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Prenatal diagnosis of Bardet-Biedl syndrome: a multidisciplinary approach
  1. Daniela Vila Real1,
  2. Rosete Nogueira2,3,
  3. Joaquim Sá4 and
  4. Cristina Godinho1
  1. 1Obstetrics and Gynecology, Centro Hospitalar de Vila Nova de Gaia Espinho EPE, Vila Nova de Gaia, Portugal
  2. 2Pathology, CGC Genetics Centro de Genetica Clinica, Porto, Portugal
  3. 3Surgical Sciences Domain, Life and Health Sciences Research Domain (ICVS) School of Medicine University of Minho, Braga, Portugal
  4. 4Genetics, CGC Genetics—Unilabs, Porto, Portugal
  1. Correspondence to Dr Daniela Vila Real; daniela.vila.real{at}gmail.com

Abstract

Bardet-Biedl syndrome (BBS) is a rare ciliopathic human genetic disorder with mainly an autosomal recessive inheritance. BBS phenotype develops over the years and diagnosis is usually made in late childhood or early adulthood. Prenatal diagnosis is rare in the absence of family history or consanguinity. We present a prenatal case without a family history of inherited diseases or consanguinity. Mid-trimester ultrasound revealed hyperechogenic kidneys and postaxial polydactyly putting us on track of BBS. The fetopathology supported this diagnosis and the whole-exome sequencing confirmed the hypothesis. Our case illustrates how high-resolution obstetric scan, detailed observation of fetal features and application of gene sequencing technology contribute to elucidate the aetiology of rare, yet disabling and incurable disease, with the particular setting of negative family history.

  • ultrasonography
  • genetics
  • pathology
  • pregnancy

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Footnotes

  • Contributors DVR, RN, JS, CG were involved with the conception and design, and critical revision of the article and final approval of the version to be published. DVR was involved with acquisition of data and drafted the article.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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