Hatice Buket Özay, Melek Tandoğan, Bayram Ali Dorum, Erbu Yarcı
{"title":"Exchange Transfussion for the Treatment of Severe Indirect Hyperbilirubinemia Caused by Glucose-6-Phosphate Dehydrogenase Deficiency: A Case Report.","authors":"Hatice Buket Özay, Melek Tandoğan, Bayram Ali Dorum, Erbu Yarcı","doi":"10.1080/15513815.2025.2565690","DOIUrl":"https://doi.org/10.1080/15513815.2025.2565690","url":null,"abstract":"<p><p>Hyperbilirubinemia is a common problem during the neonatal period, which can lead to high morbidity and mortality if it is not treated properly. The most common first-line treatment used for hyperbilirubinemia is phototherapy. Glucose-6-phosphate dehydrogenase deficiency (G6PD) can cause indirect hyperbilirubinemia not only with hemolysis but also by affecting bilirubin metabolism in the liver during the neonatal period. In here, we report a three-day-old newborn with severe hyperbilirubinemia who underwent exchange transfusion with a diagnosis of G6PD deficiency to emphasize the importance of keeping in mind erythtocyte enzyme defects in the differential diagnosis of severe indirect hyperbilirubinemia.</p>","PeriodicalId":50452,"journal":{"name":"Fetal and Pediatric Pathology","volume":" ","pages":"1-6"},"PeriodicalIF":0.6,"publicationDate":"2025-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145180040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Coexistence of Hereditary Spherocytosis, Beta-Thalassemia Trait and Gilbert Syndrome in a Newborn: A Rare Genetic Profile.","authors":"Sanjana Kapoor, Priyanka Gupta","doi":"10.1080/15513815.2025.2565487","DOIUrl":"https://doi.org/10.1080/15513815.2025.2565487","url":null,"abstract":"<p><p><b>Introduction:</b> Hereditary spherocytosis (HS) is a congenital hemolytic anemia, often under-recognized in neonates. Co-inheritance with other genetic disorders like Gilbert syndrome (GS) and beta-thalassemia trait (BTT) can complicate the diagnosis. <b>Case Report:</b> We report a neonate presenting with significant unconjugated hyperbilirubinemia and anemia. Genetic testing revealed a triple diagnosis- HS due to a heterozygous deletion in the SPTB gene, BTT with a splice-site variant in the HBB gene, and heterozygosity for UGT1A1 promoter polymorphism associated with GS. The father, previously diagnosed with GS, was also found to have HS, explaining his long-standing splenomegaly and history of cholelithiasis. <b>Conclusion:</b> This rare triple genetic diagnosis highlights the need for comprehensive evaluation of neonatal jaundice and anemia, considering combined hemolytic, enzymatic and hemoglobinopathy causes. Detailed clinical evaluation of family members is crucial to avoid missed diagnoses.</p>","PeriodicalId":50452,"journal":{"name":"Fetal and Pediatric Pathology","volume":" ","pages":"1-5"},"PeriodicalIF":0.6,"publicationDate":"2025-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145180027","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Evaluating the sFlt1 Mouse Model of Preeclampsia: Benefits and Limitations for Understanding Human Disease.","authors":"David M Aronoff, Jean W Wassenaar, Meena S Madhur","doi":"10.1080/15513815.2025.2558605","DOIUrl":"https://doi.org/10.1080/15513815.2025.2558605","url":null,"abstract":"<p><p>Preeclampsia (PE) remains a leading cause of maternal and neonatal morbidity and mortality globally. Among several experimental models developed to interrogate the pathogenesis of PE, the mouse model employing systemic infusion or transgenic overexpression of soluble fms-like tyrosine kinase-1 (sFlt1) has gained widespread use due to its capacity to induce cardinal features of the human disease. These include maternal hypertension, renal injury, endothelial dysfunction, placental abnormalities, fetal growth restriction, and adverse long-term outcomes. This review critically evaluates the sFlt1-based mouse model of PE, highlighting its utility for understanding the pathogenesis of angiogenic imbalance and its sequelae. We contrast findings from this model with clinical observations in human PE and discuss applications for studying early-onset versus late-onset forms. Finally, we address limitations and propose strategies to enhance its translational relevance. Placing the model in the context of human disease helps guide its use in future preclinical and translational research.</p>","PeriodicalId":50452,"journal":{"name":"Fetal and Pediatric Pathology","volume":" ","pages":"1-10"},"PeriodicalIF":0.6,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145088051","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Broad Clinical Spectrum of Mosaic Trisomy 2: Report of Two New Cases in Tunisia.","authors":"Kaouther Nasri, Nadia Ben Jamaa, Ines Ouertani, Ridha M'rad, Nadia Boujelben, Aida Masmoudi, Soumeya Siala Gaigi","doi":"10.1080/15513815.2025.2534033","DOIUrl":"10.1080/15513815.2025.2534033","url":null,"abstract":"<p><strong>Background: </strong>Mosaic trisomy 2 is the detection of two or more cells with the additional chromosome 2 distributed over two or more independent cultures.</p><p><strong>Methods: </strong>We present 2 new cases of mosaic trisomy 2 detected at amniocentesis with previously unreported clinical features and we review the literature of the clinical manifestations of this uncommon aneuploidy.</p><p><strong>Results: </strong>Cytogenetic analysis of the amniotic fluid culture showed mosaic trisomy 2 (47,XY,+2[9]; 46,XY[19]) (32%) for case 1, and (47,XY,+2[13]; 46,XY[21]) (38%) for case 2 in two independent flask cultures. Our second case presented a new clinical finding non described previously in mosaic trisomy 2 which is occipital schizencephaly associated with hydrocephalus.</p><p><strong>Conclusion: </strong>Two new cases of mosaic trisomy 2 were detected at amniocentesis with previously unreported clinical features. Prenatal diagnosis of chromosomal mosaic trisomy 2 continues to create a dilemma in genetic counseling because of limited data and variable outcomes.</p>","PeriodicalId":50452,"journal":{"name":"Fetal and Pediatric Pathology","volume":" ","pages":"445-456"},"PeriodicalIF":0.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144709660","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Elective Termination of Pregnancies Due to Fetal Congenital Anomalies: Utility of Various Investigating Modalities for Etiological Diagnosis of Congenital Anomalies.","authors":"Roshan Daniel, Inusha Panigrahi, Priyanka Srivastava, Snigdha Kumari, Neelam Agarwal, Bharti Sharma, Nandita Kakkar, Kushaljit Singh Sodhi, Pratibha Bawa, Anu Kumari, Chitra Bhardwaj, Shifali Gupta, Parminder Kaur, Anupriya Kaur","doi":"10.1080/15513815.2025.2550978","DOIUrl":"10.1080/15513815.2025.2550978","url":null,"abstract":"<p><p><b>Introduction:</b> Etiological diagnosis of congenital anomalies greatly influences further reproductive genetic counseling. We herein report our experience of using various modalities for identification of the same. <b>Materials and Methods:</b> Pregnancies undergoing elective termination due to fetal congenital anomaly(ies) detected on antenatal ultrasonography were enrolled. Fetal autopsy, radiological studies and histopathology were done in all cases. Chromosomal Microarray (CMA) and Exome sequencing (ES) was done in selected cases. <b>Results:</b> One hundred seventy-four fetuses were enrolled. In 19.4% of cases a change in diagnosis/recurrence risk was observed based on a finding in autopsy. Utility of radiology and histopathology was observed in 5.7% and 13.4% of a selected subgroup of the cohort respectively. 39 cases (22%) were taken up for genetic testing. In this selected cohort overall positivity rate of genetic testing was 43.5% (28% and 71% for CMA and ES respectively). <b>Conclusion:</b> A phenotype-driven and systematic approach has the highest yield in detecting causes of fetal congenital anomalies.</p>","PeriodicalId":50452,"journal":{"name":"Fetal and Pediatric Pathology","volume":" ","pages":"457-473"},"PeriodicalIF":0.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145034591","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Congenital Mass Lesions of the Thoracic Cavity- A Fetal Autopsy Study.","authors":"Umamaheswari Gurusamy, Harini Devi Jeganathan Kaliyaperumal Annadurai, Priyadarshini Kumaraswamy Rajeswaran","doi":"10.1080/15513815.2025.2529888","DOIUrl":"10.1080/15513815.2025.2529888","url":null,"abstract":"<p><strong>Objectives: </strong>Congenital thoracic mass lesions are generally benign but can cause significant morbidity and mortality due to airway obstruction. This study highlights the role of perinatal autopsy in identifying these lesions and correlates autopsy findings with prenatal imaging.</p><p><strong>Materials and methods: </strong>A retrospective analysis of fetal autopsies with thoracic mass lesions was conducted over 9 years. A standardized autopsy protocol, including fixation, photography, foetogram, external examination, en-bloc removal, internal examination, and organ block dissection, was followed and compared with prenatal imaging results.</p><p><strong>Results: </strong>Of 426 fetal autopsies, 20 (4.6%) had thoracic mass lesions. The most common lesion was diaphragmatic hernia (9 cases, 45%), followed by congenital high airway obstruction syndrome (3 cases, 15%). Agreement with prenatal ultrasonography was observed in only 4 cases (20%).</p><p><strong>Conclusion: </strong>Fetal autopsy is crucial for identifying thoracic mass lesions and determining the cause of death, aiding in genetic counseling and management of future pregnancies.</p>","PeriodicalId":50452,"journal":{"name":"Fetal and Pediatric Pathology","volume":" ","pages":"429-444"},"PeriodicalIF":0.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"MiR-181c-5p Suppresses MAPK1 Transcription During Fetal Distress and Regulates the Sensitivity of Neurons to Hypoxia-Induced Apoptosis.","authors":"Xilan Chen, Xiuhua Zhang, Jing Zhang, Limei Mao, Xingshuang Li, Jing Zhang","doi":"10.1080/15513815.2025.2550985","DOIUrl":"10.1080/15513815.2025.2550985","url":null,"abstract":"<p><p><b>Objective:</b> To examine the expression pattern of microRNA-181c-5p (miR-181c-5p) in fetal distress and explore its influence on neuronal apoptosis. <b>Methods:</b> Quantitative real-time polymerase chain reaction measurement of miR-181c-5p. Enzyme-linked immunosorbent assay was utilized for the examination of apoptosis-related proteins. A fetal distress model was established with oxygen-glucose deprivation/reoxygenation (OGD/R). Cell counting kit-8 and flow cytometry were used to evaluate cellular behaviors. Luciferase reporter assay was employed for target confirmation. <b>Results:</b> MiR-181c-5p was markedly declined in rats with fetal distress. Caspase-3 was distinctly elevated, and survivin was distinctly attenuated in rat models with fetal distress. Overexpression of miR-181c-5p led to a significant promotion of cell viability and a suppression of cell apoptosis in the OGD/R cell model, the appearance of which was rescued by overexpression of mitogen-activated protein kinase 1 (MAPK1). <b>Conclusions:</b> MiR-181c-5p is likely involved in the regulation of neuronal cell growth and apoptosis associated with fetal distress.</p>","PeriodicalId":50452,"journal":{"name":"Fetal and Pediatric Pathology","volume":" ","pages":"474-487"},"PeriodicalIF":0.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145034681","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Chennakeshava Thunga, Suvradeep Mitra, Alisha Babbar, Sadhna B Lal
{"title":"Liver Dysfunction and Liver Histopathology in Alanyl-tRNA Synthetase 1 (<i>AARS1</i>) Deficiency with a Novel Mutation: A Case Report.","authors":"Chennakeshava Thunga, Suvradeep Mitra, Alisha Babbar, Sadhna B Lal","doi":"10.1080/15513815.2025.2532576","DOIUrl":"10.1080/15513815.2025.2532576","url":null,"abstract":"<p><p>Alanyl-tRNA synthetase 1 (<i>AARS1</i>) is a cytosolic enzyme belonging to the Aminoacyl transfer RNA synthetases group that plays a key role in protein translation. Bi-allelic <i>AARS1</i> mutations presenting as liver dysfunction are rare. A 10-month-old baby girl presented with upper gastrointestinal bleeding and abdominal distension after a short history of febrile illness. There was hepatosplenomegaly with poor growth, microcephaly and delayed developmental milestones on examination. Laboratory investigations showed liver biochemical dysfunction along with correctable coagulopathy. Liver histopathology depicted diffuse macrovesicular steatosis along with expansion of the portal tracts due to accumulation of foamy histiocytes. The hepatic lobules also highlighted the accumulation of foamy histiocytes which were diastase-PAS, faint Perls, and CD68 positive simulating storage cells. Besides, mild portal fibrosis with incomplete septa and mild focal reticulin condensation were also noted. Whole-exome sequencing clinched the diagnosis of a homozygous mutation in the <i>AARS1</i> gene, a novel mutation with autosomal recessive inheritance. <i>AARS1</i> mutation affects protein biosynthesis and mitochondrial functions, causing a multisystemic disorder. The first presentation with liver dysfunction is infrequent.</p>","PeriodicalId":50452,"journal":{"name":"Fetal and Pediatric Pathology","volume":" ","pages":"503-509"},"PeriodicalIF":0.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144660943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Reninoma in an Adolescent Girl: Histopathological Insights with Review of Literature.","authors":"Keya Basu, Shristi Butta, Ayush Agarwal, Arijit Singha, Shyamalendu Medda, Debansu Sarkar, Uttara Chatterjee","doi":"10.1080/15513815.2025.2543743","DOIUrl":"10.1080/15513815.2025.2543743","url":null,"abstract":"<p><p><b>Background:</b> Reninoma is an uncommon mesenchymal tumor of the kidney. It is characterized by renin secretion and uncontrollable hypertension with associated hypokalemia. <b>Case report:</b> Here we report a case in a 15-year-old girl who presented with refractory hypertension, muscle weakness, and fatigue. Diagnostic workup revealed severe hypokalemia, metabolic alkalosis and elevated plasma renin activity with raised aldosterone levels. Renal artery doppler done to exclude renal artery stenosis, revealed a left sided renal mass. Simple nephrectomy was done and histopathological and immunohistochemical examination were consistent with a diagnosis of reninoma. Electron microscopy revealed renin crystals in the cytoplasm, thus confirming the diagnosis. <b>Conclusion:</b> This report underscores the importance of including reninoma in the differential diagnosis of secondary hypertension in an adolescent. Additionally, insights into histopathology and electron microscopy are important for the diagnosis of reninoma as there are several renal tumors that have renin-secreting activity.</p>","PeriodicalId":50452,"journal":{"name":"Fetal and Pediatric Pathology","volume":" ","pages":"495-502"},"PeriodicalIF":0.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144805183","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"<i>ACTG2</i>-Related Visceral Myopathy: Case Reports with Phenotypic Variations and Review of the Previously Published Cases.","authors":"Eva-Liina Süüden, Eliisa Appelberg, Mari-Anne Vals, Kärt Simre, Tiia Reimand, Kristiina Rull","doi":"10.1080/15513815.2025.2543723","DOIUrl":"10.1080/15513815.2025.2543723","url":null,"abstract":"<p><p><b>Background:</b> <i>ACTG2</i> (smooth muscle actin γ-2) is a gene associated with smooth muscle function. <b>Introduction:</b> Variants in this gene can lead to visceral myopathy (VM), which is a spectrum of various disorders affecting smooth muscle in different parts of the body. There is gap in the literature regarding understanding the full scope of <i>ACTG2</i>-related VM. <b>Patients and methods:</b> Here we present the clinical and molecular investigation of three patients with visceral smooth muscle diseases carrying pathogenetic variants in the <i>ACTG2</i> gene. <b>Discussion and conclusion:</b> The severity of the disease varies in great extent, even among monochorionic twins sharing same mutation and intrauterine environment, suggesting that second-site factors are likely to impact disease manifestations.</p>","PeriodicalId":50452,"journal":{"name":"Fetal and Pediatric Pathology","volume":" ","pages":"510-519"},"PeriodicalIF":0.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144862566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}