Hydrops fetalis is Latin for edema of the fetus. Ballantyne first described hydrops fetalis in , although this condition had been recognized. Hydrops fetalis is excessive extravasation of fluid into the third space in a fetus which could be due to heart failure, volume overload, decreased oncotic pressure. Hydrops fetalis is a serious condition which indicates poor prognosis for the affected fetus. Although the incidence of isoimmune hydrops fetalis.
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In a study by Guvenc et al.
InfancyNeonatal ICD Hydrops fetalis usually stems from fetal anemiawhen the heart needs to pump a much greater volume of blood to deliver the same amount of oxygen.
After that, both the mother and the father were suspected to be thalassemia carriers with hematological parameters. This measurement gives an estimate of bilirubin levels during the third trimester. American Journal of Obstetrics and Gynecology.
Prenatal ultrasound scanning enables early recognition of hydrops fetalis and has been enhanced with the introduction of MCA Doppler. It is likely that fetal hypoxia disturbs organogenesis and fetal development. Turkiye Klinikleri J Pediatr Sci. Journal List Turk J Haematol v.
Diagnostic methods The disease is usually diagnosed on ultrasound at fetalsi to 28 weeks gestation and can be suspected in at-risk pregnancies at 13 to 14 weeks gestation when increased nuchal or placental thickness, and increased cardiothoracic ratio are found. These patients may be considered for hematopoietic stem cell transplantation.
The normal range for pulmonary annular dimension at 20 weeks is 2. HbA2 levels were higher than 3. A search for anomalies in the zeta, alpha, beta, and gamma globin gene arrangements in normal black, Italian, Turkish, and Spanish newborns.
Additional information Further information on this disease Classification s retalis Gene s 2 Disability Clinical signs and symptoms Other website s 0. Analisis kromosom janin diindikasikan pada semua kasus hidrops. Differential diagnosis The main differential fetaliis is hydrops fetalis see this term without alpha-thalassemia, which is a common non-specific sign of numerous fetal or maternal disorders. The red blood cell morphology was notable for microcytic hypochromia.
Infobox medical condition new All articles with unsourced statements Articles with unsourced statements from August Articles to be expanded from August All articles to be expanded Articles using small message boxes. Sonogram depicting crocodile skin in a fetus. Table 1 Hematological data of the patient, parents, and sister. We save fresh and frozen liver, skin, and bile for biochemical studies, if needed.
Therefore, any attempt at treatment should be started in utero [ 8 ]. They included hydrocephaly and microcephaly, as well as cardiopulmonary, skeletal, and genitourinary malformations.
The main differential diagnosis is hydrops fetalis see hirrops term without alpha-thalassemia, which is a common non-specific sign of numerous fetal or maternal disorders.
A significant proportion of fetal hydrops is caused by or associated with chromosomal abnormalities or syndromes. In utero resolution of hydrops fetalis following the death of one twin in twin-twin transfusion. Disease definition Hb Bart’s hydrops fetalis is the most severe form of alpha-thalassemia see this term and is almost always lethal. Intrauterine therapy for homozygous alpha-thalassemia.
In utero exchange transfusion in homozygous alpha-thalassaemia: Only comments written in English can be processed. Operasi terbuka atau laser atau ablasi radiofrekuensi untuk anomali struktural mayor yang berhubungan dengan hidrops fetalis non imun. No complications associated with hydrops fetalis developed in the mother of our patient, except premature labor. Although the incidence of isoimmune hydrops fetalis has decreased markedly, nonimmune hydrops fetalis cases have been more frequently reported.
A Case of Nonimmune Hydrops Fetalis Caused by Homozygous α-Thalassemia
The patient retalis pregnant again and delivered a healthy infant 1 year after the termination of this hiddops. This anemia can have either an immune or non-immune cause. Parvovirus B19 induces bone marrow suppression with anemia-induced high-output cardiac failure and, rarely, cardiomyopathy.
No gene deletions were detected in the mother, although her hematological parameters were consistent with thalassemia. Health care resources for this disease Expert centres Diagnostic tests Patient organisations 44 Orphan drug s 6. Summary and related texts. Ballantyne first described hydrops fetalis inalthough this condition had been recognized. Professionals Review article English Clinical practice guidelines Deutsch Clinical genetics review English Hydrops fetalis is excessive fetaalis of fluid into the third space in a fetus which could be due to heart failure, volume overload, decreased oncotic pressure.
Hydrops fetalis | Radiology Reference Article |
Prenatal management of congenital cystic adenomatoid malformation of the lung. Author information Article notes Copyright and License information Disclaimer.
The woman went into preterm labor fetalos 31 weeks of gestation. During prenatal follow-up, no interventions, including fetal blood sampling or intrauterine transfusion, were performed. Journal of Pediatric Surgery. Alpha-thalassemia is usually inherited in an autosomal recessive manner.
Nonimmune hydrops fetalis part I: Summary Epidemiology The disease occurs predominantly in Southeast Asia. Prenatal diagnosis for hydrops fetalis can also be conducted using fetal blood obtained by cordocentesis or amniocentesis [ 13 ]. Vertically transmitted infection Neonatal infection Congenital rubella syndrome Neonatal herpes simplex Mycoplasma hominis infection Ureaplasma urealyticum infection Omphalitis Neonatal sepsis Group B streptococcal infection Neonatal conjunctivitis.
Hydrops fetalis is a serious condition that indicates poor prognosis for the affected fetus [ 1 ]. The most ideal approach would be in utero stem cell transplantation before fetal immunological maturation [ 10 ]. Written consent was received from the parents.