Document Detail


Unexpected intrauterine death following resolution of hydrops fetalis after betamethasone treatment in a fetus with a large cystic adenomatoid malformation of the lung.
MedLine Citation:
PMID:  15912480     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Without intervention, the development of hydrops fetalis secondary to cystic adenomatoid malformation of the lung (CAML) implies a 100% mortality rate. Conversely, four CAML cases with in-utero resolution of hydrops fetalis after prenatal betamethasone therapy with good clinical outcome have been reported in the literature. The mechanism is speculated to be the effect of corticosteroid in improving lung maturation. Here we present another CAML case with resolution of hydrops fetalis after prenatal betamethasone therapy but which was followed by later intrauterine death. We speculate that the resolution of the CAML lesion itself may be more important in determining the clinical outcome than the resolution of hydrops. The association between prenatal betamethasone therapy and resolution of hydrops may be related to a different mechanism other than improvement of lung maturation.
Authors:
W C Leung; C Ngai; T P W Lam; K L Chan; T T Lao; M H Y Tang
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology     Volume:  25     ISSN:  0960-7692     ISO Abbreviation:  Ultrasound Obstet Gynecol     Publication Date:  2005 Jun 
Date Detail:
Created Date:  2005-06-09     Completed Date:  2005-10-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9108340     Medline TA:  Ultrasound Obstet Gynecol     Country:  England    
Other Details:
Languages:  eng     Pagination:  610-2     Citation Subset:  IM    
Copyright Information:
Copyright 2005 ISUOG
Affiliation:
Department of Obstetrics and Gynaecology, Queen Mary Hospital, University of Hong Kong, Hong Kong SAR, China. leungwc65@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Betamethasone / therapeutic use*
Cystic Adenomatoid Malformation of Lung, Congenital / drug therapy*
Drainage
Female
Fetal Death*
Glucocorticoids / therapeutic use*
Humans
Hydrops Fetalis / drug therapy*
Polyhydramnios / surgery
Pregnancy
Prenatal Care / methods*
Chemical
Reg. No./Substance:
0/Glucocorticoids; 378-44-9/Betamethasone

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


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