Re: ?Ichthyosis picked up on Ultrasound?

From: James S Smeltzer MD (gaperina@mindspring.com)
Sat Nov 18 19:21:53 2000


Hi,

Last year there was an extensive discussion of this. The answer is yes it can be and yes it has.

Check this out:

http://www.libertynet.org/ichthyos

also these postings:

2: (99/10) ?Ichthyosis picked up on Ultrasound? Jeanette Burlbaw 3: (99/10) ?Ichthyosis picked up on Ultrasound? DuboseTerryJ@exchange.uams.edu 4: (99/10) ?Ichthyosis picked up on Ultrasound? zstork 5: (99/10) ?Ichthyosis picked up on Ultrasound? Paula S. Woletz, RDMS, RDCS, MPH 6: (99/10) ?Ichthyosis picked up on Ultrasound? art fougner, md 7: (99/10) ?Ichthyosis picked up on Ultrasound? Edward Zabrek, M.D. 8: (99/10) ?Ichthyosis picked up on Ultrasound? Terry J DuBose 9: (99/10) ?Ichthyosis picked up on Ultrasound? DuboseTerryJ@exchange.uams.edu

Jim Smeltzer

At 04:23 AM 10/24/1999 -0500, you wrote: >I recently was performing a BPP on a 34 week gestational diabetic
>patient. During that scan, I noticed an extraordinary amount of large
>amount particulate matter, dynamically floating in the amniotic
>fluid. This finding was so impressive, the patient asked me what it
>was. I told her that it could be vernix, but admitted that I had not seen
>anything exactly that before. Subsequent BPP's revealed the same finding.
>
>At 36 weeks 2 days, the patient spontaneously ruptured her membranes. She
>underwent a primary C/S for preterm PROM and breech. At delivery, the
>neonate was noted to have severe peeling of her skin. Many large clumps
>(up to 3 x 3 cm) of flat sheets of skin were found on the operative field,
>after the baby was handed off the table.
>
>The baby, now 4 days old, is contiuing to shed her skin, leaving very raw,
>excoriated areas over her whole body (particularly her face, ankles,
>abdomen, and thighs. The pediatric dermatologist has given her a
>preliminary Dx of Ichthyosis. Genetic studies have been sent.
>
>I was curious if anyone else has seen this before on ultrasound? My
>understanding of the incidence of this disease is 1/300,000.
>
>I will keep you posted as more results and confirmations are obtained.
>
>Edward M. Zabrek, M.D., F.A.C.O.G.
>




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