Pietryga Marek, Iciek Rafał, Brazert Maciej, Wender-Ozegowska Ewa, Brazert Jacek
Klinika Połoznictwa i Chorób Kobiecych Uniwersytetu Medycznego im. Karola Marcinkowskiego w Poznaniu.
Ginekol Pol. 2010 Jan;81(1):55-60.
The case report presents a prenatal diagnosis of a fetus with thanatophoric dysplasia. Characteristic features in this syndrome are: extremely short limbs with curved thigh bones, narrow chest, enlarged abdomen, prominent forehead, dysmorphic face, macrocephaly polihydramnion. The malformation results from the mutation in fibroblast growth factor receptor gene (FGFR-3) which is located in chromosome 4. TD is considered to be an autosomal dominant but most cases are caused by new mutations in the FGFR-3 gene. The prognosis in this malformation is extremely poor. The article presents ultrasound and additional investigations which might be useful in differential diagnosis.
该病例报告展示了一例致死性骨发育不良胎儿的产前诊断。该综合征的特征包括:四肢极短,股骨弯曲,胸廓狭窄,腹部增大,前额突出,面部畸形,巨头畸形,羊水过多。这种畸形是由位于4号染色体上的成纤维细胞生长因子受体基因(FGFR - 3)突变引起的。致死性骨发育不良被认为是常染色体显性遗传,但大多数病例是由FGFR - 3基因的新突变导致的。这种畸形的预后极差。本文介绍了可能有助于鉴别诊断的超声检查及其他检查方法。