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Fadiloglu E, Unal C, Orgul G, Tanacan A, Beksac MS. Consecutive successful pregnancies of a patient with nail-patella syndrome. CASE REPORTS IN PERINATAL MEDICINE 2018. [DOI: 10.1515/crpm-2018-0016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Abstract
Nail-patella syndrome is a genetic disorder with some characteristic features (nail dysplasia, patellar hypoplasia, elbow dysplasia, iliac horns and renal symptoms). Renal involvement of these patients requires close follow-up in pregnancy to avoid complications like preeclampsia. In this report, we have presented two consecutive successful pregnancies of a patient with nail-patella syndrome. The first pregnancy resulted with a newborn with nail-patella syndrome and the second pregnancy resulted in a healthy newborn without any obstetric complications. Renal functions were closely followed-up during both pregnancies, and basal renal functions were normal in the pregestational period, which seems to be the most important predictor of obstetric hypertensive complications. Prenatal diagnosis of nail-patella disease is also challenging due to several possible mutations and a wide range of phenotypes of the disease. Ultrasonographic examination findings may be suspicious for the disease in the fetus like patellar hypoplasia or joint contractures.
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Affiliation(s)
- Erdem Fadiloglu
- Hacettepe University , Division of Perinatalogy , Department of Women’s Health , Ankara , Turkey , Tel.: +90 5464750175
- Division of Perinatology , Department of Obstetrics and Gynecology , Hacettepe University , Ankara , Turkey
| | - Canan Unal
- Division of Perinatology , Department of Obstetrics and Gynecology , Hacettepe University , Ankara , Turkey
| | - Gokcen Orgul
- Division of Perinatology , Department of Obstetrics and Gynecology , Hacettepe University , Ankara , Turkey
| | - Atakan Tanacan
- Division of Perinatology , Department of Obstetrics and Gynecology , Hacettepe University , Ankara , Turkey
| | - Mehmet Sinan Beksac
- Division of Perinatology , Department of Obstetrics and Gynecology , Hacettepe University , Ankara , Turkey
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