Thanatophoric dysplasia type 2: prenatal diagnosis through fetal ultrasound and next-generation sequencing

Thanatophoric dysplasia type 2 (TDII) is a rare and intractable genetic disease caused by de novo mutations in the FGFR3 gene, characterized by severe skeletal anomalies; this condition is lethal during the perinatal period and has a prevalence of 0.21-0.37 cases for every 10,000 births. We report a...

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Main Authors: Wilmar Saldarriaga, Manuel A. Vásquez-Salguero, Viviana López-López
Format: Article
Language:English
Published: Permanyer 2024-01-01
Series:Revista Chilena de Obstetricia y Ginecología
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Online Access:https://www.rechog.com/frame_eng.php?id=257
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author Wilmar Saldarriaga
Manuel A. Vásquez-Salguero
Viviana López-López
author_facet Wilmar Saldarriaga
Manuel A. Vásquez-Salguero
Viviana López-López
author_sort Wilmar Saldarriaga
collection DOAJ
description Thanatophoric dysplasia type 2 (TDII) is a rare and intractable genetic disease caused by de novo mutations in the FGFR3 gene, characterized by severe skeletal anomalies; this condition is lethal during the perinatal period and has a prevalence of 0.21-0.37 cases for every 10,000 births. We report a male fetus with TDII-specific ultrasound findings. Afterward, amniocentesis and cordocentesis were performed, and samples were analyzed using next-generation sequencing (NGS) to perform exome sequencing and Quantitative Fluorescence Polymerase Chain Reaction, k650E (p.Lys659glu, A→G) mutation was found in the FGFR3 gene, reported as pathogenic. Furthermore, the usage of NGS in cell-free fetal DNA, amniotic fluid, and fetal blood is described to establish a skeletal dysplasia diagnosis, accomplishing an early diagnosis to determine the prognosis according to the type of skeletal dysplasia and provide essential information about the pregnancy outcome, either for planning the delivery method or choosing voluntary interruption of pregnancy, in addition to genetic and reproductive counseling.
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series Revista Chilena de Obstetricia y Ginecología
spelling doaj-art-bba111411bf049b8953d4f5a2cf5523e2025-08-20T02:49:40ZengPermanyerRevista Chilena de Obstetricia y Ginecología0717-75262024-01-0189610.24875/RECHOG.24000014Thanatophoric dysplasia type 2: prenatal diagnosis through fetal ultrasound and next-generation sequencingWilmar Saldarriaga0Manuel A. Vásquez-Salguero1Viviana López-López2Department of Obstetrics and Gynecology; Department of Morphology. Health Faculty, Universidad del Valle; Departament of Obstetrics and Gynecology, Hospital Universitario del Valle, Evaristo García, E.S.E.; Valle del Cauca, Cali, ColombiaMedicine and Surgery School, Health Faculty, Universidad del Valle. Valle del Cauca, Cali, ColombiaDepartment of Obstetrics and Gynecology, Hospital Universitario del Valle, Evaristo García, E.S.E, Valle del Cauca, Cali, ColombiaThanatophoric dysplasia type 2 (TDII) is a rare and intractable genetic disease caused by de novo mutations in the FGFR3 gene, characterized by severe skeletal anomalies; this condition is lethal during the perinatal period and has a prevalence of 0.21-0.37 cases for every 10,000 births. We report a male fetus with TDII-specific ultrasound findings. Afterward, amniocentesis and cordocentesis were performed, and samples were analyzed using next-generation sequencing (NGS) to perform exome sequencing and Quantitative Fluorescence Polymerase Chain Reaction, k650E (p.Lys659glu, A→G) mutation was found in the FGFR3 gene, reported as pathogenic. Furthermore, the usage of NGS in cell-free fetal DNA, amniotic fluid, and fetal blood is described to establish a skeletal dysplasia diagnosis, accomplishing an early diagnosis to determine the prognosis according to the type of skeletal dysplasia and provide essential information about the pregnancy outcome, either for planning the delivery method or choosing voluntary interruption of pregnancy, in addition to genetic and reproductive counseling. https://www.rechog.com/frame_eng.php?id=257Thanatophoric dysplasia. Prenatal ultrasonography. Fetal ultrasonography. Next-generation sequencing. FGFR3.
spellingShingle Wilmar Saldarriaga
Manuel A. Vásquez-Salguero
Viviana López-López
Thanatophoric dysplasia type 2: prenatal diagnosis through fetal ultrasound and next-generation sequencing
Revista Chilena de Obstetricia y Ginecología
Thanatophoric dysplasia. Prenatal ultrasonography. Fetal ultrasonography. Next-generation sequencing. FGFR3.
title Thanatophoric dysplasia type 2: prenatal diagnosis through fetal ultrasound and next-generation sequencing
title_full Thanatophoric dysplasia type 2: prenatal diagnosis through fetal ultrasound and next-generation sequencing
title_fullStr Thanatophoric dysplasia type 2: prenatal diagnosis through fetal ultrasound and next-generation sequencing
title_full_unstemmed Thanatophoric dysplasia type 2: prenatal diagnosis through fetal ultrasound and next-generation sequencing
title_short Thanatophoric dysplasia type 2: prenatal diagnosis through fetal ultrasound and next-generation sequencing
title_sort thanatophoric dysplasia type 2 prenatal diagnosis through fetal ultrasound and next generation sequencing
topic Thanatophoric dysplasia. Prenatal ultrasonography. Fetal ultrasonography. Next-generation sequencing. FGFR3.
url https://www.rechog.com/frame_eng.php?id=257
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AT manuelavasquezsalguero thanatophoricdysplasiatype2prenataldiagnosisthroughfetalultrasoundandnextgenerationsequencing
AT vivianalopezlopez thanatophoricdysplasiatype2prenataldiagnosisthroughfetalultrasoundandnextgenerationsequencing