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Discordant Anencephaly in a Set of Triplets

Published online by Cambridge University Press:  01 August 2014

M.E. D'Alton*
Affiliation:
Department of Maternal Fetal Medicine, Tufts University School of Medicine, and St. Margaret's Hospital for Women, Boston
E.R. Newton
Affiliation:
Department of Maternal Fetal Medicine, Tufts University School of Medicine, and St. Margaret's Hospital for Women, Boston
C.L. Cetrulo
Affiliation:
Department of Maternal Fetal Medicine, Tufts University School of Medicine, and St. Margaret's Hospital for Women, Boston
*
St. Margaret's Hospital, 90 Cushing Avenue, Boston, MA 02125, USA

Abstract

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A 38-year-old woman, gravida 5, para 3, with a triplet prgnancy discordant for anencephaly, is reported. The diagnosis was made prenatally by ultrasound. Autopsy of the anencephalic member revealed small adrenal glands with absent fetal cortex, and a coincidental tetralogy of Fallot. Studies of the histocompatible lymphocyte antigens of both parents were performed and they failed to demonstrate HLA B-27. The literature on anencephaly in triplets is summarized. The association of congenital heart disease and HLA B-27 with anencephaly is discussed.

Type
Research Article
Copyright
Copyright © The International Society for Twin Studies 1984

References

REFERENCES

1.Amos, DB, Ruderman, R, Mendell, NR, Johnson, AH (1975): Linkage between HLA and spinal development. Transplant Proc (Suppl) 7:9395.Google Scholar
2.Borrow, M, Bodmer, JG, Bodmer, WF, McDevitt, HO, Lorber, J, Swift, P (1975): The search for a human equivalent of the mouse t-locus - Negative results from a study of HL-A types in spina bifida. Tissue Antigens 5:234237.Google Scholar
3.David, TJ, Nixon, A (1976): Congenital malformations with anencephaly and iniencephaly. J. Med. Genet. 13:263265.Google Scholar
4.deBruyere, M, Kulakowski, S, Malchaire, J, Delire, M, Sokal, G (1977): HLA gene and haplotype - Frequencies in spina bifida - Population and family studies. Tissue Antigens 10:399402.CrossRefGoogle Scholar
5.Farb, HF, Thomason, J, Carandang, FS, Sampson, MB, Spellacy, WN (1980): Anencephaly, twins and HLAB-27. J Reprod Med 25:166170.Google Scholar
6.Greenberg, M, Krim, EY, Mastrota, VF, Rosenfeld, DL, Goldman, M, Fenton, AN (1981): Discordant anencephalus in a Pergonal induced triplet pregnancy. J Reprod Med 26:593594.Google Scholar
7.James, WH (1976): Twinning and anencephaly. Ann Hum Biol 3:401409.Google Scholar
8.Kohler, HG, MacDonald, HN (1972): Discordant anencephaly in a set of triplets. Obstet. Gynecol. 40:607611.Google Scholar
9.Pietrzyk, JJ, Turowski, G (1979): Immunologic basis of congenital malformations: Association of HLA B-27 with spina bifida. Pediatr Res 13:879.Google Scholar
10.Scott, JM, Paterson, L (1966): Monozygous anencephalic triplets: A case report. J Obstet Gynaecol Br. Commonw 73:147151.CrossRefGoogle ScholarPubMed