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Castro L, Ferreira AC, Cohen Á, Macedo IJ, Tomé T. Preterm twins with antenatal presentation of Pearson syndrome. CASE REPORTS IN PERINATAL MEDICINE 2022. [DOI: 10.1515/crpm-2021-0083] [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
Objectives
Pearson syndrome is a mitochondrial cytopathy with multisystemic involvement that typically presents in infancy and has poor prognosis. We aim to present a case that is distinct due to the timing of presentation and associated anomalies.
Case presentation
We report the case of preterm monochorionic twins with transfusion dependent fetal anemia that had post-natal multisystem dysfunction which led to the diagnosis of Pearson syndrome.
Conclusions
This case highlights the possibility of antenatal presentation of Pearson syndrome, which should be considered in cases of severe fetal anemia without an apparent cause.
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Affiliation(s)
- Leonor Castro
- Pediatric and Neonatal Intensive Care Unit, Hospital Central do Funchal , Av. Luís de Camões, nº 57 – 9004-514 Funchal , Madeira , Portugal
| | - Ana C. Ferreira
- Metabolic Diseases Unit, Hospital Dona Estefânia, Centro Hospitalar Universitário de Lisboa Central , Lisboa , Portugal
| | - Álvaro Cohen
- Prenatal Diagnosis Unit, Maternidade Dr. Alfredo da Costa, Centro Hospitalar Universitário de Lisboa Central , Lisboa , Portugal
| | - Israel J. Macedo
- Neonatal Intensive Care Unit, Maternidade Dr. Alfredo da Costa, Centro Hospitalar Universitário de Lisboa Central , Lisboa , Portugal
| | - Teresa Tomé
- Neonatal Intensive Care Unit, Maternidade Dr. Alfredo da Costa, Centro Hospitalar Universitário de Lisboa Central , Lisboa , Portugal
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