Identification of Edward’s Syndrome and the Importance of Maternal SerumScreening Tests

Introduction: Edwards’s syndrome is a chromosomal disorder caused due to the presence of an extra chromosome 18. This syndrome was first reported in 1960 by Edward. The prevalence of this disease is approxi­mately 1:6000 live births, and its prevalence increases with maternal age. Most of these fetu...

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Main Authors: Shahnaz Zarifi, Ashraf Ahmadi Shadmehri, Aazam Ahmadi Shadmehri
Format: Article
Language:fas
Published: Ilam University of Medical Sciences 2018-09-01
Series:Majallah-i Dānishgāh-i ’Ulūm-i Pizishkī-i Īlām
Subjects:
Online Access:http://sjimu.medilam.ac.ir/browse.php?a_code=A-10-3469-1&slc_lang=en&sid=1
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author Shahnaz Zarifi
Ashraf Ahmadi Shadmehri
Aazam Ahmadi Shadmehri
author_facet Shahnaz Zarifi
Ashraf Ahmadi Shadmehri
Aazam Ahmadi Shadmehri
author_sort Shahnaz Zarifi
collection DOAJ
description Introduction: Edwards’s syndrome is a chromosomal disorder caused due to the presence of an extra chromosome 18. This syndrome was first reported in 1960 by Edward. The prevalence of this disease is approxi­mately 1:6000 live births, and its prevalence increases with maternal age. Most of these fetuses die in the tenth week of pregnancy in the uterus.   Case report: In this study, we presented the case of an infant with Edward’s syndrome, which was diagnosed in utero. Ultrasound screening and maternal serum screening were not performed at 12 weeks. Choroid plexus cyst,atrioventricular septal defect (AVSD), and echogenicity with a diameter of 5 mm in the anterior abdominal wall were observed on ultrasound at 19 weeks. After the karyotype of amniotic fluid, Edward’s syndrome was reported. According to gestational age (23 weeks) therapeutic abortion was not possible. After birth, the baby had multiple abnormalities including  small oral opening, micrognathia, arch-shaped mouth, nasal bridge with an upward the tip, wide anterior fontanel, strabismus of the left eye, umbilical hernia, developmental disorders, weak cry, short neck, and closed fingers. He died at 5 months of age.   Conclusion: Chromosomal abnormalities such as Down’s, Edward’s and Patau’s syndromes are easily detectable during pregnancy and are considered for therapeutic abortion. Therefore, early diagnosis is important during pregnancy.
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spelling doaj.art-23a0c5538ce0461593129963934753082022-12-22T00:38:12ZfasIlam University of Medical SciencesMajallah-i Dānishgāh-i ’Ulūm-i Pizishkī-i Īlām1563-47282588-31352018-09-0126316Identification of Edward’s Syndrome and the Importance of Maternal SerumScreening TestsShahnaz Zarifi0Ashraf Ahmadi Shadmehri1Aazam Ahmadi Shadmehri2 Prevention Development Affairs, Welfare Organization of South Khorasan, South Khorasan, Iran Department of Biology, Science and Research Branch, Islamic Azad University, Tehran , Iran Department of Genetics, Fars Science and Research Branch, Islamic Azad University, Marvdasht , Iran Introduction: Edwards’s syndrome is a chromosomal disorder caused due to the presence of an extra chromosome 18. This syndrome was first reported in 1960 by Edward. The prevalence of this disease is approxi­mately 1:6000 live births, and its prevalence increases with maternal age. Most of these fetuses die in the tenth week of pregnancy in the uterus.   Case report: In this study, we presented the case of an infant with Edward’s syndrome, which was diagnosed in utero. Ultrasound screening and maternal serum screening were not performed at 12 weeks. Choroid plexus cyst,atrioventricular septal defect (AVSD), and echogenicity with a diameter of 5 mm in the anterior abdominal wall were observed on ultrasound at 19 weeks. After the karyotype of amniotic fluid, Edward’s syndrome was reported. According to gestational age (23 weeks) therapeutic abortion was not possible. After birth, the baby had multiple abnormalities including  small oral opening, micrognathia, arch-shaped mouth, nasal bridge with an upward the tip, wide anterior fontanel, strabismus of the left eye, umbilical hernia, developmental disorders, weak cry, short neck, and closed fingers. He died at 5 months of age.   Conclusion: Chromosomal abnormalities such as Down’s, Edward’s and Patau’s syndromes are easily detectable during pregnancy and are considered for therapeutic abortion. Therefore, early diagnosis is important during pregnancy.http://sjimu.medilam.ac.ir/browse.php?a_code=A-10-3469-1&slc_lang=en&sid=1Edward’s syndromeKaryotypeChromosomal disorderAbortion
spellingShingle Shahnaz Zarifi
Ashraf Ahmadi Shadmehri
Aazam Ahmadi Shadmehri
Identification of Edward’s Syndrome and the Importance of Maternal SerumScreening Tests
Majallah-i Dānishgāh-i ’Ulūm-i Pizishkī-i Īlām
Edward’s syndrome
Karyotype
Chromosomal disorder
Abortion
title Identification of Edward’s Syndrome and the Importance of Maternal SerumScreening Tests
title_full Identification of Edward’s Syndrome and the Importance of Maternal SerumScreening Tests
title_fullStr Identification of Edward’s Syndrome and the Importance of Maternal SerumScreening Tests
title_full_unstemmed Identification of Edward’s Syndrome and the Importance of Maternal SerumScreening Tests
title_short Identification of Edward’s Syndrome and the Importance of Maternal SerumScreening Tests
title_sort identification of edward s syndrome and the importance of maternal serumscreening tests
topic Edward’s syndrome
Karyotype
Chromosomal disorder
Abortion
url http://sjimu.medilam.ac.ir/browse.php?a_code=A-10-3469-1&slc_lang=en&sid=1
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