Hydrops fetalis : an unusual prenatal presentation of hereditary congenital lymphedema
Identifieur interne : 008630 ( Main/Exploration ); précédent : 008629; suivant : 008631Hydrops fetalis : an unusual prenatal presentation of hereditary congenital lymphedema
Auteurs : Etty Daniel-Spiegel [Israël] ; Arash Ghalamkarpour [Belgique] ; Ronen Spiegel [Israël] ; Ehud Weiner [Israël] ; Miikka Vikkula [Belgique] ; Eliezer Shalev [Israël] ; Stavit Alon Shalev [Israël]Source :
- Prenatal diagnosis [ 0197-3851 ] ; 2005.
Descripteurs français
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- Wicri :
English descriptors
- KwdEn :
Abstract
Objectives To report a rare case of primary congenital lymphedema (PCL) presenting as hydrops fetalis. Methods The patient presented at 33+4 weeks' gestation with polyhydramnios, massive bilateral hydrothorax, skin edema, scalp edema and minimal ascites. In utero thoracocentesis was performed and delivery was induced. Follow-up at 12 months of age revealed moderate bilateral foot edema with otherwise normal development. Results The diagnosis of PCL was suspected on the basis of the family history. DNA analysis revealed a novel missense mutation, E1106K, in the tyrosine kinase domain of the vascular endothelial growth factor receptor 3 gene (VEGFR3/FLT4). Conclusion PCL should be considered in the differential diagnosis of hydrops fetalis. Knowledge of the favorable course, variable clinical presentation, therapy options and genetic basis should contribute to better pregnancy counseling and management.
Affiliations:
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<author><name sortKey="Shalev, Stavit Alon" sort="Shalev, Stavit Alon" uniqKey="Shalev S" first="Stavit Alon" last="Shalev">Stavit Alon Shalev</name>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Congenital</term>
<term>Gene</term>
<term>Genetics</term>
<term>Hereditary</term>
<term>Human</term>
<term>Hydrops fetalis</term>
<term>Lymphedema</term>
<term>Prenatal</term>
<term>Sonography</term>
<term>Vascular endothelial growth factor receptor 3</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Anasarque foetoplacentaire</term>
<term>Homme</term>
<term>Prénatal</term>
<term>Lymphoedème</term>
<term>Héréditaire</term>
<term>Congénital</term>
<term>Exploration ultrason</term>
<term>Gène</term>
<term>Génétique</term>
<term>Récepteur VEGFR3</term>
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<front><div type="abstract" xml:lang="en">Objectives To report a rare case of primary congenital lymphedema (PCL) presenting as hydrops fetalis. Methods The patient presented at 33<sup>+4</sup>
weeks' gestation with polyhydramnios, massive bilateral hydrothorax, skin edema, scalp edema and minimal ascites. In utero thoracocentesis was performed and delivery was induced. Follow-up at 12 months of age revealed moderate bilateral foot edema with otherwise normal development. Results The diagnosis of PCL was suspected on the basis of the family history. DNA analysis revealed a novel missense mutation, E1106K, in the tyrosine kinase domain of the vascular endothelial growth factor receptor 3 gene (VEGFR3/FLT4). Conclusion PCL should be considered in the differential diagnosis of hydrops fetalis. Knowledge of the favorable course, variable clinical presentation, therapy options and genetic basis should contribute to better pregnancy counseling and management.</div>
</front>
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