Late-onset growth restriction in Galloway-Mowat syndrome: a case report.
Galloway-Mowat syndrome (GMS) is a rare autosomal recessive disorder and is characterized by marked intrauterine growth retardation, central nervous system anomalies, and early onset nephrotic syndrome. Of the reported cases in the literature, all were diagnosed postnatally. We describe a case of GMS in which only late-onset intrauterine growth restriction was detected by prenatal ultrasound. In her fourth pregnancy, the mother had delivered a male baby with clinical features of GMS who died at seven months of age due to early onset of nephrotic syndrome. In her fifth pregnancy, serial ultrasound examinations were normal during the first and second trimester of pregnancy. Growth restriction and microcephaly were not detectable until 28 to 32 weeks' gestation. At 40 weeks' gestation, a female baby was born with dysmorphic features of GMS. Nephrotic syndrome developed after birth and renal biopsy revealed minimal change nephrotic syndrome. The prenatal course of this case suggests GMS may not be diagnosed in early pregnancy and the only abnormality detected before birth was intrauterine growth restriction.
Kang
Lin
L
Department of Obstetrics and Gynecology, National Cheng Kung University Medical College and Hospital, Tainan, Taiwan.
Kuo
Pao-Lin
PL
Lee
Ko-Hung
KH
Liu
Yu-Chuan
YC
Chang
Chiung-Hsin
CH
Chang
Fong-Ming
FM
Lin
Shio-Jean
SJ
D000015:Abnormalities, Multiple / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000196:embryology; D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D005317:Fetal Growth Retardation / Q000175:diagnosis* / Q000000981:diagnostic imaging; D005865:Gestational Age; D006801:Humans; D007231:Infant, Newborn; D008831:Microcephaly / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000196:embryology; D009404:Nephrotic Syndrome / Q000175:diagnosis* / Q000473:pathology; D011247:Pregnancy; D013577:Syndrome; D016216:Ultrasonography, Prenatal