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45,X karyotype: May the diagnosis be suspected on ultrasonic examination in the second trimester of pregnancy?
Authors:Ann Tabor MD  Jens Bang  John Philip
Affiliation:Section of Clinical Genetics, Department of Obstetrics and Gynecology YA and Department of Pediatrics G, and Department of Diagnostic Ultrasound Y, Rigshospitalet, Copenhagen, Denmark
Abstract:We report three cases of Turner's syndrome with cystic hygromata, which were diagnosed by routine ultrasound scanning before amniocentesis in the second trimester of pregnancy. Maternal and amniotic level of alpha-fetoprotein were normal. Karyotyping carried out afterwards showed a 45,X karyotype. Our data indicate, that cystic hygromata in Turner's syndrome may coexist with a normal amniotic fluid AFP, thus questioning the theory of leakage from the hygroma. It remains to be investigated if all cases of Turner's syndrome present a cystic hygroma in utero.
Keywords:Turner's syndrome  Cystic hygroma  Alpha-fetoprotein
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