Prenatal Diagnosis of Neu–Laxova Syndrome

Neu–Laxova syndrome is a rare and lethal genetic disease with autosomal recessive inheritance involving abnormalities of multiple systems. It was first reported in 1971. Since then, just eighty-eight cases have been reported. The syndrome is characterized by early and severe growth restriction, and...

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Main Authors: Adriana Serrano Olave, Alba Padín López, María Martín Cruz, Susana Monís Rodríguez, Isidoro Narbona Arias, Jesús S. Jiménez López
Format: Article
Language:English
Published: MDPI AG 2022-06-01
Series:Diagnostics
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Online Access:https://www.mdpi.com/2075-4418/12/7/1535
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author Adriana Serrano Olave
Alba Padín López
María Martín Cruz
Susana Monís Rodríguez
Isidoro Narbona Arias
Jesús S. Jiménez López
author_facet Adriana Serrano Olave
Alba Padín López
María Martín Cruz
Susana Monís Rodríguez
Isidoro Narbona Arias
Jesús S. Jiménez López
author_sort Adriana Serrano Olave
collection DOAJ
description Neu–Laxova syndrome is a rare and lethal genetic disease with autosomal recessive inheritance involving abnormalities of multiple systems. It was first reported in 1971. Since then, just eighty-eight cases have been reported. The syndrome is characterized by early and severe growth restriction, and craniofacial anomalies, such as microcephaly, hypertelorism and other malformations, resulting in quite characteristic features. Additionally, it might appear as generalized edema, flexion contractures and other malformations of the extremities, abnormalities in the CNS (central nervous system), skin (severe ichthyosis), and genitourinary and cardiac abnormalities. We present the case of a patient who had her first pregnancy with a fetus with Neu–Laxova syndrome diagnosed in our center during the second-trimester ultrasound. The ultrasound findings suggested the diagnosis, which was confirmed with a genetic study of the amniotic fluid: the variant of the <i>PSAT1 gene</i>, associated with NLS (Neu–Laxova syndrome) 2 in homozygosis. Moreover, there was a second pregnancy with a fetus carrying the same mutation in heterozygosis. In addition, we have carried out a review of published literature about this disease up to the present time.
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spelling doaj.art-d3aedad40e7042ef9f21aea8d64c31be2023-11-30T23:02:33ZengMDPI AGDiagnostics2075-44182022-06-01127153510.3390/diagnostics12071535Prenatal Diagnosis of Neu–Laxova SyndromeAdriana Serrano Olave0Alba Padín López1María Martín Cruz2Susana Monís Rodríguez3Isidoro Narbona Arias4Jesús S. Jiménez López5Obstetrics and Gynecology, Materno-Infantil Hospital Regional Universitary Málaga, Avenue Arroyo de los Ángeles S/N, 29011 Málaga, SpainObstetrics and Gynecology, Materno-Infantil Hospital Regional Universitary Málaga, Avenue Arroyo de los Ángeles S/N, 29011 Málaga, SpainObstetrics and Gynecology, Materno-Infantil Hospital Regional Universitary Málaga, Avenue Arroyo de los Ángeles S/N, 29011 Málaga, SpainObstetrics and Gynecology, Materno-Infantil Hospital Regional Universitary Málaga, Avenue Arroyo de los Ángeles S/N, 29011 Málaga, SpainObstetrics and Gynecology, Materno-Infantil Hospital Regional Universitary Málaga, Avenue Arroyo de los Ángeles S/N, 29011 Málaga, SpainObstetrics and Gynecology, Materno-Infantil Hospital Regional Universitary Málaga, Avenue Arroyo de los Ángeles S/N, 29011 Málaga, SpainNeu–Laxova syndrome is a rare and lethal genetic disease with autosomal recessive inheritance involving abnormalities of multiple systems. It was first reported in 1971. Since then, just eighty-eight cases have been reported. The syndrome is characterized by early and severe growth restriction, and craniofacial anomalies, such as microcephaly, hypertelorism and other malformations, resulting in quite characteristic features. Additionally, it might appear as generalized edema, flexion contractures and other malformations of the extremities, abnormalities in the CNS (central nervous system), skin (severe ichthyosis), and genitourinary and cardiac abnormalities. We present the case of a patient who had her first pregnancy with a fetus with Neu–Laxova syndrome diagnosed in our center during the second-trimester ultrasound. The ultrasound findings suggested the diagnosis, which was confirmed with a genetic study of the amniotic fluid: the variant of the <i>PSAT1 gene</i>, associated with NLS (Neu–Laxova syndrome) 2 in homozygosis. Moreover, there was a second pregnancy with a fetus carrying the same mutation in heterozygosis. In addition, we have carried out a review of published literature about this disease up to the present time.https://www.mdpi.com/2075-4418/12/7/1535Neu–Laxova syndromeultrasound findingsfetal edemaproptosisintrauterine growth restrictionrestrictive dermopathy
spellingShingle Adriana Serrano Olave
Alba Padín López
María Martín Cruz
Susana Monís Rodríguez
Isidoro Narbona Arias
Jesús S. Jiménez López
Prenatal Diagnosis of Neu–Laxova Syndrome
Diagnostics
Neu–Laxova syndrome
ultrasound findings
fetal edema
proptosis
intrauterine growth restriction
restrictive dermopathy
title Prenatal Diagnosis of Neu–Laxova Syndrome
title_full Prenatal Diagnosis of Neu–Laxova Syndrome
title_fullStr Prenatal Diagnosis of Neu–Laxova Syndrome
title_full_unstemmed Prenatal Diagnosis of Neu–Laxova Syndrome
title_short Prenatal Diagnosis of Neu–Laxova Syndrome
title_sort prenatal diagnosis of neu laxova syndrome
topic Neu–Laxova syndrome
ultrasound findings
fetal edema
proptosis
intrauterine growth restriction
restrictive dermopathy
url https://www.mdpi.com/2075-4418/12/7/1535
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