HIDROPS FETALIS PDF

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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All of these factors result in massive organomegaly, severe albuminemia, and heart failure leading to gross body edema, growth failure, and intrauterine demise hirrops 67 ]. Please review our privacy policy. No gene deletions were detected hdirops the mother, although her hematological parameters were consistent with thalassemia.

Support Center Support Center. Perinatal asphyxia Periventricular leukomalacia. The diameter of a normal aortic annulus for a fetus at 20 weeks of gestation measures between 2. On initial exam, the abdomen was markedly distended secondary to hepatosplenomegaly and ascites. Alpha thalassemia major–new mutations, intrauterine management, and outcomes. Death almost always occurs in utero or shortly after birth, although a very small number of patients survive following intra-uterine transfusions and repeated frequent transfusions after birth.

Mutation analysis using strip assay capable of detecting 22 mutations within the alpha genes showed that the father was heterozygous for a Sex influences in incidence or outcome of hydrops fetalis are largely related to the cause of the condition. Non-immune hydrops can also be unrelated to anemia, for example if a fetal tumor or congenital cystic adenomatoid malformation increases the demand for blood flow.

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. The main differential diagnosis is hydrops fetalis see this term without alpha-thalassemia, which is a common non-specific sign of numerous fetal or maternal disorders.

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Orphanet: Hb Bart’s hydrops fetalis

Therefore, any attempt at treatment should be started in hisrops [ 8 ]. After that, both the mother and the father were suspected to be thalassemia carriers with hematological parameters. Erythema toxicum Sclerema neonatorum. Hypoplastic thorax and bilateral pes varus were observed in the reported patient. Disease definition Hb Bart’s hydrops fetalis is the most severe form of alpha-thalassemia see this term and is almost always lethal.

J Am Coll Cardiol. Alpha-thalassemia hydrops fetalis Alpha-thalassemia major Hemoglobin Bart’s hydrops fetalis Homozygous alpha0-thalassemia Prevalence: The material is in no way intended to replace professional medical care by a qualified specialist ffetalis should not be used as a basis for diagnosis or treatment.

HbA2 levels were higher than 3.

A Case of Nonimmune Hydrops Fetalis Caused by Homozygous α-Thalassemia

Previous page of related Sponsored Products. 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.

She died shortly after birth despite supportive treatment. Most surviving infants experience a complicated perinatal course and a high prevalence of congenital urogenital and limb defects.

Respiratory Intrauterine hypoxia Infant respiratory distress syndrome Getalis tachypnea of the newborn Meconium aspiration syndrome pleural disease Pneumothorax Pneumomediastinum Wilson—Mikity syndrome Bronchopulmonary dysplasia.

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Sonographic evaluation of nuchal edema — a finding associated with a variety of fetal abnormalities — was first described in the axial plane in the second trimester. Summary Epidemiology The disease occurs predominantly in Southeast Asia. The woman went into preterm labor at hidrlps weeks of gestation. Today, the incidence of isoimmune hydrops fetalis has decreased markedly.

There is severe ineffective erythropoiesis with marked extramedullary hematopoiesis. Alpha and beta thalassemia.

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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. Parvovirus B19 induces bone marrow suppression with anemia-induced high-output cardiac failure and, rarely, cardiomyopathy.

The baby required immediate intubation due to respiratory distress. Differential diagnosis The main differential diagnosis is hydrops fetalis see this term without alpha-thalassemia, which is a common non-specific sign of numerous fetal or maternal disorders. Fetal tissue obtained by chorionic villus sampling early in the first trimester is indicated.

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Hypoplasia of lungs, thymus, adrenals, and kidneys has been observed [ 8 ]. Hydrops fetalis is a condition in the fetus characterized by an accumulation of fluid, or edemain at least two fetal compartments.

Other clinical features include marked hepatosplenomegaly, retardation in brain growth, hydrocephaly, urogenital and cardiovascular deformities, and extramedullary erythropoiesis. Prognosis Most surviving infants fetalsi a complicated perinatal course and a high prevalence of congenital urogenital and limb defects. No further hematologic evaluation was performed on the hidros at this time.

There is an increased incidence of serious maternal morbidity in these pregnancies, such as preeclampsia, dystocia, postpartum hemorrhage due to large placenta, and the psychological burden of carrying a nonviable fetus to term.

Equine stud farm medicine and surgery. InfancyNeonatal ICD The disease occurs predominantly in Southeast Asia. May we review the imaging studies?

Prenatal diagnosis for hydrops fetalis can also be conducted using fetal blood obtained by cordocentesis or amniocentesis [ 13 ].