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Prenatal counselling and diagnosis in progressively deforming osteogenesis imperfecta: A case of autosomal dominant transmission
Authors:Owen P. Phillips MD  Lee P. Shulman  Lisa A. Altieri  R. Sidney Wilroy  Donald S. Emerson  John V. Dacus  Sherman Elias
Affiliation:1. Departments of Obstetrics and Gynecology, University of Tennessee, Memphis, Tennessee, U.S.A.;2. Radiology, University of Tennessee, Memphis, Tennessee, U.S.A.;3. Pediatrics, University of Tennessee, Memphis, Tennessee, U.S.A.
Abstract:A 21 -year-old woman with progressively deforming or type III osteogenesis imperfecta (OI) presented for prenatal counselling and diagnosis at 10 weeks' gestation. Family history was non-contributory. At 14.8 weeks' gestation, ultrasonographic examination revealed fetal skeletal hypomineralization, easily compressible fetal cranium, and thickened long bones, indicating that the fetus was also affected. Confirmation of the prenatal diagnosis of OI type III was made following a Caesarean section birth of a male infant with multiple skeletal deformities and blue sclerae implying, in this case, autosomal dominant inheritance.
Keywords:Prenatal diagnosis  Osteogenesis imperfecta type III
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