2020, Number 04
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Ginecol Obstet Mex 2020; 88 (04)
Ultrasound and anatomopathological characterization of patients with multiple congenital arthrogryposes. Series of cases
Sandoval-Martinez DK, Gutiérrez-Sánchez LÁ, Jaimes-Sanabria MZ
Language: Spanish
References: 19
Page: 203-211
PDF size: 328.70 Kb.
ABSTRACT
Objective: To describe a series of cases of multiple congenital arthrogryposes reported
in fetal and newborn autopsies, performed in the pathology department of a high
complexity hospital, between September 2016 and April 2019.
Materials and Methods: A retrospective descriptive study of a series of cases of
autopsies, with anatomopathological findings of multiple congenital arthrogryposes,
performed on fetuses and newborns, during the established time lapse.
Results: The analysis included 8 cases with an anatomopathological diagnose of
multiple congenital arthrogryposes, six of them with PCR positive for ZIKA. Among
the ultrasound reports, altered limb movement and abnormal central nervous system
development (corpus callosum and cerebellum), were the main findings; which were
confirmed by the anatomopathological study. Regarding perinatal results, 7/8 cases
died during the first hour of life.
Conclusion: In case of suspicion or confirmation of multiple congenital arthrogryposes
by ultrasound, infectious processes should be ruled out; also, a clinical genetics
consult should be sought to exclude associated alterations.
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