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Probable exclusion of juvenile neuronal ceroid lipofuscinosis in a fetus at risk: An interim report
Authors:Professor A Kohlschütter  R Rauskolb  H H Goebel  I Anton-Lamprecht  R Albrecht  H Klein
Institution:1. Department of Obstetrics and Gynaecology, Albert-Schweitzer-Hospital, Academic Teaching Hospital of the University of Göttingen, Northeim, F.R.G.;2. Division of Neuropathology, University of Mainz, F.R.G.;3. Institute for Ultrastructure Research of the Skin, University of Heidelberg, F.R.G.;4. Institute of Clinical Neuropathology, Krankenhaus Bremen-Ost, Bremen, F.R.G.
Abstract:In a family with two children affected by juvenile neuronal ceroid lipofuscinosis (JNCL) an attempt was made at the prenatal diagnosis of the disorder. The following tissues from the fetus at risk were investigated by electron microscopy and were found to be free of fingerprint profiles and curvilinear bodies, typical for JNCL: uncultivated amniotic fluid cells, lymphocytes isolated from fetal blood, and fetal skin biopsy specimens. The child was born at the 34th week of gestation and was clinically normal at the age of 15 months. Postnatally, lymphocytes (isolated at the age of 6 and 15 months) and skin tissue (taken at the age of 15 months) were found to be morphologically normal. It is highly unlikely that the child is affected but definite proof of the absence of JNCL remains difficult at this age.
Keywords:Neuronal ceroid lipofuscinosis  Electron microscopy  Prenatal diagnosis  Fetal skin  Fetal lymphocytes
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