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DOI: 10.4103/ijri.IJRI_105_19
Prenatal diagnosis of congenital harlequin ichthyosis with fetal MRI
Financial support and sponsorship Nil.Abstract
Most of the fetal deformities are caused due to genetic abnormalities. Although magnetic resonance imaging (MRI) may be used to accurately diagnose these deformities, it has been reported that gene analysis is a more accurate diagnostic method. Harlequin ichthyosis (HI) or Ichthyosis fetalis (IF) is a rare and extremely severe hereditary skin disorder with autosomal recessive inheritance. The ultrasound features have been described well and the diagnosis can be made with a fair degree of confidence. However, the final diagnosis needs to be established by prenatal invasive tests. In the present study, we describe the diagnosis of HI in the third trimester on fetal MRI referred to our department with suspicion of anterior encephalocele which was later confirmed through postnatal genetic evaluation.
Keywords
Adenosine triphosphate binding cassette A12 - fetal - gene - harlequin - magnetic resonance imagingPublikationsverlauf
Eingereicht: 13. Juni 2019
Angenommen: 23. Oktober 2019
Artikel online veröffentlicht:
21. Juli 2021
© 2019. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).
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References
- 1 Akiyama M. The pathogenesis of severe congenital Ichthyosis of the neonate. J Dermatol Sci 1999; 21: 96-104
- 2 Ahmed H, O’Toole EA. Recent advances in the genetics and management of harlequin ichthyosis. Pediatric Dermatology. 2014; 31: 539-46
- 3 Multani AS, Sheth FJ, Shah VC, Chinoy NJ, Pathak S. Three siblings with harlequin Ichthyosis in an Indian family. Early Hum Dev 1996; 45: 229-33
- 4 Bongain A, Benoit B, Ejnes L, Lambert JC, Gillet JY. Harlequin fetus: Three-dimensional sonographic findings and new diagnostic approach. Ultrasound Obstet Gynecol 2002; 20: 82-5
- 5 Blanchet-Bardon C, Dumez Y, Labbé F, Lutzner M, Puissant A, Henrion R. et al. Prenatal diagnosis of harlequin fetus. The Lancet 1983; 321: 132
- 6 Mihalko M, Lindfors KK, Grix AW, Brant WE, McGahan JP. Prenatal sonographic diagnosis of harlequin ichthyosis. Am J Roentgenol 1989; 153: 827-8
- 7 Zapałowicz K, Wyględowska G, Roszkowski T, Bednarowska A. Harlequin ichthyosis—difficulties in prenatal diagnosis. J Appl Genet 2006; 47: 195-7
- 8 Elias S, Mazur M, Sabbagha R, Esterly NB, Simpson JL. Prenatal diagnosis of harlequin ichthyosis. Clin Genet 1980; 17: 275-80
- 9 Wang L, Nie H, Wang Q, Zhang G, Li G, Bai L. et al. Use of magnetic resonance imaging combined with gene analysis for the diagnosis of fetal congenital heart disease. BMC Med Imaging 2019; 19: 12
- 10 Murphy-Brown L, Vella J, Lawlor-Klean P. Harlequin ichthyosis: A case study. Neonatal Netw 2004; 23: 7-12
- 11 Plocoste V, Bonneau D, Deshayes M. Le syndrome dube´be´ arlequin. J Gynecol Obstet Biol Reprod 1992; 21: 247-50
- 12 Rathore S, David LS, Beck MM, Bindra MS, Arunachal G. Harlequin ichthyosis: Prenatal diagnosis of a rare yet severe genetic dermatosis. J Clin Diagn Res 2015; 9: QD04
- 13 Akiyama M, Sugiyama-Nakagiri Y, Sakai K, McMillan JR, Goto M, Arita K. et al. Mutations in lipid transporter ABCA12 in harlequin ichthyosis and functional recovery by corrective gene transfer. J Clin Invest 2005; 115: 1777-84
- 14 Kelsell PD, Norgett EE, Unsworth H, Teh MT, Cullup T, Mein CA. et al. Mutations in ABCA12 underlie the severe congenital skin disease harlequin ichthyosis. Am J Hum Genet 2005; 76: 794-803
- 15 Shimizu A, Akiyama M, Ishiko A, Yoshiike T, Suzumori K, Shimizu H. Prenatal exclusion of harlequin ichthyosis; potential pitfalls in the timing of the fetal skin biopsy. Br J Dermatol 2005; 153: 811-4
- 16 Wen Y, Zhang SL, He J, Zhang XX, Yu XW. Prenatal diagnosis of congenital harlequin ichthyosis with two-and three-dimensional ultrasound in the third trimester. J Med Ultrasound 2013; 21: 221-5