Re: Abnormal Triple Screen & AFP

From: rbraun@indyunix.iupui.edu
Wed Mar 5 21:46:39 1997


Did the pathologist check for such causes of elevated AFP as "Finnish Nephrosis"?????? The fact that the baby died one week after the above tests means that there was probably something very wrong with the fetus. We just may not be smart enough to find it once the fetus has died.

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R. Daniel Braun, MD FACOG                "Money will buy you a fine dog
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On Mon, 3 Mar 1997, Dr. Michael Hunter wrote:

> Have a patient with intrauterine fetal demise at 16-17 weeks gestation. She > had an abnormal Trisomy screen and an elevated AFP and was sent for > evaluation with level II ultrasound and amniocentesis. A normal karyotype > was noted and a normal ultrasound except for a low amniotic fluid volume. > > One week later the patient presented with no fetal heart motion and had a > prostaglandin induction. The path report of the fetus and placenta was normal. > > My question is there any reports or studies concerning the outcome of > patients with abnormal trisomy screen and elevated AFP? How does one > counsel these patients and how to monitor? > > Dr. Michael Hunter > Houston, Texas mike@sccsi.com >





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