Resolving fetal hydrops – A rare entity

IF 1.6 4区 医学 Q3 GENETICS & HEREDITY
Deepti Saxena , Amit K. Tiwari , Rameshwar Prasad , Saumya Srivastav
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引用次数: 0

Abstract

Non-immune hydrops fetalis (NIHF) is abnormal accumulation of serous fluid in ≥2 interstitial spaces with no evidence of maternal red cell alloimmunization. Leaving a few treatable conditions, it is generally considered as a sign of poor fetal outcome. Bi-allelic variants in THSD1 have been found to be to be associated with phenotypes ranging from lethal NIHF to persistent edema. Here, we report a family with non-immune hydrops in two successive pregnancies. Whole exome sequencing in second pregnancy identified a homozygous truncating variant in THSD1 (NM_018676:c.892G>T:p.Glu298Ter). Postnatal follow up showed gradual resolution of the accumulated fluid and normal development. This report further strengthens the association of variants in THSD1 with NIHF.

解决胎儿积液-罕见的实体。
非:胎儿免疫性积水(NIHF)是浆液在≥2个间质间隙的异常积聚,没有母体红细胞同种免疫的证据。留下一些可治疗的条件,它通常被认为是胎儿结局不佳的迹象。已发现THSD1的双等位基因变异与从致命性NIHF到持续性水肿等表型相关。在这里,我们报告了一个连续两次怀孕的非免疫性水肿家庭。第二胎全外显子组测序发现THSD1纯合子截断变异(NM_018676:c.892G>T:p.Glu298Ter)。产后随访显示积液逐渐消失,发育正常。该报告进一步强化了THSD1变异与NIHF的关联。
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来源期刊
CiteScore
4.10
自引率
0.00%
发文量
193
审稿时长
66 days
期刊介绍: The European Journal of Medical Genetics (EJMG) is a peer-reviewed journal that publishes articles in English on various aspects of human and medical genetics and of the genetics of experimental models. Original clinical and experimental research articles, short clinical reports, review articles and letters to the editor are welcome on topics such as : • Dysmorphology and syndrome delineation • Molecular genetics and molecular cytogenetics of inherited disorders • Clinical applications of genomics and nextgen sequencing technologies • Syndromal cancer genetics • Behavioral genetics • Community genetics • Fetal pathology and prenatal diagnosis • Genetic counseling.
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