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Association of generalized dystrophic epidermolysis bullosa with positive acetylcholinesterase and markedly elevated maternal serum and amniotic fluid alpha-fetoprotein
Authors:Harold N Bass MD  Cheryl Miranda  Rudolph Oei  Barbara F Crandall
Institution:1. Department of Obstetrics and Gynecology, Kaiser Permanente Medical Center, Fontana, California, U.S.A.;2. Division of Medical Genetics, UCLA Center for the Health Sciences, Los Angeles, California, U.S.A.
Abstract:A case of fatal generalized dystrophic epidermolysis bullosa is described in a prematurely born female whose mother had strikingly elevated mid-trimester serum and amniotic fluid alpha-fetoprotein concentrations, a positive amniotic fluid acetylcholinesterase band, and negative serial ultrasound studies. This case lends further support to an association between autosomal recessive generalized dystrophic epidermolysis bullosa and increased levels of alpha-fetoprotein, positive amniotic fluid acetylcholines'terase, and normal ultrasound findings.
Keywords:Amniotic fluid acetylcholinesterase  Amniotic fluid alpha-fetoprotein  Bullous dermatoses  Collagen  Epidermolysis bullosa  Fetal ultrasound  Maternal serum alpha-fetoprotein
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