Turner syndrome-omphalocele association: Incidence, karyotype, phenotype and fetal outcome

Publikation: Beitrag in FachzeitschriftForschungsartikelBeigetragenBegutachtung

Beitragende

  • Ivonne Bedei - , Justus Liebig University Giessen (Autor:in)
  • Karl Philipp Gloning - , Prenatal Medicine and Genetics München (Autor:in)
  • Luc Joyeux - , Baylor College of Medicine (Autor:in)
  • Matthias Meyer-Wittkopf - , Mathias-Spital Rheine (Autor:in)
  • Daria Willner - , Center for Prenatal Medicine and Human Genetics (Autor:in)
  • Martin Krapp - , Center for Prenatal Medicine on Elbe (Autor:in)
  • Alexander Scharf - , PraenatGyn - Praxis für Pränatalmedizin Mainz (Autor:in)
  • Jan Degenhardt - , Praenatal Plus (Autor:in)
  • Kai Sven Heling - , Center of Prenatal Diagnosis and Human Genetics (Autor:in)
  • Peter Kozlowski - , Praenatal.de (Autor:in)
  • Kathrin Trautmann - , Center for Prenatal Medicine “am Salzhaus” (Autor:in)
  • Kai M. Jahns - , Johannes Gutenberg-Universität Mainz (Autor:in)
  • Annegret Geipel - , Universität Bonn (Autor:in)
  • Ismail Tekesin - , Prenatal Medicine Stuttgart (Autor:in)
  • Michael Elsässer - , Universität Heidelberg (Autor:in)
  • Lucas Wilhelm - , Westend Ultrasound (Autor:in)
  • Ingo Gottschalk - , Universität zu Köln (Autor:in)
  • Jan Erik Baumüller - , Gynaekologikum Frankfurt (Autor:in)
  • Cahit Birdir - , Klinik und Poliklinik für Frauenheilkunde und Geburtshilfe (Autor:in)
  • Andreas Schröer - , Center for Prenatal Diagnosis (Autor:in)
  • Felix Zöllner - , Justus Liebig University Giessen (Autor:in)
  • Aline Wolter - , Justus Liebig University Giessen (Autor:in)
  • Johanna Schenk - , Justus Liebig University Giessen (Autor:in)
  • Tascha Gehrke - , Justus Liebig University Giessen (Autor:in)
  • Alicia Spaeth - , Justus Liebig University Giessen (Autor:in)
  • Roland Axt-Fliedner - , Justus Liebig University Giessen (Autor:in)

Abstract

Objective: Omphalocele is known to be associated with genetic anomalies like trisomy 13, 18 and Beckwith–Wiedemann syndrome, but not with Turner syndrome (TS). Our aim was to assess the incidence of omphalocele in fetuses with TS, the phenotype of this association with other anomalies, their karyotype, and the fetal outcomes. Method: Retrospective multicenter study of fetuses with confirmed diagnosis of TS. Data were extracted from a detailed questionnaire sent to specialists in prenatal ultrasound. Results: 680 fetuses with TS were included in this analysis. Incidence of small omphalocele in fetuses diagnosed ≥12 weeks was 3.1%. Including fetuses diagnosed before 12 weeks, it was 5.1%. 97.1% (34/35) of the affected fetuses had one or more associated anomalies including increased nuchal translucency (≥3 mm) and/or cystic hygroma (94.3%), hydrops/skin edema (71.1%), and cardiac anomalies (40%). The karyotype was 45,X in all fetuses. Fetal outcomes were poor with only 1 fetus born alive. Conclusion: TS with 45,X karyotype but not with X chromosome variants is associated with small omphalocele. Most of these fetuses have associated anomalies and a poor prognosis. Our data suggest an association of TS with omphalocele, which is evident from the first trimester.

Details

OriginalspracheEnglisch
Seiten (von - bis)183-191
Seitenumfang9
FachzeitschriftPrenatal diagnosis
Jahrgang43 (2023)
Ausgabenummer2
PublikationsstatusVeröffentlicht - 14 Feb. 2023
Peer-Review-StatusJa

Externe IDs

PubMed 36600414

Schlagworte

Schlagwörter

  • Pregnancy, Female, Humans, Turner Syndrome/complications, Hernia, Umbilical/diagnostic imaging, Ultrasonography, Prenatal, Incidence, Nuchal Translucency Measurement, Karyotype, Edema, Fetus, Phenotype, Chromosome Aberrations

Bibliotheksschlagworte