Gregg's congenital rubella patients 60 years later
| Autor: | Jill M. Forrest, Trevor T Doran, Richard E. Hawker, Gary F. Sholler, Margaret A Burgess, Fiona M Turnbull, Frank J. Martin |
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| Rok vydání: | 2002 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty Eye Diseases Rubella Syndrome Congenital Histocompatibility Testing Antibodies Viral Rubella Cohort Studies Diabetes Complications Congenital Rubella HLA Antigens medicine Humans Intrauterine infection Pregnancy business.industry Australia Infant Newborn General Medicine History 20th Century medicine.disease Pediatric Medicine Cardiovascular Diseases Cohort Quality of Life Congenital cataracts Female business Rubella virus Follow-Up Studies |
| Zdroj: | Medical Journal of Australia. 177:664-667 |
| ISSN: | 1326-5377 0025-729X |
| DOI: | 10.5694/j.1326-5377.2002.tb05003.x |
| Popis: | In 1941, a Sydney ophthalmologist, Norman McAlister Gregg, correctly identified the link between congenital cataracts in infants and maternal rubella early in pregnancy. Fifty of Gregg's subjects with congenital rubella, born in 1939-1944, were reviewed in 1967 and again in 1991. We reviewed this cohort in 2000-2001, 60 years after their intrauterine infection.The subjects underwent full clinical assessment, plus pathology tests, an ophthalmological and cardiological review (including electrocardiography and echocardiography) and HLA histocompatibility testing.Since they were first seen in 1967, 10 have died (cardiovascular causes [4], malignant disease [4], AIDS [1], and hepatitis C-related cirrhosis [1]). All surviving men came for review (19) and 13 women (eight women declined). Echocardiography showed mild aortic valve sclerosis in 68%. The prevalence of diabetes (22%), thyroid disorders (19%), early menopause (73%) and osteoporosis (12.5%) was increased compared with the Australian population; 41% had undetectable levels of rubella antibodies. The frequency of HLA-A1 (44%) and HLA-B8 (34%) antigens was increased, and the haplotype HLA-A1, B8, DR3, said to be highly associated with many autoimmune conditions, was present in 25%.This cohort of people with congenital rubella has illuminated our understanding of viral teratogenesis. |
| Databáze: | OpenAIRE |
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