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产前诊断的致死型类拉森综合征伴双舌畸形。

Prenatally diagnosed lethal type Larsen-like syndrome associated with bifid tongue.

作者信息

Orhan Diclehan, Balci Sevim, Deren Ozgür, Utine Eda Gülen, Başaran Ahmet, Kale Gülsev

机构信息

Division of Pediatric Pathology, Department of Pediatrics, Hacettepe University Faculty of Medicine, Ankara, Turkey.

出版信息

Turk J Pediatr. 2008 Jul-Aug;50(4):395-9.

PMID:19014058
Abstract

Larsen syndrome is characterized by multiple joint dislocations, associated with a typical facial appearance and frequently other abnormalities. Both dominant and recessive patterns of inheritance have been reported. A lethal form of Larsen syndrome (Larsen-like syndrome) has been described as a combination of the Larsen phenotype and pulmonary hypoplasia. In this report, we present a 24-week-old female fetus with a possible prenatal diagnosis of thanatophoric dysplasia in whom postmortem examination revealed lethal type Larsen-like syndrome associated with bifid tongue, severe micrognathia and non-immune hydrops fetalis. These findings have not been reported previously in the lethal type Larsen syndrome.

摘要

拉森综合征的特征是多处关节脱位,伴有典型的面部外观,且常伴有其他异常。已报道有显性和隐性两种遗传模式。一种致死型拉森综合征(类拉森综合征)被描述为拉森表型与肺发育不全的组合。在本报告中,我们介绍了一名24周龄的女性胎儿,产前可能诊断为致死性骨发育不全,尸检显示为致死型类拉森综合征,伴有双叉舌、严重小颌畸形和胎儿非免疫性水肿。这些发现以前在致死型拉森综合征中尚未见报道。

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1
Prenatally diagnosed lethal type Larsen-like syndrome associated with bifid tongue.产前诊断的致死型类拉森综合征伴双舌畸形。
Turk J Pediatr. 2008 Jul-Aug;50(4):395-9.
2
Prenatal diagnosis of recurrent Larsen syndrome: further definition of a lethal variant.复发性拉森综合征的产前诊断:致死性变异的进一步定义。
Prenat Diagn. 1991 Apr;11(4):215-25. doi: 10.1002/pd.1970110403.
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Second trimester diagnosis of thanatophoric dysplasia.孕中期致死性骨发育不全的诊断
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Prenatal diagnosis of thanatophoric dysplasia in the second trimester: ultrasonography and other diagnostic modalities.孕中期致死性骨发育不全的产前诊断:超声检查及其他诊断方法
Arch Gynecol Obstet. 2003 Nov;269(1):57-61. doi: 10.1007/s00404-002-0417-1. Epub 2002 Oct 29.
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[Prenatal diagnosis of thanatophoric dysplasia at the 20th week of pregnancy using ultrasonography].[妊娠20周时超声检查对致死性骨发育不全的产前诊断]
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Antenatal sonographic diagnosis of thanatophoric dysplasia: a report of three cases and a review of the literature with special emphasis on the differential diagnosis.致死性骨发育不全的产前超声诊断:三例报告并特别强调鉴别诊断的文献综述
Ultrasound Obstet Gynecol. 1996 Jul;8(1):62-7. doi: 10.1046/j.1469-0705.1996.08010062.x.
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[Genetically-determined familial recurrent thanatophoric dysplasia].[基因决定的家族性复发性致死性骨发育不全]
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[Prenatal diagnosis of thanatophoric dysplasia at 21st week of pregnancy].[妊娠21周时致死性骨发育不全的产前诊断]
Pathologica. 1993 Mar-Apr;85(1096):215-9.
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Nuchal translucency and ductus venosus blood flow as early sonographic markers of thanatophoric dysplasia. A case report.颈部透明带厚度及静脉导管血流作为致死性骨发育不全的早期超声标志物:1例病例报告
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