Sequence analytical approach to the Upper Kimmeridgian-Lower Tithonian storm-dominated ramp deposits of the Boulonnais (Northern France). A landward time-equivalent to offshore marine source rocks

An interdisciplinary approach based on high-resolution physical stratigraphy, biostratigraphy, organic matter analysis and clay mineralogy has been applied to the mixed siliciclastic/carbonate Kimmeridgian/Tithonian deposits of the Boulonnais (north-western France). These rocks are the age-equivalents of some of the offshore marine source rocks of the North Sea and were deposited in an overall storm-dominated homoclinal ramp setting which may represent one of the most shore-proximal sediments of this age cropping out in north-western Europe. Comparison with data from the Yorkshire, Dorset, Lorraine and Aquitaine areas allows the discrimination of three major transgressive-regressive sediment packages with disconformities of interregional extent: (1) from the Baylei Zone to top Eudoxus Zone; (2) from the Autissiodorensis Zone to base Scitulus Zone; (3) from the upper Scitulus Zone to the Pectinatus Zone. The lower two regionally correlative disconformities correspond to the sequence boundaries at the top of the Eudoxus Zone and the top of the Autissiodorensis Zone, formed by high-frequency relative sea-level variations during the periods of maximum transgression of the platform. The latter disconformity (the P1 nodule bed) reflects a major tectonically induced reorganization of the north-west European intrashelf sedimentary basin, characterized by a shift in both the location of the main depocentre and the sources of sediment production.     

Prevalence and clinical significance of anticardiolipin antibodies in pregnancies complicated by parvovirus B19 infection

Anticardiolipin antibodies were measured in 60 pregnant women with acute parvovirus B19 infection. Test results for eight (13.3 per cent) women were positive for anticardiolipin antibody. Six of these eight women became negative later, yielding a prevalence of anticardiolipin antibodies of 3.3 per cent (2/60) 6 months after acute parvovirus B19 infection. Anticardiolipin antibody positivity was not associated with an increased risk of abortion, fetal death, or maternal complications. This study suggests that there is an elevated frequency of anticardiolipin antibodies in pregnant women with acute parvovirus B19, probably representing an epiphenomenon. However, this is not associated with an adverse maternal or perinatal outcome.     

A fetus with a parvovirus B19 infection and congenital anomalies

A fetus with multiple structural defects was seen at prenatal ultrasound examination. After termination of the pregnancy a bilateral cleft lip, alveolus, and palate; micrognathia; and webbed joints were seen. Fetal tissues showed indications of infection, intranuclear inclusion bodies, chronic stress, haemolysis, arterial wall damage, and profuse haemorrhage. Parvovirus B19 DNA was detected in fetal tissues by dot hybridization after polymerase chain reaction. The possibility of parvovirus B19 infection leading to congenital malformations is discussed.     

Congenital nephrosis in low-risk pregnancies

Congenital nephrosis is an autosomal recessive disorder requiring neonatal renal transplant for survival. The postnatal diagnosis rests upon the electron microscopic evaluation of the epithelial foot processes and basal membrane of the glomeruli. The prenatal diagnosis can be suspected in the presence of a positive family history with an amniotic fluid (AF) alpha-fetoprotein level greater than 5 standard deviations (SD) above the population mean accompanied by a negative AF acetylcholinesterase, absent haemoglobin F, and an unremarkable fetal sonographic examination. We reviewed our series of seven cases of congenital nephrosis fulfilling the above criteria; four cases had negative family histories, and in two cases the diagnosis of congenital nephrosis was further supported by the presence of elevated AF albumin concentrations. We conclude that (1) the prenatal diagnosis of congenital nephrosis is feasible in a low-risk population, and (2) an elevated AF albumin concentration may represent an additional marker for the diagnosis of congenital nephrosis, even though false-negative results have been reported.     

First-trimester diagnosis of duodenal stenosis associated with oesophageal atresia

Duodenal stenosis associated with oesophageal atresia was diagnosed by ultrasound at 12 weeks' gestation. The diagnosis was made by recognition of a double bubble sign which was more pronounced when a vaginal transducer was used. Post-abortion autopsy confirmed the diagnosis. Oesophageal and duodenal obstruction in this case had no effect on the amount of amniotic fluid or the alpha-fetoprotein concentration since swallowing and subsequent utilization of amniotic fluid do not occur before 12 weeks of gestation.