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Prenatal control of Hb Bart's hydrops fetalis: a two-year experience at a mainland Chinese hospital.
[alpha-thalassemia]
Abstract
α-
Thalassemia
is
a
common
inherited
disease
in
southern
China
.
The
severest
form
is
Hb
Bart
's
hydrops
fetalis
,
in
which
the
affected
fetuses
almost
always
die
in
utero
or
shortly
after
birth
,
and
the
mothers
are
at
high
risk
for
severe
morbidity
.
Therefore
,
this
condition
should
be
controlled
,
especially
prenatally
.
In
this
study
,
we
reported
on
a
two
-
year
experience
in
prenatal
control
of
Hb
Bart
's
hydrops
fetalis
at
a
mainland
Chinese
hospital
.
Totally
,
573
pregnancies
at
risk
for
Hb
Bart
's
hydrops
fetalis
were
referred
and
different
prenatal
procedures
were
offered
depending
on
the
gestational
age
at
presentation
.
One
hundred
fifty-
two
affected
fetuses
were
diagnosed
prenatally
;
among
these
,
only
half
presented
in
early
gestation
,
and
were
terminated
in
time
.
Although
our
prenatal
program
has
successfully
prevented
the
birth
of
children
with
severe
thalassemia
,
it
does
not
show
a
satisfactory
outcome
,
considering
the
gestational
age
when
an
affected
pregnancy
is
terminated
.
Diseases
Validation
Diseases presenting
"high risk"
symptom
22q11.2 deletion syndrome
acute rheumatic fever
adrenal incidentaloma
alpha-thalassemia
aniridia
canavan disease
congenital diaphragmatic hernia
congenital toxoplasmosis
cowden syndrome
cushing syndrome
cutaneous mastocytosis
esophageal adenocarcinoma
esophageal carcinoma
esophageal squamous cell carcinoma
fabry disease
harlequin ichthyosis
heparin-induced thrombocytopenia
hirschsprung disease
hodgkin lymphoma, classical
homocystinuria without methylmalonic aciduria
hydrocephalus with stenosis of the aqueduct of sylvius
krabbe disease
legionellosis
liposarcoma
locked-in syndrome
oligodontia
oral submucous fibrosis
papillon-lefèvre syndrome
pendred syndrome
phenylketonuria
primary hyperoxaluria type 1
severe combined immunodeficiency
sneddon syndrome
waldenström macroglobulinemia
werner syndrome
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