[Lethal osteogenesis imperfecta. Prenatal diagnosis].
BACKGROUND
Osteogenesis imparfecta (OI) comprises a group of disorders principally affecting type I collagen, which result in increased bone fragility. Lethal forms are rare and are characterised by micromelia with malformation of the limbs.


METHODS
A prenatal diagnosis of lethal OI was made by ultrasonography at 18 weeks of gestation and therapeutic abortion was indicated.


CONCLUSIONS
Molecular biology and genetic studies offer new possibilities of prenatal diagnosis, but ultrasonography remains the investigation of choice. It confirms the diagnosis by revealing an increase in bone transparency.
Dhouib
M
M
Service de gynécologie-obstétrique, Hôpital régional de Maharès, Tunisie. drdhouib_mounir@yahoo.fr
Guirat
N
N
D000032:Abortion, Therapeutic; D000328:Adult; D000649:Amniocentesis; D003094:Collagen / Q000235:genetics; D024042:Collagen Type I / Q000235:genetics; D000090602:Collagen Type I, alpha 1 Chain; D005260:Female; D005817:Genetic Counseling; D006801:Humans; D009154:Mutation / Q000235:genetics; D010013:Osteogenesis Imperfecta / Q000145:classification / Q000175:diagnosis* / Q000453:epidemiology / Q000235:genetics; D010375:Pedigree; D011247:Pregnancy; D011262:Pregnancy Trimester, Second; D013796:Thanatophoric Dysplasia / Q000235:genetics; D016216:Ultrasonography, Prenatal / Q000379:methods
D024042:Collagen Type I; D000090602:Collagen Type I, alpha 1 Chain; D003094:Collagen