Document Detail


Pregnancy complicated with Alport syndrome: a good obstetric outcome and failure to diagnose an infant born to a mother with Alport syndrome by umbilical cord immunofluorescence staining.
MedLine Citation:
PMID:  20144175     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Alport syndrome is a familial progressive nephritis. The most frequent type is X-linked Alport syndrome, caused by genetic abnormalities in the alpha 5 chain of type IV collagen. Skin biopsy is a useful tool for diagnosing this disease. It is not well known how this syndrome affects pregnancy and how it is affected by pregnancy, or whether the umbilical cord may provide material for detecting this collagen abnormality. We report a primigravida with Alport syndrome with mild proteinuria who gave birth abdominally to a term male infant without deteriorating renal function during pregnancy. The umbilical cord from not only this infant but also from an Alport (-) control infant showed negative immunofluorescence staining for the alpha 5 chain of type IV collagen. Women with Alport syndrome without renal dysfunction may follow an uneventful obstetrical course until term. The cord may not be suitable for diagnosing Alport syndrome with immunofluorescence staining.
Authors:
Shigeki Matsubara; Yoshihiko Ueda; Hisako Takahashi; Takashi Nagai; Tomoyuki Kuwata; Shigeaki Muto; Takehiko Yamaguchi; Toshihiro Takizawa; Mitsuaki Suzuki
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The journal of obstetrics and gynaecology research     Volume:  35     ISSN:  1447-0756     ISO Abbreviation:  J. Obstet. Gynaecol. Res.     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2010-02-10     Completed Date:  2010-05-25     Revised Date:  2012-01-19    
Medline Journal Info:
Nlm Unique ID:  9612761     Medline TA:  J Obstet Gynaecol Res     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  1109-14     Citation Subset:  IM    
Affiliation:
Departments of Obstetrics and Gynecology, Jichi Medical University, Shimotsuke, Tochigi, Japan. matsushi@jichi.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Collagen Type IV / metabolism*
Female
Humans
Infant, Newborn
Male
Microscopy, Fluorescence
Nephritis, Hereditary / diagnosis*,  metabolism,  pathology
Pregnancy
Pregnancy Complications / diagnosis,  metabolism,  pathology*
Pregnancy Outcome
Umbilical Cord / metabolism*
Chemical
Reg. No./Substance:
0/Collagen Type IV

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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