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Title :A Case of Cornelia de Lange Syndrome : Difficulty in Prenatal Diagnosis
Authors :Kinjo, Tadatsugu
Mekaru, Keiko
Nakada, Miyuki
Nitta, Hayase
Masamoto, Hitoshi
Aoki, Yoichi
Issue Date :13-May-2019
Abstract :We report a case of Cornelia de Lange syndrome (CdLS) where prenatal diagnosis was not made even with major anomaly. A 33-year-old Japanese woman was referred to our institution at 23 weeks of gestation because of fetal forearm defect. Ultrasound examination revealed short forearms and short humeri and femurs (–2.1 SD). The fetal estimated body weight was 450 g (–1.3 SD). Fetal MRI at 26 weeks of gestation revealed short forearms and hypoplasty of hand fingers. Fetal growth restriction became evident thereafter, leading to intrauterine fetal death occurring at 29 weeks of gestation. A stillbirth baby was of 798 g in body weight and 33.0 cm in length. External examination showed a low hairline, synophrys, low-set ear, hypertrichosis, and smooth long philtrum with thin lips. The neck appeared short and broad. Finally, CdLS was diagnosed. The prenatal diagnosis might be possible as the arm findings were totally characteristic in a small fetus, regardless of whether an overhanging upper lip was identified. Because CdLS is a rare condition, it is important to consider its possibility as a part of differential diagnosis.
Type Local :雑誌掲載論文
ISSN :2090-6684
Publisher :Hindawi
URI :http://hdl.handle.net/20.500.12000/46945
Citation :Case Reports in Obstetrics and Gynecology Vol.2019
Appears in Collections:Peer-reviewed Journal Articles (Faculty of Medicine)

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