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1例诺里病伴双侧眼部畸形晚期发生的产前诊断

Prenatal Diagnosis of a Case of Norrie Disease with Late Development of Bilateral Ocular Malformation.

作者信息

Wu Li Hong, Chen Li-Hong, Xie Hongning, Xie Ying-Jun

机构信息

a Ultrasonic Medicine Department , First Affiliated Hospital of Sun Yat-sen University , Guangzhou , China.

b Pathology Department , Zhongshan Ophthalmic Center, Sun Yat-sen University , Guangzhou , China.

出版信息

Fetal Pediatr Pathol. 2017 Jun;36(3):240-245. doi: 10.1080/15513815.2017.1307474. Epub 2017 Apr 10.

Abstract

We report a case of Norrie disease, diagnosed by prenatal ultrasound, confirmed by Sanger sequencing of the DNP gene from the aborted fetal cord blood and histologically. Prenatal ultrasound revealed no abnormality in either eye at 22 and 31 gestational weeks, but at 36 gestational weeks both eyes had massive vitreous cavity opacities with complete retinal detachment. Norrie disease was initially suspected because of an older male sibling with the disease. To our knowledge, prenatal ultrasound diagnosis of Norrie disease has been previously described only one case in 1993 in a 34-week-old fetus. The normal eye development until after 31 + 4 gestational weeks provides insight into the first manifestation and then the rapid progression of the eye disease.

摘要

我们报告一例诺里病病例,通过产前超声诊断,经对流产胎儿脐带血的DNP基因进行桑格测序并结合组织学检查得以确诊。产前超声显示,在孕22周和31周时双眼均无异常,但在孕36周时,双眼玻璃体腔出现大量混浊,视网膜完全脱离。由于患儿有一个患该病的哥哥,故最初怀疑为诺里病。据我们所知,此前仅在1993年报道过一例34周龄胎儿的诺里病产前超声诊断病例。孕31 + 4周后眼睛仍正常发育,这有助于了解眼病的首发表现及其随后的快速进展情况。

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