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Upper limb hemimelia in a twin pregnancy which was obtained by an ICSI and PGD in a woman with mosaic Turner's syndrome and the prognosis.
Organogenesis ( IF 2.3 ) Pub Date : 2017-10-13 , DOI: 10.1080/15476278.2017.1358842
Ahter Tanay Tayyar 1 , Ahmet Tayyar 2 , Ahmet Eser 1 , Çetin Kılıçcı 1 , İlter Yenidede 1 , Selçuk Selçuk 1
Affiliation  

Turner's syndrome (TS) is depicted as a total or partial absence of X chromosome, and occurs in approximately 1/2200 of live born females. Generally, mosaic patients are diagnosed following karyotype analysis due to recurrent pregnancy loss, repeated in vitro fertilization (IVF) failure, and a history of malformed babies. The purpose of this case report is to show that even a selection of normal karyotype embryos can result in abnormalities for those with mosaic TS. A 32-year old patient who underwent IVF after ICSI-PGD, and was diagnosed with 45X/46XX karyotype. At the 12-week scan, one of the fetuses had an upper limb hemimelia in one arm, and feticide was applied to that fetus. The patient delivered a healthy, 2980 g female baby at the thirty-eighth week. In mosaic TS pregnancies (even those obtained by ICSI-PGD), fetal anomaly risk is high. Therefore, careful prenatal scanning is needed for these pregnancies.



中文翻译:

通过ICSI和PGD在患有马赛克特纳氏综合征的女性和预后中获得双胎妊娠的上肢血尿。

特纳氏综合症(TS)被描述为X染色体的全部或部分缺失,并在大约1/2200的活产女性中发生。通常,由于复发性流产,反复体外受精(IVF)失败以及畸形婴儿病史,在进行了染色体核型分析后,才诊断出镶嵌患者。本病例报告的目的是表明,即使选择正常的核型胚胎也可能导致镶嵌TS的异常。一名32岁的患者在ICSI-PGD后接受了IVF,并被诊断为45X / 46XX核型。在为期12周的扫描中,其中一位胎儿的一只手臂上有半身血尿,并且对该胎儿使用了杀真菌剂。在第38周,患者分娩了一个健康的2980 g女婴。在镶嵌TS妊娠中(甚至是通过ICSI-PGD获得的那些),胎儿异常风险很高。

更新日期:2017-10-13
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