In-utero diagnosis of mucopolysaccharidosis type VII in a fetus with an enlarged nuchal translucency

Autor: Wim J. Kleijer, Martinus F. Niermeijer, Ernst M. Schoonderwaldt, J. W. Wladimiroff, Frans J. Los, N. S. Den Hollander
Rok vydání: 2000
Předmět:
Zdroj: Ultrasound in Obstetrics and Gynecology. 16:87-90
ISSN: 0960-7692
DOI: 10.1046/j.1469-0705.2000.00148.x
Popis: Mucopolysaccharidosis type VII was diagnosed prenatally during the first pregnancy of a Turkish consanguineous couple, following diagnostic work-up of an increased nuchal translucency detected by ultrasound at 13 weeks of gestation. Mucopolysaccharidosis type VII (MPS VII) or Sly syndrome is a rare autosomal recessive lysosomal storage disease, caused by the deficiency of the enzyme β-glucuronidase. The most severe form of MPS VII manifests itself by non-immune fetal hydrops. Tests for the diagnosis of metabolic disorders, especially lysosomal diseases, are essential when the major causes of hydrops fetalis have been excluded. The presence of a β-glucosidase deficiency, Gaucher's disease, in the infant of the patient's sister emphasizes the importance of a complete family history in consanguineous couples and the risk for several recessive diseases in some families.
Databáze: OpenAIRE