Fetal polycystic kidney disease in oro-facio-digital syndrome type I.
We report a girl with oro-facio-digital syndrome type I (OFD I) associated with polycystic kidney disease (PKD), which was identified on fetal US and fetal MRI. After birth, the diagnosis of this X-linked dominant disorder, which is lethal in males, was achieved by recognition of facial dysmorphism, lingual hamartomas, postaxial polydactyly, brain malformations, and the existence of her deceased male sibling with similar malformations. Adult PKD is a common feature in heterozygous females with OFD I. However, fetal PKD has been reported only in a lethal homozygous male. Our observation expands our knowledge about the phenotypic variations of PKD in OFD I.
Department of Radiology, Dokkyo University School of Medicine, 880 Kitakobayashi, Mibu, Shimotsuga-gun, Tochigi-ken 321-02, Japan.
G
G
Nishimura
S
S
Kuwashima
T
T
Kohno
C
C
Teramoto
H
H
Watanabe
T
T
Kubota
D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008279:Magnetic Resonance Imaging; D008297:Male; D009958:Orofaciodigital Syndromes / Q000150:complications*; D010641:Phenotype; D016891:Polycystic Kidney, Autosomal Dominant / Q000150:complications* / Q000175:diagnosis; D016216:Ultrasonography, Prenatal