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Absence of limbs and gross body wall defects: An epidemiological study of related rare malformation conditions

Identifieur interne : 001A68 ( Istex/Curation ); précédent : 001A67; suivant : 001A69

Absence of limbs and gross body wall defects: An epidemiological study of related rare malformation conditions

Auteurs : Pierpaolo Mastroiacovo [Italie] ; Bengt K Llén [Suède] ; Lisbeth B. Knudsen [Danemark] ; Paul A. L. Lancaster [Australie] ; Eduardo E. Castilla [Argentine] ; Osvaldo Mutchinick [Mexique] ; Elisabeth Robert [France]

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RBID : ISTEX:8D4FC85450A8D1FAC4E21173D677FB7163D67F30

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English descriptors

Abstract

The study is based on almost 10 million births and reports on 215 infants with two unusual malformations: amelia and gross body wall defect. Amelia without body wall defect was present in 116 cases, 67 had body wall defects without amelia, and 32 had both. The total rate was 2.2 per 100,000 births. The infants were divided into five mutually exclusive groups. There were 40 infants (0.4 per 100,000) with agenesis of the body stalk, 18 with amelia and other types of gross body wall defects (0.2 per 100,000), 56 with amelia and malformations other than gross body wall defects (0.6 per 100,000), 41 with amelia (with or without other limb reduction defects) but no nonlimb malformations (0.4 per 100,000), and 60 infants with gross body wall defects of a type other than agenesis of body stalk and without amelia (0.6 per 100,000). A weak trend of decreasing prevalence of these malformations was found during the observation period. Infants with agenesis of the body stalk and infants with amelia combined with other types of gross body wall defects occurred at an increased rate in infants of young women. This maternal age effect is also found with gastroschisis, but not with omphalocele, and may indicate etiological or pathogenetic similarities between gastroschisis and the two former groups of defect. In infants with amelia, additional limb reduction defects could be of any type: transverse, longitudinal, or intercalary. Therefore, amelia may be the end result of different types of disturbances of limb morphogenesis. There was an increased rate of twinning. The relationship with amniotic band syndrome is discussed. © 1992 Wiley‐Liss, Inc.

Url:
DOI: 10.1002/tera.1420460510

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ISTEX:8D4FC85450A8D1FAC4E21173D677FB7163D67F30

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<name sortKey="Mastroiacovo, Pierpaolo" sort="Mastroiacovo, Pierpaolo" uniqKey="Mastroiacovo P" first="Pierpaolo" last="Mastroiacovo">Pierpaolo Mastroiacovo</name>
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<mods:affiliation>IPIMC, Servizio Epidemiologia e Clinica Difetti Congeniti, Rome, Italy</mods:affiliation>
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<name sortKey="K Llen, Bengt" sort="K Llen, Bengt" uniqKey="K Llen B" first="Bengt" last="K Llén">Bengt K Llén</name>
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<name sortKey="Knudsen, Lisbeth B" sort="Knudsen, Lisbeth B" uniqKey="Knudsen L" first="Lisbeth B." last="Knudsen">Lisbeth B. Knudsen</name>
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<term>Abdominal defect</term>
<term>Agenesis</term>
<term>Amelia</term>
<term>Amniotic</term>
<term>Amniotic band</term>
<term>Amniotic bands</term>
<term>Anal atresia</term>
<term>Annual births</term>
<term>Birth defects monitoring systems</term>
<term>Birth weight</term>
<term>Bladder exstrophy</term>
<term>Body wall</term>
<term>Body wall defect</term>
<term>Body wall defects</term>
<term>Caudal regression</term>
<term>Cleft palate</term>
<term>Confidence interval</term>
<term>Confidence intervals</term>
<term>Congenital</term>
<term>Congenital malformations</term>
<term>Defect</term>
<term>Diaphragmatic hernia</term>
<term>Different programs</term>
<term>Different types</term>
<term>Embryonic disk</term>
<term>Epidemiological study</term>
<term>First week</term>
<term>Gastroschisis</term>
<term>Gross body wall defect</term>
<term>Gross body wall defects</term>
<term>Gross body wall defects andlor amelia</term>
<term>Gross body wall defects table</term>
<term>Gross body wall infants</term>
<term>Heterogeneity</term>
<term>Infant</term>
<term>Infant groups</term>
<term>International clearinghouse</term>
<term>Kallen</term>
<term>Limb</term>
<term>Limb amelia</term>
<term>Limb defects</term>
<term>Limb morphogenesis</term>
<term>Limb reduction defect</term>
<term>Limb reduction defects</term>
<term>Limb reductions</term>
<term>Lower limb amelia</term>
<term>Malformation</term>
<term>Mastroiacovo</term>
<term>Monitoring system</term>
<term>Nonlimb</term>
<term>Nonlimb malformations</term>
<term>Observable malformations</term>
<term>Odds ratio</term>
<term>Odds ratios</term>
<term>Omphalocele</term>
<term>Other amelia</term>
<term>Other limb reduction</term>
<term>Other limb reduction defects</term>
<term>Other nonlimb malformations</term>
<term>Other types</term>
<term>Significant heterogeneity</term>
<term>Subgroup</term>
<term>Such infants</term>
<term>Such malformations</term>
<term>Total rate</term>
<term>Twinning</term>
<term>Umbilical cord</term>
<term>Wall defect</term>
<term>Wall defects</term>
</keywords>
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<term>Abdominal defect</term>
<term>Agenesis</term>
<term>Amelia</term>
<term>Amniotic</term>
<term>Amniotic band</term>
<term>Amniotic bands</term>
<term>Anal atresia</term>
<term>Annual births</term>
<term>Birth defects monitoring systems</term>
<term>Birth weight</term>
<term>Bladder exstrophy</term>
<term>Body wall</term>
<term>Body wall defect</term>
<term>Body wall defects</term>
<term>Caudal regression</term>
<term>Cleft palate</term>
<term>Confidence interval</term>
<term>Confidence intervals</term>
<term>Congenital</term>
<term>Congenital malformations</term>
<term>Defect</term>
<term>Diaphragmatic hernia</term>
<term>Different programs</term>
<term>Different types</term>
<term>Embryonic disk</term>
<term>Epidemiological study</term>
<term>First week</term>
<term>Gastroschisis</term>
<term>Gross body wall defect</term>
<term>Gross body wall defects</term>
<term>Gross body wall defects andlor amelia</term>
<term>Gross body wall defects table</term>
<term>Gross body wall infants</term>
<term>Heterogeneity</term>
<term>Infant</term>
<term>Infant groups</term>
<term>International clearinghouse</term>
<term>Kallen</term>
<term>Limb</term>
<term>Limb amelia</term>
<term>Limb defects</term>
<term>Limb morphogenesis</term>
<term>Limb reduction defect</term>
<term>Limb reduction defects</term>
<term>Limb reductions</term>
<term>Lower limb amelia</term>
<term>Malformation</term>
<term>Mastroiacovo</term>
<term>Monitoring system</term>
<term>Nonlimb</term>
<term>Nonlimb malformations</term>
<term>Observable malformations</term>
<term>Odds ratio</term>
<term>Odds ratios</term>
<term>Omphalocele</term>
<term>Other amelia</term>
<term>Other limb reduction</term>
<term>Other limb reduction defects</term>
<term>Other nonlimb malformations</term>
<term>Other types</term>
<term>Significant heterogeneity</term>
<term>Subgroup</term>
<term>Such infants</term>
<term>Such malformations</term>
<term>Total rate</term>
<term>Twinning</term>
<term>Umbilical cord</term>
<term>Wall defect</term>
<term>Wall defects</term>
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<div type="abstract" xml:lang="en">The study is based on almost 10 million births and reports on 215 infants with two unusual malformations: amelia and gross body wall defect. Amelia without body wall defect was present in 116 cases, 67 had body wall defects without amelia, and 32 had both. The total rate was 2.2 per 100,000 births. The infants were divided into five mutually exclusive groups. There were 40 infants (0.4 per 100,000) with agenesis of the body stalk, 18 with amelia and other types of gross body wall defects (0.2 per 100,000), 56 with amelia and malformations other than gross body wall defects (0.6 per 100,000), 41 with amelia (with or without other limb reduction defects) but no nonlimb malformations (0.4 per 100,000), and 60 infants with gross body wall defects of a type other than agenesis of body stalk and without amelia (0.6 per 100,000). A weak trend of decreasing prevalence of these malformations was found during the observation period. Infants with agenesis of the body stalk and infants with amelia combined with other types of gross body wall defects occurred at an increased rate in infants of young women. This maternal age effect is also found with gastroschisis, but not with omphalocele, and may indicate etiological or pathogenetic similarities between gastroschisis and the two former groups of defect. In infants with amelia, additional limb reduction defects could be of any type: transverse, longitudinal, or intercalary. Therefore, amelia may be the end result of different types of disturbances of limb morphogenesis. There was an increased rate of twinning. The relationship with amniotic band syndrome is discussed. © 1992 Wiley‐Liss, Inc.</div>
</front>
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