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米尔罗伊综合征的产前诊断与管理:一例报告

Prenatal diagnosis and management of Milroy syndrome: a case report.

作者信息

Fasoulakis Zacharias, Chatziioannou Marianna, Koutras Antonios, Theodora Marianna, Pegkou Afroditi, Pampanos Andreas, Daskalakis George, Antsaklis Panagiotis

机构信息

1st Department of Obstetrics and Gynecology, National and Kapodistrian University of Athens, Athens, Greece.

Department of Genetics, "General Hospital Alexandra", Athens, Greece.

出版信息

Case Rep Perinat Med. 2023 Sep 7;12(1):20230013. doi: 10.1515/crpm-2023-0013. eCollection 2023 Jan.

DOI:10.1515/crpm-2023-0013
PMID:40041256
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11616980/
Abstract

OBJECTIVES

Milroy syndrome is a rare hereditary disorder characterized by congenital lymphedema, caused by mutations in the vascular endothelial growth factor receptor 3 () gene.

CASE PRESENTATION

We present a case report of a first-described mutation of a male fetus diagnosed prenatally with Milroy syndrome through amniocentesis. The fetus had bilateral lower limb edema, and genetic testing confirmed the diagnosis of Milroy syndrome. The patient was closely monitored throughout the pregnancy, and after delivery, the infant was managed with appropriate therapies, including compression garments and manual lymphatic drainage. The parents were provided with appropriate counseling and support.

CONCLUSIONS

This case highlights the significance of early detection and appropriate management of Milroy syndrome, which can lead to improved outcomes for affected infants.

摘要

目的

米尔罗伊综合征是一种罕见的遗传性疾病,其特征为先天性淋巴水肿,由血管内皮生长因子受体3()基因突变引起。

病例报告

我们报告一例通过羊膜穿刺术产前诊断为米尔罗伊综合征的男性胎儿首次发现的突变病例。该胎儿双侧下肢水肿,基因检测确诊为米尔罗伊综合征。整个孕期对该患者进行了密切监测,分娩后,对婴儿进行了包括压力衣和手动淋巴引流在内的适当治疗。为父母提供了适当的咨询和支持。

结论

本病例突出了早期发现和适当管理米尔罗伊综合征的重要性,这可改善受影响婴儿的预后。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d9b/11616980/b2ba181fe09a/j_crpm-2023-0013_fig_003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d9b/11616980/accf60e4a86d/j_crpm-2023-0013_fig_001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d9b/11616980/c0cd59fc0931/j_crpm-2023-0013_fig_002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d9b/11616980/b2ba181fe09a/j_crpm-2023-0013_fig_003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d9b/11616980/accf60e4a86d/j_crpm-2023-0013_fig_001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d9b/11616980/c0cd59fc0931/j_crpm-2023-0013_fig_002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d9b/11616980/b2ba181fe09a/j_crpm-2023-0013_fig_003.jpg

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本文引用的文献

1
Two novel variations p.(Ser1275Thr) and p.(Ser1275Arg) in FLT4 causing prenatal hereditary lymphedema type 1.FLT4基因中的两种新型变异p.(Ser1275Thr)和p.(Ser1275Arg)导致1型产前遗传性淋巴水肿。
Birth Defects Res. 2023 Mar 15;115(5):563-571. doi: 10.1002/bdr2.2141. Epub 2022 Dec 20.
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Heterozygous deletion of the VEGFC gene in 4q34.3 is associated with Milroy-like lymphedema: First prenatal case report.4q34.3 上 VEGFC 基因杂合性缺失与 Milroy 样淋巴水肿相关:首例产前病例报告。
Am J Med Genet A. 2022 Dec;188(12):3550-3554. doi: 10.1002/ajmg.a.62973. Epub 2022 Sep 21.
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Genetic Basis and Therapies for Vascular Anomalies.
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Circ Res. 2021 Jun 25;129(1):155-173. doi: 10.1161/CIRCRESAHA.121.318145. Epub 2021 Jun 24.
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Lymphedema diagnosis, treatment, and follow-up from the view point of physical medicine and rehabilitation specialists.从物理医学与康复专家的角度看淋巴水肿的诊断、治疗及随访
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Organ-specific lymphatic vasculature: From development to pathophysiology.器官特异性淋巴血管系统:从发育到病理生理学。
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Clin Med (Lond). 2017 Dec;17(6):552-557. doi: 10.7861/clinmedicine.17-6-552.
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Obstet Gynecol. 2016 May;127(5):e108-e122. doi: 10.1097/AOG.0000000000001405.
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Screening for fetal aneuploidy.胎儿非整倍体筛查
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Advances in ultrasound imaging for congenital malformations during early gestation.孕早期先天性畸形超声成像的进展
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Genetics of lymphatic anomalies.淋巴管异常的遗传学。
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