 生殖内分泌学
- 人类遗传学 人类遗传学
- 孕产妇和胎儿医学 孕产妇和胎儿医学
背景情况:
- 复发的水形包括一个患者的多胞胎怀孕.
- 家庭病例很少见,通常是以自身相对递归模式遗传的.
研究的目的:
- 为了呈现一个家族复发的完整的胎怀孕的案例.
- 突出这一罕见疾病的遗传基础和治疗方法.
主要方法:
- 临床病例介绍,一个患者连续四次完整的胎怀孕.
- 吸血和疏散后的血清β-hCG监测.
- 基因突变的遗传分析.
主要成果:
- 这位患者连续四次完全的胎怀孕.
- 基因分析发现KHDC3L基因突变的同胞性.
- 有类似病史的姐妹被建议进行评估.
结论:
- 及时诊断和怀疑对于复发的水性形来说至关重要.
- 建议进行遗传咨询和生育选择,如用捐赠卵子进行体外受精或收养.
- 解决与反复发生的胎妊娠相关的身体和心理创伤是必不可少的.
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