A new autosomal recessive lethal chondrodystrophy with congenital hydrops

CR Greenberg, DL Rimoin, HE Gruber… - American journal of …, 1988 - Wiley Online Library
CR Greenberg, DL Rimoin, HE Gruber, DJB DeSa, M Reed, RS Lachman, JM Optiz…
American journal of medical genetics, 1988Wiley Online Library
Two sibs, the offspring of consanguineous parents, presented with severe short‐limb
dwarfism and distinct chondro‐osseous, radiologic, and histologic appearance. The first sib
presented at 30 wk with severe hydrops following fetal death; the second was detected by
ultrasonography at 20 wk. Radiologic abnormalities included an unusual “moth‐eaten”
appearance of the markedly short long bones, bizzare ectopic ossification centers, and
marked platyspondyly with unusual ossification centers. Marked extra‐medullary …
Abstract
Two sibs, the offspring of consanguineous parents, presented with severe short‐limb dwarfism and distinct chondro‐osseous, radiologic, and histologic appearance. The first sib presented at 30 wk with severe hydrops following fetal death; the second was detected by ultrasonography at 20 wk. Radiologic abnormalities included an unusual “moth‐eaten” appearance of the markedly short long bones, bizzare ectopic ossification centers, and marked platyspondyly with unusual ossification centers. Marked extra‐medullary erythropoiesis was present in both fetuses, and chondro‐osseous histology was characterized by marked disorganization of tissue with interspersed masses of cartilage, bone, and mesenchymal tissue. These sibs appear to have a distinct previously unreported autosomal recessive skeletal dysplasia, which can present as hydrops fetalis.
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