Smith–Lemli–Opitz's Syndrome as a Possible Cause of Recurrent Pregnancy Loss: A Case Report

Based on the known carrier frequency of Smith–Lemli–Opitz's syndrome (SLOS), the prevalence of this disease should be significantly higher than what is observed in the population. This may be due to a higher rate of pregnancy loss in affected embryos. Here, we present the case of a couple who u...

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Main Authors: Anjali Mitra, Shelley Dolitsky, Stacy Yadava, Elena Ashkinadze
Format: Article
Language:English
Published: Thieme Medical Publishers, Inc. 2020-01-01
Series:American Journal of Perinatology Reports
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1705131
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author Anjali Mitra
Shelley Dolitsky
Stacy Yadava
Elena Ashkinadze
author_facet Anjali Mitra
Shelley Dolitsky
Stacy Yadava
Elena Ashkinadze
author_sort Anjali Mitra
collection DOAJ
description Based on the known carrier frequency of Smith–Lemli–Opitz's syndrome (SLOS), the prevalence of this disease should be significantly higher than what is observed in the population. This may be due to a higher rate of pregnancy loss in affected embryos. Here, we present the case of a couple who underwent expanded carrier screening (ECS) after experiencing three first trimester pregnancy losses. Both parents were found to be carriers of SLOS mutations, and DNA analysis of the fetal remains of the third loss revealed the aborted fetus had inherited both the maternal and paternal mutations. This suggests SLOS as a reason for this patient's recurrent pregnancy loss (RPL), and therefore, ECS should be considered as part of the RPL work-up.
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spelling doaj.art-64e26efd7ac74edeb8642377ea5e244a2022-12-22T02:44:18ZengThieme Medical Publishers, Inc.American Journal of Perinatology Reports2157-69982157-70052020-01-011001e118e12010.1055/s-0040-1705131Smith–Lemli–Opitz's Syndrome as a Possible Cause of Recurrent Pregnancy Loss: A Case ReportAnjali Mitra0Shelley Dolitsky1Stacy Yadava2Elena Ashkinadze3Department of Obstetrics, Gynecology and Reproductive Sciences, Rutgers Robert Wood Johnson Medical School, New Brunswick, New JerseyDepartment of Obstetrics, Gynecology and Reproductive Sciences, Rutgers Robert Wood Johnson Medical School, New Brunswick, New JerseyDepartment of Obstetrics, Gynecology and Reproductive Sciences, Rutgers Robert Wood Johnson Medical School, New Brunswick, New JerseyDepartment of Obstetrics, Gynecology and Reproductive Sciences, Rutgers Robert Wood Johnson Medical School, New Brunswick, New JerseyBased on the known carrier frequency of Smith–Lemli–Opitz's syndrome (SLOS), the prevalence of this disease should be significantly higher than what is observed in the population. This may be due to a higher rate of pregnancy loss in affected embryos. Here, we present the case of a couple who underwent expanded carrier screening (ECS) after experiencing three first trimester pregnancy losses. Both parents were found to be carriers of SLOS mutations, and DNA analysis of the fetal remains of the third loss revealed the aborted fetus had inherited both the maternal and paternal mutations. This suggests SLOS as a reason for this patient's recurrent pregnancy loss (RPL), and therefore, ECS should be considered as part of the RPL work-up.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1705131smith–lemli–opitz's syndromeexpanded carrier screeningrecurrent pregnancy loss
spellingShingle Anjali Mitra
Shelley Dolitsky
Stacy Yadava
Elena Ashkinadze
Smith–Lemli–Opitz's Syndrome as a Possible Cause of Recurrent Pregnancy Loss: A Case Report
American Journal of Perinatology Reports
smith–lemli–opitz's syndrome
expanded carrier screening
recurrent pregnancy loss
title Smith–Lemli–Opitz's Syndrome as a Possible Cause of Recurrent Pregnancy Loss: A Case Report
title_full Smith–Lemli–Opitz's Syndrome as a Possible Cause of Recurrent Pregnancy Loss: A Case Report
title_fullStr Smith–Lemli–Opitz's Syndrome as a Possible Cause of Recurrent Pregnancy Loss: A Case Report
title_full_unstemmed Smith–Lemli–Opitz's Syndrome as a Possible Cause of Recurrent Pregnancy Loss: A Case Report
title_short Smith–Lemli–Opitz's Syndrome as a Possible Cause of Recurrent Pregnancy Loss: A Case Report
title_sort smith lemli opitz s syndrome as a possible cause of recurrent pregnancy loss a case report
topic smith–lemli–opitz's syndrome
expanded carrier screening
recurrent pregnancy loss
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1705131
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