2003
DOI: 10.1186/1471-2393-3-1
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Prenatal diagnosis of Wolf-Hirschhorn syndrome (4p-) in association with congenital hypospadias and foot deformity

Abstract: BackgroundWolf-Hirschhorn syndrome is caused by distal deletion of the short arm of chromosome 4 (4p-). We report a case in which intrauterine growth restriction, hypospadias and foot deformity were detected by prenatal ultrasound examination at 29 weeks of gestation.Case PresentationA 31-year-old gravida 2 partus 1 woman was referred at 29 weeks' gestation with suspicion of intrauterine growth restriction. Sonographic examination revealed deformity of the right lower limb and undescended testes with an irregu… Show more

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Cited by 21 publications
(17 citation statements)
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References 12 publications
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“…The skeletal anomalies, limited fetal growth, as well as hypospadias in males can be observed in the fetus during an ultrasound examination performed in the third trimester, and can be confirmed by a genetic examination during the pregnancy [35]. The more chromosomal material is missing, the easier it is to state the diagnosis, as a more severe syndrome is observed [7].…”
Section: Differential Diagnosismentioning
confidence: 92%
“…The skeletal anomalies, limited fetal growth, as well as hypospadias in males can be observed in the fetus during an ultrasound examination performed in the third trimester, and can be confirmed by a genetic examination during the pregnancy [35]. The more chromosomal material is missing, the easier it is to state the diagnosis, as a more severe syndrome is observed [7].…”
Section: Differential Diagnosismentioning
confidence: 92%
“…De Keersmaecker et al [20] underlined the semiologic value of multifocal white matter lesions and periventricular cystic changes, which are classically attributed to perinatal distress. Heart defects (atrial septal defect and univentricular heart [15]) and cardiomegaly with arrhythmia [17], or esophageal atresia, diaphragmatic hernia [16], hyperechogenic bowel [20], upper limbs asymmetry [17] or foot deformity [21] have also been occasionally detected by ultrasound. In some publications, ovular abnormalities have been mentioned, such as oligohydramnios [18,19] placental chorioangioma [15,27] and single umbilical artery [10,16] (table 1).…”
Section: Discussionmentioning
confidence: 99%
“…Around 120 cases have been reported, most of them in childhood. Prenatal diagnosis has occasionally been encountered after an indicated amniocentesis for maternal age [8,9], parental unbalanced translocation [10][11] or for IUGR with or without associated fetal malformations [12][13][14][15][16][17][18][19][20][21]. We report the sonographic patterns of 6 cases affected by WHS, half of whom having been detected by standard karyotyping mainly because of IUGR and the other half having only been diagnosed through in situ hybridization completed because of the discordance between prenatal ultrasound or postnatal appearance of the child and apparent euploidy by conventional methods.…”
Section: Introductionmentioning
confidence: 99%
“…The IUGR of the first patient was detected from the 23rd week of gestation. According to the litera ture [10,11], prenatal chromosomal analysis is indicated in the case of IUGR associated with other ultrasonog-raphically-detected anomalies (heart defects, hypospadia, sceletal anomalies).…”
Section: Balkan Journal Of Medical Geneticsmentioning
confidence: 99%