Obstet Gynecol Sci.  2014 Mar;57(2):151-154.

Thanatophoric dysplasia in a dichorionic twin confirmed by genetic analysis at the early second trimester: A case report and literature review

Affiliations
  • 1Department of Obstetrics and Gynecology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea. jyshim@amc.seoul.kr
  • 2Medical Genetics Center, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.

Abstract

Thanatophoric dysplasia (TD) is caused by mutation of the gene that encodes fibroblast growth factor 3 (FGFR3). Owing to the poor prognosis for TD, prenatal diagnosis is critical to optimal perinatal management. We report here a case of TD in twin pregnancy, which was prenatally diagnosed by DNA analysis following amniocentesis at 15 weeks, and was managed by selective fetal termination. Prenatal ultrasonography and molecular analysis to detect TD-specific mutations enable accurate diagnosis of FGFR3-related TD in utero and appropriate obstetrical management at early gestation during twin pregnancy.

Keyword

Fibroblast growth factor receptor 3 gene; Selective termination; Thanatophoric dysplasia; Twins

MeSH Terms

Amniocentesis
Diagnosis
DNA
Female
Fibroblast Growth Factor 3
Humans
Pregnancy
Pregnancy Reduction, Multifetal
Pregnancy Trimester, Second*
Pregnancy, Twin
Prenatal Diagnosis
Prognosis
Thanatophoric Dysplasia*
Twins*
Ultrasonography, Prenatal
DNA
Fibroblast Growth Factor 3
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