Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
8
pubmed:dateCreated
2002-9-4
pubmed:abstractText
Glutaric aciduria type I (GA I) is an autosomal recessively inherited inborn error with a defect of the enzyme glutaryl-CoA dehydrogenase (GCDH), which has never been diagnosed prenatally in Taiwanese patients. We present the prenatal sonographic findings and mutational analysis data of three children in two Taiwanese families. One patient from each family was diagnosed postnatally due to macrocephaly and neurological deterioration at 4 months and 10 months, respectively. The third child, sister of the first patient, was diagnosed prenatally at 11 weeks' gestation through chorionic villus sampling (CVS). Molecular analysis revealed that the fetus and child in Family 1 were homozygous for a common mutation, IVS10 -2A>C, which has not been reported in the Caucasian population. The patient in Family 2 was a compound heterozygote for IVS10 -2A>C and a novel mutation 749T>C (L238P). After genetic counseling, the couple decided to continue the second pregnancy. However, dilatation of quadrigeminal cistern (QC) and suspicious macrocephaly were noted at 30 weeks. Progressive dilatation of the QC associated with macrocephaly, fronto-temporal atrophy and wide space of perisylvian fissure were found in the follow-up scans. The affected girl was delivered at 37 weeks' gestation by cesarean section. Postnatal magnetic resonance imaging (MRI) studies confirmed the prenatal sonographic findings. With prenatal sonographic findings and mutational analysis presented in the present cases, the feasibility of prenatal diagnosis of GA I in high-risk pregnancy can not be overlooked.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Aug
pubmed:issn
0197-3851
pubmed:author
pubmed:copyrightInfo
Copyright 2002 John Wiley & Sons, Ltd.
pubmed:issnType
Print
pubmed:volume
22
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
725-9
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:12210585-Adult, pubmed-meshheading:12210585-Base Sequence, pubmed-meshheading:12210585-Brain, pubmed-meshheading:12210585-Chorionic Villi Sampling, pubmed-meshheading:12210585-DNA Mutational Analysis, pubmed-meshheading:12210585-Exons, pubmed-meshheading:12210585-Female, pubmed-meshheading:12210585-Gestational Age, pubmed-meshheading:12210585-Glutarates, pubmed-meshheading:12210585-Glutaryl-CoA Dehydrogenase, pubmed-meshheading:12210585-Heterozygote, pubmed-meshheading:12210585-Homozygote, pubmed-meshheading:12210585-Humans, pubmed-meshheading:12210585-Infant, pubmed-meshheading:12210585-Introns, pubmed-meshheading:12210585-Magnetic Resonance Imaging, pubmed-meshheading:12210585-Mutation, pubmed-meshheading:12210585-Oxidoreductases, pubmed-meshheading:12210585-Oxidoreductases Acting on CH-CH Group Donors, pubmed-meshheading:12210585-Polymerase Chain Reaction, pubmed-meshheading:12210585-Pregnancy, pubmed-meshheading:12210585-Taiwan, pubmed-meshheading:12210585-Ultrasonography, Prenatal
pubmed:year
2002
pubmed:articleTitle
Novel mutation and prenatal sonographic findings of glutaric aciduria (type I) in two Taiwanese families.
pubmed:affiliation
Department of Obstetrics and Gynecology, Taichung Veterans General Hospital, Taichung, Taiwan, Republic of China. sklin@vghtc.vghtc.gov.tw
pubmed:publicationType
Journal Article, Case Reports