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© 2003 by the American Institute of Ultrasound in Medicine
J Ultrasound Med 22:805-808 • 0278-4297


Case Series

Second-Trimester Sonographic Diagnosis of Diastrophic Dysplasia

Report of 2 Index Cases

Joseph R. Wax, MD, Molly Carpenter, MS, Wendy Smith, MD, Charles Grimes, MD, Michael G. Pinette, MD, Jacquelyn Blackstone, DO and Angelina Cartin

Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology (J.R.W., M.C., M.G.P., J.B., A.C.), and Department of Radiology (C.G.), Maine Medical Center, Portland, Maine USA; and Division of Medical Genetics, Department of Pediatrics, Barbara Bush Children’s Hospital, Portland, Maine USA (W.S.).

Address correspondence and reprint requests to Joseph R. Wax, MD, MMC Ob/Gyn Associates, 887 Congress St, Suite 200, Portland, ME 04102 USA. E-mail: waxj{at}mmc.org.

Objective. To describe the sonographic features of diastrophic dysplasia in 2 second-trimester index offspring. Methods. Real-time sonography was performed on 2 second-trimester fetuses with no risk factors for skeletal dysplasia. Results. Each fetus had severe bilateral upper and lower extremity long bone shortening, hitchhiker thumbs and great toes, and clubbed feet, indicating a diagnosis of diastrophic dysplasia. Conclusions. Index cases of diastrophic dysplasia may be correctly diagnosed on the basis of second-trimester sonography.

Key Words: diastrophic dysplasia • prenatal diagnosis • skeletal dysplasia • sonography

Abbreviations: DTD, diastrophic dysplasia • DTDST, diastrophic dysplasia sulfate transporter




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[Abstract] [Full Text] [PDF]




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