Lee H S, Doh J W, Kim C J, Chi J G
Department of Pathology and Obstetrics, Seoul National University College of Medicine, Korea.
J Korean Med Sci. 2000 Oct;15(5):604-8. doi: 10.3346/jkms.2000.15.5.604.
Achondrogenesis is a lethal form of congenital chondrodystrophy characterized by extreme micromelia. We describe a case of achondrogenesis type II (Langer-Saldino achondrogenesis) detected by prenatal ultrasonography at 20-week gestation. A dwarfed fetus with large head, short neck and chest, prominent abdomen and short limbs was terminated transvaginally. Radiologic and histopathologic examination revealed features of mild form of achondrogenesis type II. Although the case had no known risk factor and the phenotypic abnormality was mild, modern development in prenatal screening made the early detection possible.
软骨发育不全是一种致命的先天性软骨发育不良形式,其特征为极度短肢畸形。我们描述了一例在孕20周时通过产前超声检查发现的II型软骨发育不全(兰格-萨尔迪诺软骨发育不全)病例。一个头部大、颈部和胸部短、腹部突出且四肢短小的侏儒胎儿经阴道终止妊娠。放射学和组织病理学检查显示为轻度II型软骨发育不全的特征。尽管该病例没有已知的危险因素且表型异常较轻,但产前筛查的现代发展使得早期检测成为可能。