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Mild autosomal dominant hypophosphatasia: In utero presentation in two families

✍ Scribed by Moore, Cynthia A.; Curry, Cynthia J.R.; Henthorn, Paula S.; Smith, John A.; Smith, J. Charles; O'Lague, Patricia; Coburn, Stephen P.; Weaver, David D.; Whyte, Michael P.


Publisher
John Wiley and Sons
Year
1999
Tongue
English
Weight
35 KB
Volume
86
Category
Article
ISSN
0148-7299
DOI
10.1002/(sici)1096-8628(19991029)86:5<410::aid-ajmg3>3.0.co;2-0

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✦ Synopsis


We describe four pregnancies in two families in which mild hypophosphatasia, apparently transmitted as an autosomal dominant trait, manifested in utero as severe long bone bowing. Postnatally, there was spontaneous improvement of the skeletal defects. Recognition of this presentation for hypophosphatasia by family investigation and assessment of the fetal skeleton for degree of ossification and chest size using ultrasonography is important. The prognosis for this condition is considerably better than for more severe forms of hypophosphatasia and for many other disorders that cause skeletal defects with long bone bowing in utero. Am. J. Med. Genet. 86:410-415, 1999.


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