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להצטרפות לרשימת התפוצה הכנס את כתובת הדואר האלקטרוני שלך:
 


 

 

 

Causes of Fetal Hydrops                      

 

This is defined as skin oedema and fluid in one other potential space, e.g. pericardial, pleural or peritoneal. 
·         Immune- Secondary hemolysis of fetal cells by maternal antibodies, e.g. Rhesus disease, Kell antibodies.

 

·         Non-immune

 

·         Cardiovascular- Arrhythmias, both tachyarrhythmias and heart block. Anatomic defects — hypoplastic left heart, Ebstein anomaly, pulmonary aortic atresia, etc. Cardiomyopathy

 

Endocardial fibroelastosis

 

Myocarditis (coxsackieviru,CMV)

 

Tumor — rhabdomyoma. 
·         Pulmonary-  

 

Diaphragmatic hernia (fig. 1)


 

Cystic adenomatoid malformation

 

Chylothorax

 

Pulmonary sequestration.

Fig. 1 

  
·         Chromosomal- 

 

Trisomy 21

 

Turner's syndrome

 

Triploidy.  
·         Hematologic- a Thalassemia.

  

·         Infections-
  
CMV

 

Toxoplasmosis

 

Parvovirus

 

Rubella (Fig. 2)

 

Coxsackievirus

 

Herpes simplex

 

Respiratory syncytial virus.

 

 

Fig. 2  

 

 

 

 

 

 

·         Neopplastic-

 

Neuroblastoma

 

Teratoma

 

Congenital leukemia.

 

 

·         Liver-

 

Hepatic fibrosis

 

Hepatic vascular abnormality

 

Hemangioendothelioma.

 

 

·         Metabolic-

 

Gaucher’s disease

 

Gangliosidosis

 

Hurler’s syndrome

 

Mucolipidosis. (Fig. 3)

 

 




Fig. 3   

·         Cranial-

 

Vein of Galen aneurysm.

 

 

·         Skeletal-

 

Achondroplasia

 

Achondrogenesis

 

Osteogenesis imperfecta

 

Thanatophoric dysplasia

 

Short rib—polydactyly syndrome

 

Asphyxiating thoracic dysplasia

 

Conradi’s syndrome.

 

 

 

 

 

·         Muscular-

 

Pena—Shokeir syndrome

 

Pterygium syndrome

 


Arthrogryposis multiplex. (Fig. 4)




 

Fig. 4  

 

 

 

 

·         Syndromes-

 

Noonan's

 

Neu-Laxova

 

 

 

 

 

 

 

·         Maternal-

 

Severe anemia

 

Hypoproteinemia


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