[Mirror pre-eclampsia: Ballantyne's syndrome. Two cases].
We report two cases of Ballantyne's syndrome which was first described in association with foeto-placental hydrops caused by rhesus isoimmunization. Our two cases occurred in association with materno-fetal parvovirus infection. Although the pathogenic mechanism remains to be fully elucidated, fluid retention and hyperplacentation are the main features. Together with these two case reports, a literature review confirmed the diverse nonimmunological etiologies associated with Ballantyne's syndrome. Clinicians should be aware of this particular presentation of hydrops fetalis resulting from a mechanism different from hypotrophic placentation because specific etiological treatment can avoid unnecessary pregnancy termination. Pre-conception counselling is also different.
Proust
S
S
Service de Gynécologie-Obstétrique, Hôpital Mère-Enfant, quai Moncousu, 44093 Nantes Cedex 1.
Philippe
H-J
HJ
Paumier
A
A
Joubert
M
M
Boog
G
G
Winer
N
N
D000328:Adult; D005260:Female; D006801:Humans; D015160:Hydrops Fetalis / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D007231:Infant, Newborn; D010322:Parvoviridae Infections / Q000150:complications*; D011225:Pre-Eclampsia; D011247:Pregnancy; D011256:Pregnancy Outcome; D011379:Prognosis; D012203:Rh Isoimmunization / Q000150:complications*; D013577:Syndrome