Arthrogryposis multiplex congenita affecting a monochorionic diamniotic twin pregnancy

Detalhes bibliográficos
Autor(a) principal: Brás, Rafael
Data de Publicação: 2019
Outros Autores: Veloso, Helena, Moleiro, Maria, Rodrigues, Sofia, Inocencio, Gonçalo, Mota, Céu, Soares, Gabriela, Rodrigues, Maria Céu, Braga, Jorge
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://doi.org/10.25753/BirthGrowthMJ.v27.i4.13065
Resumo: Arthrogryposis multiplex congenita is a clinically and etiologically heterogeneous group of diseases characterized by presence of contractures involving at least two different body areas. It is observed in one in every 3000−5000 live births. A case of singleton arthrogryposis in a spontaneous monochorionic diamniotic twin pregnancy is reported. Diagnosis was established after morphological ultrasound. There were no further complications during pregnancy. After cesarean delivery, diagnosis of amyoplasia involving the four limbs was confirmed. Newborn is currently undergoing motor rehabilitation. The higher risk of singleton arthrogryposis in monochorionic twin pregnancies is documented and appears to be related with vascular changes early in the course of pregnancy. In amyoplasia, some degree of disability and dependency is expected, even with postnatal rehabilitation.
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spelling Arthrogryposis multiplex congenita affecting a monochorionic diamniotic twin pregnancyArtogripose múltipla congénita em gestação gemelar monocoriónica biamnióticaCase ReportsArthrogryposis multiplex congenita is a clinically and etiologically heterogeneous group of diseases characterized by presence of contractures involving at least two different body areas. It is observed in one in every 3000−5000 live births. A case of singleton arthrogryposis in a spontaneous monochorionic diamniotic twin pregnancy is reported. Diagnosis was established after morphological ultrasound. There were no further complications during pregnancy. After cesarean delivery, diagnosis of amyoplasia involving the four limbs was confirmed. Newborn is currently undergoing motor rehabilitation. The higher risk of singleton arthrogryposis in monochorionic twin pregnancies is documented and appears to be related with vascular changes early in the course of pregnancy. In amyoplasia, some degree of disability and dependency is expected, even with postnatal rehabilitation.A artrogripose múltipla congénita é um grupo clinica e etiologicamente heterogéneo de doenças, caracterizado pela presença de contraturas envolvendo pelo menos duas áreas corporais distintas. Tem uma incidência de 1 em cada 3000−5000 recém- -nascidos. É reportado um caso clínico de artrogripose unifetal em gravidez gemelar monocoriónica biamniótica espontânea. O diagnóstico foi estabelecido após ecografia morfológica, tendo a gravidez decorrido sem outras intercorrências. Após parto por cesariana, confirmou-se o diagnóstico de amioplasia envolvendo os quatro membros. O recém-nascido encontra-se atualmente em processo de reabilitação motora. Está documentado o aumento da incidência de artrogripose unifetal na gravidez gemelar monocoriónica, que parece relacionar-se com alterações vasculares na gravidez inicial. Em situações de amioplasia, é de prever a manutenção de algum grau de dependência e incapacidade motora, mesmo com reabilitação pós-natal.Centro Hospitalar Universitário do Porto2019-01-02T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://doi.org/10.25753/BirthGrowthMJ.v27.i4.13065eng2183-9417Brás, RafaelVeloso, HelenaMoleiro, MariaRodrigues, SofiaInocencio, GonçaloMota, CéuSoares, GabrielaRodrigues, Maria CéuBraga, Jorgeinfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2022-09-21T14:55:27Zoai:ojs.revistas.rcaap.pt:article/13065Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T15:56:25.472108Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Arthrogryposis multiplex congenita affecting a monochorionic diamniotic twin pregnancy
Artogripose múltipla congénita em gestação gemelar monocoriónica biamniótica
title Arthrogryposis multiplex congenita affecting a monochorionic diamniotic twin pregnancy
spellingShingle Arthrogryposis multiplex congenita affecting a monochorionic diamniotic twin pregnancy
Brás, Rafael
Case Reports
title_short Arthrogryposis multiplex congenita affecting a monochorionic diamniotic twin pregnancy
title_full Arthrogryposis multiplex congenita affecting a monochorionic diamniotic twin pregnancy
title_fullStr Arthrogryposis multiplex congenita affecting a monochorionic diamniotic twin pregnancy
title_full_unstemmed Arthrogryposis multiplex congenita affecting a monochorionic diamniotic twin pregnancy
title_sort Arthrogryposis multiplex congenita affecting a monochorionic diamniotic twin pregnancy
author Brás, Rafael
author_facet Brás, Rafael
Veloso, Helena
Moleiro, Maria
Rodrigues, Sofia
Inocencio, Gonçalo
Mota, Céu
Soares, Gabriela
Rodrigues, Maria Céu
Braga, Jorge
author_role author
author2 Veloso, Helena
Moleiro, Maria
Rodrigues, Sofia
Inocencio, Gonçalo
Mota, Céu
Soares, Gabriela
Rodrigues, Maria Céu
Braga, Jorge
author2_role author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Brás, Rafael
Veloso, Helena
Moleiro, Maria
Rodrigues, Sofia
Inocencio, Gonçalo
Mota, Céu
Soares, Gabriela
Rodrigues, Maria Céu
Braga, Jorge
dc.subject.por.fl_str_mv Case Reports
topic Case Reports
description Arthrogryposis multiplex congenita is a clinically and etiologically heterogeneous group of diseases characterized by presence of contractures involving at least two different body areas. It is observed in one in every 3000−5000 live births. A case of singleton arthrogryposis in a spontaneous monochorionic diamniotic twin pregnancy is reported. Diagnosis was established after morphological ultrasound. There were no further complications during pregnancy. After cesarean delivery, diagnosis of amyoplasia involving the four limbs was confirmed. Newborn is currently undergoing motor rehabilitation. The higher risk of singleton arthrogryposis in monochorionic twin pregnancies is documented and appears to be related with vascular changes early in the course of pregnancy. In amyoplasia, some degree of disability and dependency is expected, even with postnatal rehabilitation.
publishDate 2019
dc.date.none.fl_str_mv 2019-01-02T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://doi.org/10.25753/BirthGrowthMJ.v27.i4.13065
url https://doi.org/10.25753/BirthGrowthMJ.v27.i4.13065
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 2183-9417
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Centro Hospitalar Universitário do Porto
publisher.none.fl_str_mv Centro Hospitalar Universitário do Porto
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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