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Limb DefectsFrom: art fougner, md (evsono@pipeline.com)Thu Mar 25 06:16:54 2004
Pre- and postnatal diagnoses of limb anomalies guide parental action Diagnostics March 25, 2004 2004 MAR 25 - (NewsRx.com & NewsRx.net) -- Pre- and postnatal diagnoses of limb anomalies guide parental action. According to new research from France, "this is a 3-year retrospective study of 107 cases presenting with limb anomalies detected either on prenatal ultrasound scan, or after birth. These limb malformations are developmental anomalies, and can be isolated, syndromic, or associated with multiple malformations. Cases were ascertained through the prenatal diagnosis center, the pediatrics department, and the feto-pathology department." "Several criteria were analyzed including sex ratio, prenatal diagnosis, karyotype, termination of pregnancies, clinical or pathological examination, pediatric or surgical and/or genetic assessment, and whether or not a diagnosis was made. Positional deformities and syndactyly were excluded," said M. Holder-Espinasse and colleagues, Jeanne Flandre Hospital, Genetic Medicine Service. "Limb anomalies were detected prenatally in 45% of the cases, and a diagnosis was made in 78%, including isolated, syndromic, or chromosomal anomalies. Sixty-one per cent of the infants had follow-up, either pediatric, surgical, or genetic. Prenatal multidisciplinary assessment is fundamental to assist with counseling, as is the post-natal follow-up of the infant. The diagnosis, if made, will obviously influence the information that will be given to the parents and the management of the malformation." "If the pregnancy is terminated, feto-pathological examination is essential to help make a diagnosis, and guide recurrence risks. We are currently undertaking a prospective study, and we will develop a protocol of investigations in the future, depending on the type of the malformation identified," study authors indicated. Holder-Espinasse and colleagues published the results of their research in American Journal of Medical Genetics Part A (Pre- and postnatal diagnosis of limb anomalies: A series of 107 cases. Am J Med Genet Part A, 2004;124A(4):417-422). For additional information, contact M. Holder-Espinasse, Hop Jeanne Flandre, Ser Genetics Med, CHRU, F-59037 Lille, France. The publisher of the American Journal of Medical Genetics Part A can be contacted at: Wiley-Liss, Division John Wiley & Sons Inc., 605 Third Avenue, New York, NY 10158-0012 USA. The information in this article comes under the major subject areas of Diagnosis, Obstetrics, Genetic Counseling, and Women's Health. This article was prepared by Women's Health Weekly editors from staff and other reports. Copyright 2004, Women's Health Weekly via NewsRx.com & NewsRx.net. http://www.obgyn.net/newsheadlines/womens_health-Diagnostics-20040325-43.asp art
-- art fougner, md ich bin ein New Yorker
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