Document Detail


Sporadic Larsen syndrome in a preterm female originally diagnosed as positional deformities due to oligohydramnios.
MedLine Citation:
PMID:  16450278     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Few reports describe incidental prenatal diagnosis of sporadic Larsen syndrome by ultrasound, but none of these discuss coincidental oligohydramnios or an association with fetal growth restriction. A 28-year-old woman had prolonged rupture of membranes causing marked oligohydramnios at 32 weeks gestation in her first pregnancy. Labor was induced by vaginal prostaglandins and oxytocin infusion after dexamethasone administration because of concern about placental abruption. She delivered vaginally a live female infant weighing 1960 g (< 10th percentile) with multiple skeletal malformations and characteristic facies originally suspected as positional. Newborn x-rays, however, established the diagnosis of Larsen syndrome with bilateral dislocations of the hips, knees (genu recurvatum), and ankles (club foot). The neonatal karyotype was 46,XX. Parental examination and family history were unremarkable. The newborn did well with bilateral lower extremities cast. Postnatal diagnosis of Larsen syndrome should be suspected in neonates with multiple skeletal abnormalities following oligohydramnios.
Authors:
Diaa E E Rizk; Krishnan R Nath; Intisar K Ibrahim; Nizar A Arafat; Lihadh I Al-Gazali
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  American journal of perinatology     Volume:  23     ISSN:  0735-1631     ISO Abbreviation:  Am J Perinatol     Publication Date:  2006 Jan 
Date Detail:
Created Date:  2006-02-01     Completed Date:  2006-05-09     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8405212     Medline TA:  Am J Perinatol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  71-4     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, Faculty of Medicine and Health Sciences, United Arab Emirates University, Al-Ain, United Arab Emirates.
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MeSH Terms
Descriptor/Qualifier:
Facies
Female
Fetal Growth Retardation / physiopathology
Humans
Infant, Newborn
Lower Extremity Deformities, Congenital / diagnosis*,  etiology,  therapy
Oligohydramnios / physiopathology
Pregnancy
Premature Birth
Syndrome

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


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