| Peer-Reviewed

A Rare Case: Genetically Confirmed Newborn with Thanatophoric Dysplasia Type 1 (TD1)

Received: 20 December 2020     Accepted: 4 January 2021     Published: 12 January 2021
Views:       Downloads:
Abstract

Thanatophoric dysplasia (TD) is the most frequent sporadic lethal skeletal dysplasia with an incidence about 1 in 17.000–50.000 births. Diagnosis of TD can made at prenatal period by ultrasound and immediately after birth based on clinical examination, radiologic studies, histopathology and molecular analysis. Thanatophoric dysplasia is subdivided in two dinstinct phenotypes: 1) Thanatophoric dysplasia type 1 (TD1) is characterized by curved ‘‘telephone receiver’’ femora and mild craniosynostosis or 2) Thanatophoric dysplasia type 2 (TD2) includes straight femora and cloverleaf skull. Girl baby was born from 44 years old female with 35th weeks of gestation (WOG) with non-consanguineous marriage. The patient looked lethargic accompanied with rapid breathing with chest indrawing. On examination the patient looked dysmorphic, large head with frontal bossing without clover leaf skull, upper and lower limbs were extremely short. Babygram showed head was large, thoracic cavity was small and narrow, the ribs were short, and “telephone receiver” like curved femora was noted. Mutational analysis confirmed a heterozygous allele p.Tyr373Cys mutation in the Fibroblast Growth Factor Receptor 3 (FGFR3) gene. The patient was diagnosed with TD1. The general condition and respiratory distress did not improve and the patient was died on the sixteenth days of hospitalization. Thanatophoric dysplasia type 1 was rare disease and lethal case. The diagnosis based on clinical examination, radiologic studies, histopathology and molecular analysis. Lethality in thanatophoric dysplasia is caused mainly by respiratory distress due to a narrow thorax.

Published in International Journal of Genetics and Genomics (Volume 9, Issue 1)
DOI 10.11648/j.ijgg.20210901.11
Page(s) 1-5
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Thanatophoric Dysplasia Type 1, Telephone Receiver, FGFR3

References
[1] Vogt C, Blass HK. Thanatophoric dysplasia: Autopsy findings over a 25-year period. Pediatric and Developmental Pathology. 2013; 16: 160–7.
[2] Wainwright H. Thanatophoric dysplasia: A review. SAMJ. 2016; 106 (6): 50-3.
[3] Hatzaki A, Sifakis S, Apostolopoulou D, Bouzarelou D, Konstantinidou A, Kappou D et al. FGFR3 related skeletal dysplasias diagnosed prenatally by ultrasonography and molecular analysis: Presentation of 17 cases. Am J Med Genet. 2011; 155: 2426–35.
[4] Gopal G, Belavadi GB. Thanatophoric dysplasia in the newborn. J of Evolution of Med and Dent Sci. 2014; 3: 3665-9.
[5] Miller E, Blaser S, Shannon P, Widjaja E. Brain and bone abnormalities of thanatophoric dwarfism. AJR. 2009; 192: 48-51.
[6] Sawai H, Oka K, Ushioda M, Nishimura G, Omori T, Numabe H et al. National survey of prevalence and prognosis of thanatophoric dysplasia in Japan. Pediatrics International. 2019; 61: 748–53.
[7] Lam ACF, Lam YY, Tong TMF, Chan DKH, Lau WL, Ng DKK et al. Thanatophoric dysplasia type 1 (TD1) without "telephone receivers”. HK J Paediatr. 2006; 11: 320-3.
[8] Gulasi S, Atici A, Celik Y. A case of thanatophoric dysplasia type 2: A novel mutation. J Clin Res Pediatr Endocrinol. 2015; 7 (1): 73-6.
[9] Kumar P. Skeletal dysplasias. In: Kumar P, Burton BK, editors. Congenital malformations. Chicago: McGraw-Hill; 2008. p. 307-21.
[10] Sharma M, Jyoti, Jain R, Devendra. Thanatophoric dysplasia: A case report. Journal of Clinical and Diagnostic Research. 2015; 9 (11): 1-3.
[11] Davanageri RS, Shokeen PD, Bannur HB, Patil KP. Thanatophoric dysplasia type I: A rare case report at fetal autopsy. J Lab Physicians 2014; 6: 121-3.
[12] Rai C, Gaikwad HS, Bajaj SK, Gupta R. Thanatophoric dysplasia, an enigmatic dilemma: A case report. Int J Reprod Contracept Obstet Gynecol. 2016; 5 (8): 2856-8.
[13] Jung M, Park SH. Genetically confirmed thanatophoric dysplasia with fibroblast growth factor receptor 3 mutation. Experimental and Molecular Pathology. 2017; 102: 290-5.
[14] Nikkel SM, Major N, King WJ. Growth and development in thanatophoric dysplasia – an update 25 years later. Clinical Case Reports. 2013; 1 (2): 75-8.
[15] Jahan U, Sharma A, Gupta N, Gupta S, Usmani F, Rajput A. Thanatophoric dysplasia: A case report. Int J Reprod Contracept Obstet Gynecol. 2019; 8 (2): 758-61.
Cite This Article
  • APA Style

    I Gusti Ayu Dwi Aryani, I Made Arimbawa, Made Kardana, Ni Nyoman Ayu Dewi, Pande Putu Yuli Anandasari. (2021). A Rare Case: Genetically Confirmed Newborn with Thanatophoric Dysplasia Type 1 (TD1). International Journal of Genetics and Genomics, 9(1), 1-5. https://doi.org/10.11648/j.ijgg.20210901.11

    Copy | Download

    ACS Style

    I Gusti Ayu Dwi Aryani; I Made Arimbawa; Made Kardana; Ni Nyoman Ayu Dewi; Pande Putu Yuli Anandasari. A Rare Case: Genetically Confirmed Newborn with Thanatophoric Dysplasia Type 1 (TD1). Int. J. Genet. Genomics 2021, 9(1), 1-5. doi: 10.11648/j.ijgg.20210901.11

    Copy | Download

    AMA Style

    I Gusti Ayu Dwi Aryani, I Made Arimbawa, Made Kardana, Ni Nyoman Ayu Dewi, Pande Putu Yuli Anandasari. A Rare Case: Genetically Confirmed Newborn with Thanatophoric Dysplasia Type 1 (TD1). Int J Genet Genomics. 2021;9(1):1-5. doi: 10.11648/j.ijgg.20210901.11

    Copy | Download

  • @article{10.11648/j.ijgg.20210901.11,
      author = {I Gusti Ayu Dwi Aryani and I Made Arimbawa and Made Kardana and Ni Nyoman Ayu Dewi and Pande Putu Yuli Anandasari},
      title = {A Rare Case: Genetically Confirmed Newborn with Thanatophoric Dysplasia Type 1 (TD1)},
      journal = {International Journal of Genetics and Genomics},
      volume = {9},
      number = {1},
      pages = {1-5},
      doi = {10.11648/j.ijgg.20210901.11},
      url = {https://doi.org/10.11648/j.ijgg.20210901.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijgg.20210901.11},
      abstract = {Thanatophoric dysplasia (TD) is the most frequent sporadic lethal skeletal dysplasia with an incidence about 1 in 17.000–50.000 births. Diagnosis of TD can made at prenatal period by ultrasound and immediately after birth based on clinical examination, radiologic studies, histopathology and molecular analysis. Thanatophoric dysplasia is subdivided in two dinstinct phenotypes: 1) Thanatophoric dysplasia type 1 (TD1) is characterized by curved ‘‘telephone receiver’’ femora and mild craniosynostosis or 2) Thanatophoric dysplasia type 2 (TD2) includes straight femora and cloverleaf skull. Girl baby was born from 44 years old female with 35th weeks of gestation (WOG) with non-consanguineous marriage. The patient looked lethargic accompanied with rapid breathing with chest indrawing. On examination the patient looked dysmorphic, large head with frontal bossing without clover leaf skull, upper and lower limbs were extremely short. Babygram showed head was large, thoracic cavity was small and narrow, the ribs were short, and “telephone receiver” like curved femora was noted. Mutational analysis confirmed a heterozygous allele p.Tyr373Cys mutation in the Fibroblast Growth Factor Receptor 3 (FGFR3) gene. The patient was diagnosed with TD1. The general condition and respiratory distress did not improve and the patient was died on the sixteenth days of hospitalization. Thanatophoric dysplasia type 1 was rare disease and lethal case. The diagnosis based on clinical examination, radiologic studies, histopathology and molecular analysis. Lethality in thanatophoric dysplasia is caused mainly by respiratory distress due to a narrow thorax.},
     year = {2021}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - A Rare Case: Genetically Confirmed Newborn with Thanatophoric Dysplasia Type 1 (TD1)
    AU  - I Gusti Ayu Dwi Aryani
    AU  - I Made Arimbawa
    AU  - Made Kardana
    AU  - Ni Nyoman Ayu Dewi
    AU  - Pande Putu Yuli Anandasari
    Y1  - 2021/01/12
    PY  - 2021
    N1  - https://doi.org/10.11648/j.ijgg.20210901.11
    DO  - 10.11648/j.ijgg.20210901.11
    T2  - International Journal of Genetics and Genomics
    JF  - International Journal of Genetics and Genomics
    JO  - International Journal of Genetics and Genomics
    SP  - 1
    EP  - 5
    PB  - Science Publishing Group
    SN  - 2376-7359
    UR  - https://doi.org/10.11648/j.ijgg.20210901.11
    AB  - Thanatophoric dysplasia (TD) is the most frequent sporadic lethal skeletal dysplasia with an incidence about 1 in 17.000–50.000 births. Diagnosis of TD can made at prenatal period by ultrasound and immediately after birth based on clinical examination, radiologic studies, histopathology and molecular analysis. Thanatophoric dysplasia is subdivided in two dinstinct phenotypes: 1) Thanatophoric dysplasia type 1 (TD1) is characterized by curved ‘‘telephone receiver’’ femora and mild craniosynostosis or 2) Thanatophoric dysplasia type 2 (TD2) includes straight femora and cloverleaf skull. Girl baby was born from 44 years old female with 35th weeks of gestation (WOG) with non-consanguineous marriage. The patient looked lethargic accompanied with rapid breathing with chest indrawing. On examination the patient looked dysmorphic, large head with frontal bossing without clover leaf skull, upper and lower limbs were extremely short. Babygram showed head was large, thoracic cavity was small and narrow, the ribs were short, and “telephone receiver” like curved femora was noted. Mutational analysis confirmed a heterozygous allele p.Tyr373Cys mutation in the Fibroblast Growth Factor Receptor 3 (FGFR3) gene. The patient was diagnosed with TD1. The general condition and respiratory distress did not improve and the patient was died on the sixteenth days of hospitalization. Thanatophoric dysplasia type 1 was rare disease and lethal case. The diagnosis based on clinical examination, radiologic studies, histopathology and molecular analysis. Lethality in thanatophoric dysplasia is caused mainly by respiratory distress due to a narrow thorax.
    VL  - 9
    IS  - 1
    ER  - 

    Copy | Download

Author Information
  • Department of Child Health, Medical Faculty of Udayana University, Sanglah Hospital, Denpasar, Indonesia

  • Department of Child Health, Medical Faculty of Udayana University, Sanglah Hospital, Denpasar, Indonesia

  • Department of Child Health, Medical Faculty of Udayana University, Sanglah Hospital, Denpasar, Indonesia

  • Department of Biochemistry, Medical Faculty of Udayana University, Denpasar, Indonesia

  • Department of Radiology, Medical Faculty of Udayana University, Sanglah Hospital, Denpasar, Indonesia

  • Sections