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Prenatal diagnostic indicators of paternal uniparental disomy 14

Identifieur interne : 006894 ( Istex/Corpus ); précédent : 006893; suivant : 006895

Prenatal diagnostic indicators of paternal uniparental disomy 14

Auteurs : Logos Curtis ; Eric Antonelli ; Yvan Vial ; Peter Rimensberger ; Martine Le Merrer ; Christine Hinard ; Armand Bottani ; Siv Fokstuen

Source :

RBID : ISTEX:DFCE53245F4FDA13604F3DD8F3AEC3ACF1C83715

Abstract

To present clinical findings of a child with paternal uniparental isodisomy 14 (pat UPD14) focusing on relevant prenatal characteristics.

Url:
DOI: 10.1002/pd.1453

Links to Exploration step

ISTEX:DFCE53245F4FDA13604F3DD8F3AEC3ACF1C83715

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<head>Abstract</head>
Objectives
<p>To present clinical findings of a child with paternal uniparental isodisomy 14 (pat UPD14) focusing on relevant prenatal characteristics.</p>
Methods/Results
<p>Ultrasonography at 23 weeks of gestation of a 37‐year‐old multigravid woman revealed a fetus with polyhydramnios, small thorax, and short, distinctively angled ribs. Fetal karyotype was 46,XY. The child was born spontaneously at 35 weeks with poor neonatal adaptation. From birth, he presented with severe respiratory insufficiency due to severe thoracic malformation. Clinical examination revealed a small, bell‐shaped thorax, redundant lax skin, mild contractures of the fingers and dysmorphic facial features. Chest X rays showed short, abnormally curved ribs that suggested the possibility of pat UPD14, which was confirmed by molecular analysis.</p>
Conclusion
<p>Pat UPD14 is associated with a distinct clinical phenotype. Prognosis is poor because of severe respiratory insufficiency and neurodevelopmental retardation. Our report confirms salient postnatal signs of previous descriptions, especially the characteristic radiological abnormalities with ribs showing a ‘coat‐hanger’ configuration. Retrospective fetal ultrasound of our case allowed the identification of this pathognomonic feature prenatally, which makes it possible to consider pat UPD14 at routine prenatal sonography, in particular in combination with a small bell‐shaped thorax and polyhydramnios. Copyright © 2006 John Wiley & Sons, Ltd.</p>
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<title type="main" xml:lang="en">Prenatal diagnostic indicators of paternal uniparental disomy 14</title>
<title type="short" xml:lang="en">PRENATAL DIAGNOSTIC INDICATORS OF PATERNAL UNIPARENTAL DISOMY 14</title>
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<keyword xml:id="kwd1">paternal UPD14</keyword>
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<p>To present clinical findings of a child with paternal uniparental isodisomy 14 (pat UPD14) focusing on relevant prenatal characteristics.</p>
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<p>Ultrasonography at 23 weeks of gestation of a 37‐year‐old multigravid woman revealed a fetus with polyhydramnios, small thorax, and short, distinctively angled ribs. Fetal karyotype was 46,XY. The child was born spontaneously at 35 weeks with poor neonatal adaptation. From birth, he presented with severe respiratory insufficiency due to severe thoracic malformation. Clinical examination revealed a small, bell‐shaped thorax, redundant lax skin, mild contractures of the fingers and dysmorphic facial features. Chest X rays showed short, abnormally curved ribs that suggested the possibility of pat UPD14, which was confirmed by molecular analysis.</p>
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<p>Pat UPD14 is associated with a distinct clinical phenotype. Prognosis is poor because of severe respiratory insufficiency and neurodevelopmental retardation. Our report confirms salient postnatal signs of previous descriptions, especially the characteristic radiological abnormalities with ribs showing a ‘coat‐hanger’ configuration. Retrospective fetal ultrasound of our case allowed the identification of this pathognomonic feature prenatally, which makes it possible to consider pat UPD14 at routine prenatal sonography, in particular in combination with a small bell‐shaped thorax and polyhydramnios. Copyright © 2006 John Wiley & Sons, Ltd.</p>
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<abstract>To present clinical findings of a child with paternal uniparental isodisomy 14 (pat UPD14) focusing on relevant prenatal characteristics.</abstract>
<abstract>Ultrasonography at 23 weeks of gestation of a 37‐year‐old multigravid woman revealed a fetus with polyhydramnios, small thorax, and short, distinctively angled ribs. Fetal karyotype was 46,XY. The child was born spontaneously at 35 weeks with poor neonatal adaptation. From birth, he presented with severe respiratory insufficiency due to severe thoracic malformation. Clinical examination revealed a small, bell‐shaped thorax, redundant lax skin, mild contractures of the fingers and dysmorphic facial features. Chest X rays showed short, abnormally curved ribs that suggested the possibility of pat UPD14, which was confirmed by molecular analysis.</abstract>
<abstract>Pat UPD14 is associated with a distinct clinical phenotype. Prognosis is poor because of severe respiratory insufficiency and neurodevelopmental retardation. Our report confirms salient postnatal signs of previous descriptions, especially the characteristic radiological abnormalities with ribs showing a ‘coat‐hanger’ configuration. Retrospective fetal ultrasound of our case allowed the identification of this pathognomonic feature prenatally, which makes it possible to consider pat UPD14 at routine prenatal sonography, in particular in combination with a small bell‐shaped thorax and polyhydramnios. Copyright © 2006 John Wiley & Sons, Ltd.</abstract>
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