X pentasomy in an intracytoplasmic sperm injection pregnancy detected by nuchal translucency testing.
Althoughmaternally derived X pentasomy following intracytoplasmic sperm injection (ICSI) is rare, prenatal detection of a case offers insight into etiology and diagnosis. A 29-year-old gravida 1 whose pregnancy resulted from ICSI was referred for ultrasound screening at 11 weeks' gestation. Nuchal translucency thickness was 3.2 mm, and the fetal nasal bone was absent. Subsequent evaluation revealed karyotype 49,XXXXX. DNA microsatellite analysis showed the extra X chromosomes were maternal in origin. Termination of pregnancy was performed at 15 weeks. Because of the increased risk of sex chromosomal abnormalities in ICSI pregnancies, patients should be counseled prior to fertilization and standard prenatal care should include nuchal translucency measurement and any other elements necessary for indicated pregnancies to obtain a diagnosis.
Cheng
Po-Jen
PJ
Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Linkou Medical Center, Taoyuan, Taiwan, ROC. pjcheng@cgmh.org.tw
Chueh
Ho-Yen
HY
Shaw
Sheng-Wen
SW
Hsu
Jenn-Jeih
JJ
Hsieh
T'sang-T'ang
TT
Soong
Yung-Kwei
YK
D000328:Adult; D000782:Aneuploidy; D041321:Chromosomes, Human, X; D005260:Female; D005315:Fetal Diseases / Q000000981:diagnostic imaging* / Q000235:genetics / Q000473:pathology; D006801:Humans; D007621:Karyotyping; D018895:Microsatellite Repeats; D048208:Nuchal Translucency Measurement; D011247:Pregnancy; D025064:Sex Chromosome Disorders / Q000000981:diagnostic imaging* / Q000235:genetics / Q000473:pathology; D020554:Sperm Injections, Intracytoplasmic