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Re: early onset severe IUGR and ambiguous genitalia without any other anomaly From: art fougner, md (evsono@pipeline.com) Thu Nov 2 13:36:27 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Garry E. Siegel, M.D.: "Re: Gyn: Recurrent dysplasia--another case" Previous message: JD Stewart,MD: "Gen: Waiting for the third strike..." In reply to: JD Stewart,MD: "Re: early onset severe IUGR and ambiguous genitalia without any other anomaly" Next in thread: Efrain Ramirez: "Re: early onset severe IUGR and ambiguous genitalia without any other anomaly" Could be a case of SMith Lemli Opitz ... Just a thought - Art At Thu, 2 Nov 2006, JD Stewart,MD wrote: > >At Thu, 2 Nov 2006, Lalehan Kutlay wrote: >> >>Maternal trombocyte count was normal and there is no evidence of >>thrombophilia WAS THE TESTING ACTUALLY RUN? FAMILY HISTORY/PREGNANCY COURSE MAY MISS CARRIERS> > >Baby was quite well in first 36 hours. >>Autopsy report and the results of second chromosome analysis is not >>available yet . >> >>I've read about paternal monosomies(esp. 7)and minor chromosomal >>anomalies at 7,13 18 may result in somehow 'hard to explain' IUGR >>cases.Is this can be the cause. MONOSOMY WOULD HAVE BEEN PICKED UP AS A 45,XY. DO YOU MEAN UNIPARENTAL DISOMY? (BOTH CHROMOSOMES OF PATERNAL OR MATERNAL ORIGIN?) >YOU MENTIONED THE PLACENTA LOOKED NORMAL..ISLANDS OF MOSAICISM WITHIN >THE PLACENTA MAY LOOK NORMAL ON U/S AND GROSS EXAM BUT BE QUITE >DYSFUNCTIONAL AND TAKE UP AN UNEXPECTED DISPROPORTIONATE SHARE OF THE >PLACENTAL PERFUSION IN A VASCULAR STEAL SITUATION. RECOMMEND SAMPLING >DIFFERENT SITES AND ADDITIONAL CELL LINE CULTURES IF THIS IS SUSPECTED> >>> >-- >JD. Stewart, MD >MFM up too late all night, every night >Two places you never want to be the "Great Case of the Week"- the OB ward and the courtroom. > -- art fougner, md "May The Wings of Liberty Never Lose a Feather." - Jack Burton Next message: Garry E. Siegel, M.D.: "Re: Gyn: Recurrent dysplasia--another case" Previous message: JD Stewart,MD: "Gen: Waiting for the third strike..." In reply to: JD Stewart,MD: "Re: early onset severe IUGR and ambiguous genitalia without any other anomaly" Next in thread: Efrain Ramirez: "Re: early onset severe IUGR and ambiguous genitalia without any other anomaly"

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