Fibrochondrogenesis: prenatal diagnosis and outcome

J Obstet Gynaecol. 2013 Oct;33(7):663-8. doi: 10.3109/01443615.2013.817977.

Abstract

We studied 20 cases with fibrochondrogenesis (FCG) diagnosed prenatally. Four cases were diagnosed at our fetal unit, and 16 cases were identified through a review of literature (in English). The prenatal diagnosis of FCG was made in 4/20 (20%). Six (30%) patients opted for termination of pregnancy (TOP). A total of 13 cases delivered at term. Four (30.8%) had a caesarean section. Four neonates (30.7%) were stillborn and seven (53.8%) neonates died within 3 months. Two infants survived beyond 3 years of age, but both had severe global developmental delay. A molecular study of the surviving children revealed two null homozygous mutations in COL11A1 [c.4084C > T (p.R1362X) and c.3708 + c.437T > G]. We concluded that the prenatal diagnosis of fibrochondrogenesis is feasible. Fibrochondrogenesis is usually a fatal disease and survivors suffer from severe physical and neurological impairment.

Publication types

  • Review

MeSH terms

  • Abnormalities, Multiple / diagnosis*
  • Abnormalities, Multiple / mortality
  • Dwarfism / diagnosis*
  • Dwarfism / mortality
  • Facies
  • Female
  • Humans
  • Pregnancy
  • Prenatal Diagnosis*

Supplementary concepts

  • Fibrochondrogenesis