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Monozygotic twins discordant for monosomy 21 detected by first-trimester nuchal translucency screening.
[monosomy 21]
Chromosomal
abnormality
in
one
fetus
of
a
monozygotic
twin
pregnancy
is
rare
,
and
discussion
of
prenatal
detection
of
such
a
case
offers
some
insight
into
this
clinical
problem
.
A
28
-
year
-old
gravida
1
had
ultrasound
screening
at
11
weeks
of
gestation
that
revealed
a
monochorionic
,
diamniotic
twin
pregnancy
with
increased
nuchal
translucency
(
7
.
7
mm
)
in
one
fetus
.
Subsequent
evaluation
showed
one
45
,
XY
,
-
21
karyotype
and
one
normal
male
karyotype
.
The
pregnancy
was
monozygous
by
DNA
analysis
.
The
affected
neonate
died
5
minutes
after
delivery
of
both
twins
by
cesarean
.
Monochorionic
twins
discordant
for
fetal
abnormalities
can
be
evaluated
with
molecular
analysis
.
Study
of
such
cases
may
reveal
the
extent
to
which
an
early
diagnosis
can
lead
to
therapeutic
interventions
to
support
survival
of
the
viable
twin
.
Diseases
Validation
Diseases presenting
"early diagnosis"
symptom
achondroplasia
acute rheumatic fever
adrenal incidentaloma
adrenomyeloneuropathy
alexander disease
allergic bronchopulmonary aspergillosis
aromatase deficiency
carcinoma of the gallbladder
cholangiocarcinoma
classical phenylketonuria
coats disease
cohen syndrome
congenital adrenal hyperplasia
congenital diaphragmatic hernia
congenital toxoplasmosis
cowden syndrome
cushing syndrome
cutaneous mastocytosis
cystinuria
dentin dysplasia
dentinogenesis imperfecta
dracunculiasis
erdheim-chester disease
erythropoietic protoporphyria
esophageal carcinoma
esophageal squamous cell carcinoma
fabry disease
familial hypocalciuric hypercalcemia
familial mediterranean fever
gm1 gangliosidosis
hirschsprung disease
holt-oram syndrome
homocystinuria without methylmalonic aciduria
hydrocephalus with stenosis of the aqueduct of sylvius
inclusion body myositis
kabuki syndrome
kallmann syndrome
kindler syndrome
krabbe disease
locked-in syndrome
monosomy 21
neuralgic amyotrophy
oculocutaneous albinism
oligodontia
omenn syndrome
oral submucous fibrosis
papillon-lefèvre syndrome
phenylketonuria
primary effusion lymphoma
primary hyperoxaluria type 1
proteus syndrome
pyomyositis
pyruvate dehydrogenase deficiency
scrub typhus
severe combined immunodeficiency
sneddon syndrome
systemic capillary leak syndrome
thoracic outlet syndrome
triple a syndrome
typhoid
von hippel-lindau disease
wiskott-aldrich syndrome
wolf-hirschhorn syndrome
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