Verma-Naumoff syndrome: a case report

Abstract In skeletal dysplasias, there are short rib polydactyly syndromes, which traditionally differentiate into four lethal types. This report describes a case of Type III, which presented characteristics of Types I and II. A 38-year-old woman presented fetal growth restriction at 17 weeks and 6 days, decreased amniotic fluid, enlarged and hyperechogenic kidneys, and long bones below the 3rd percentile. Three weeks later, she developed anhydramnia. The couple did not consent to the performance of an invasive test for genetic diagnosis and chose to maintain the pregnancy. At 33 weeks, due to premature labor and interactivity, a cesarean section was performed, giving birth to a female baby, who died due to respiratory failure – there were no vocal cords and no trachea visible at laryngoscopy. On physical examination, he had the phenotypic characteristics of the syndrome. An X-ray showed short ribs and severe pulmonary hypoplasia. After birth, the parents chose not to carry out a genetic study or an anatomical examination. Researchers have suggested that there is an intersection of the anatomical changes of the types. This case report supports this theory.

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Main Authors: Heinsch-Domenighi,Lauro H., Lorensi-Feltrin,Marcelo
Format: Digital revista
Language:English
Published: Sociedad Chilena de Obstetricia y Ginecología 2023
Online Access:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-75262023000500324
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spelling oai:scielo:S0717-752620230005003242023-12-15Verma-Naumoff syndrome: a case reportHeinsch-Domenighi,Lauro H.Lorensi-Feltrin,Marcelo Skeletal dysplasia Short ribs Polydactyly Fetal medicine Abstract In skeletal dysplasias, there are short rib polydactyly syndromes, which traditionally differentiate into four lethal types. This report describes a case of Type III, which presented characteristics of Types I and II. A 38-year-old woman presented fetal growth restriction at 17 weeks and 6 days, decreased amniotic fluid, enlarged and hyperechogenic kidneys, and long bones below the 3rd percentile. Three weeks later, she developed anhydramnia. The couple did not consent to the performance of an invasive test for genetic diagnosis and chose to maintain the pregnancy. At 33 weeks, due to premature labor and interactivity, a cesarean section was performed, giving birth to a female baby, who died due to respiratory failure – there were no vocal cords and no trachea visible at laryngoscopy. On physical examination, he had the phenotypic characteristics of the syndrome. An X-ray showed short ribs and severe pulmonary hypoplasia. After birth, the parents chose not to carry out a genetic study or an anatomical examination. Researchers have suggested that there is an intersection of the anatomical changes of the types. This case report supports this theory.info:eu-repo/semantics/openAccessSociedad Chilena de Obstetricia y GinecologíaRevista chilena de obstetricia y ginecología v.88 n.5 20232023-10-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-75262023000500324en10.24875/rechog.23000046
institution SCIELO
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country Chile
countrycode CL
component Revista
access En linea
databasecode rev-scielo-cl
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region America del Sur
libraryname SciELO
language English
format Digital
author Heinsch-Domenighi,Lauro H.
Lorensi-Feltrin,Marcelo
spellingShingle Heinsch-Domenighi,Lauro H.
Lorensi-Feltrin,Marcelo
Verma-Naumoff syndrome: a case report
author_facet Heinsch-Domenighi,Lauro H.
Lorensi-Feltrin,Marcelo
author_sort Heinsch-Domenighi,Lauro H.
title Verma-Naumoff syndrome: a case report
title_short Verma-Naumoff syndrome: a case report
title_full Verma-Naumoff syndrome: a case report
title_fullStr Verma-Naumoff syndrome: a case report
title_full_unstemmed Verma-Naumoff syndrome: a case report
title_sort verma-naumoff syndrome: a case report
description Abstract In skeletal dysplasias, there are short rib polydactyly syndromes, which traditionally differentiate into four lethal types. This report describes a case of Type III, which presented characteristics of Types I and II. A 38-year-old woman presented fetal growth restriction at 17 weeks and 6 days, decreased amniotic fluid, enlarged and hyperechogenic kidneys, and long bones below the 3rd percentile. Three weeks later, she developed anhydramnia. The couple did not consent to the performance of an invasive test for genetic diagnosis and chose to maintain the pregnancy. At 33 weeks, due to premature labor and interactivity, a cesarean section was performed, giving birth to a female baby, who died due to respiratory failure – there were no vocal cords and no trachea visible at laryngoscopy. On physical examination, he had the phenotypic characteristics of the syndrome. An X-ray showed short ribs and severe pulmonary hypoplasia. After birth, the parents chose not to carry out a genetic study or an anatomical examination. Researchers have suggested that there is an intersection of the anatomical changes of the types. This case report supports this theory.
publisher Sociedad Chilena de Obstetricia y Ginecología
publishDate 2023
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-75262023000500324
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