Thanatophoric dysplasia in nonadherent to antenatal care in low middle income country: a rare case reports.

birth defects micromelia skeletal dysplasia thanatophoric dysplasia

Journal

Annals of medicine and surgery (2012)
ISSN: 2049-0801
Titre abrégé: Ann Med Surg (Lond)
Pays: England
ID NLM: 101616869

Informations de publication

Date de publication:
Nov 2023
Historique:
received: 24 07 2023
accepted: 17 09 2023
medline: 2 11 2023
pubmed: 2 11 2023
entrez: 2 11 2023
Statut: epublish

Résumé

Thanatophoric dysplasia is a rare, fatal, and sporadic form of skeletal dysplasia caused by a mutation in fibroblast growth factor receptor 3 (FGFR3). It is characterized by a conical thorax, platyspondyly (flat vertebral bodies), and macrocephaly. This disorder can be diagnosed antenatally as early as 13 weeks of gestation. The authors reported a case of thanatophoric dysplasia on USG in a 19 year old young consanguineous female in her second trimester of pregnancy. Ultrasound examination showed a clover leaf-shaped skull, a widened anterior fontanel, a coarse and edematous face, a flattened nasal bridge, a short neck, a low set of ears, shortening of both upper and lower limbs with short fingers, bowed thighs and legs, and a relatively narrow thorax. Lung hypoplasia, polyhydramnios, and hydrops in affected individuals lead to a poor prognosis. Hence, timely intervention should be done to avoid a poor prognosis. However, a mix of sonographic, genetic, histological, and autopsy studies are applied to make the most accurate diagnosis. The authors reported this case due to the rarity of this condition and the need for a systematic and multidisciplinary approach.

Identifiants

pubmed: 37915702
doi: 10.1097/MS9.0000000000001356
pii: AMSU-D-23-01588
pmc: PMC10617885
doi:

Types de publication

Journal Article

Langues

eng

Pagination

5785-5788

Informations de copyright

Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc.

Déclaration de conflit d'intérêts

The authors declare that they have no financial conflict of interest with regard to the content of this report.

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Auteurs

Abhigan Babu Shrestha (AB)

Faculty of Internal Medicine, M. Abdur Rahim Medical College, Dinajpur.

Sanskriti Chapagain (S)

Devdaha Medical College and Research Institute, Bhaluhi, Rupandehi.

Tungki Pratama Umar (TP)

Faculty of Medicine, Sriwijaya University, Palenbang, Indonesia.

Randhir Sagar Yadav (RS)

University of Florida, Jacksonville, Florida, USA.

Shumneva Shrestha (S)

Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University, Kathmandu.

Kiran Bhandari (K)

Lumbini Medical College, Palpa.

Ranjana Sedai (R)

Lumbini Medical College, Palpa.

Aryan Poudel (A)

Lumbini Medical College, Palpa.

Chadani Mahat (C)

Rangpur Community Medical College, Bangladesh.

Shreeya Sharma (S)

Nepal Army Institute of Health Sciences, Kathmandu, Nepal.

Alish Bhandari (A)

Nepal Army Institute of Health Sciences, Kathmandu, Nepal.

Classifications MeSH