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001-es BibID:	BIBFORM028044
Első szerző:	Török Olga (szülész-nőgyógyász, humángenetikus)
Cím:	Molecular diagnostic challenges and complex management of consecutive twin pregnancies in a family with CD40 ligand deficiency / Olga Török, Beáta Tóth, Melinda Erdős, Gabriella Csorba, Edit Gyimesi, István Balogh, Zoltán Tóth, László Maródi
Dátum:	2012
Megjegyzések:	X-linked hyper-IgM syndrome (XHIGM) is a primary immunodeficiency disorder caused by mutation in the gene encoding the CD40 ligand (CD40L) expressed on activated T cells. Prenatal genotyping in carriers with twin pregnancies is more challenging than in women with single pregnancies. In addition, women with twin pregnancies may decide on selective termination for which the risk of loss of the healthy fetus may exceed 7%. We report here on a family affected by XHIGM. Diagnosis of the disease was made in a male patient as late as 33 years of age. After family screening the sister of the proband conceived male twins in 2 consecutive pregnancies. In the first pregnancy, one of the male fetuses was hemizygous for the c.521A>G (Q174R) mutation in the CD40L gene. In the second pregnancy, ultrasound scan showed one fetus to have exencephaly and karyotyping revealed this fetus to have trisomy 18. Several options were discussed, but the parents decided on selective termination in both pregnancies. The interventions were successful in both cases and the mother now has two healthy sons. This report demonstrates the way in which advanced technologies in molecular medicine and obstetric interventions may assist families with decisions about possible selective termination in cases of life-threatening molecular or chromosomal disorders. The diagnosis of CD40L deficiency at the age of 33 year in the proband was striking and indicated that PIDs are still neglected as disease entities in the evaluation of patients with recurrent severe infectious diseases.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban egyetemen (Magyarországon) készült közlemény
Megjelenés:	Scandinavian journal of immunology. - 75 : 2 (2012), p. 227-230. -
További szerzők:	Lajszné Tóth Beáta (1978-) (molekuláris biológus) Erdős Melinda (1975-) (infektológus, gyermekimmunológus) Csorba Gabriella Éva (1978-) (gyermekgyógyász) Gyimesi Edit (1957-) (klinikai biokémikus, vegyész) Balogh István (1972-) (molekuláris biológus, genetikus) Tóth Zoltán (1948-) (szülész-nőgyógyász, humángenetikus) Maródi László (1949-) (gyermekgyógyász infektológus, immunológus)
Pályázati támogatás:	TÁMOP-4.2.1/B-09/1/KONV-2010-0007 TÁMOP Az apoptózis molekuláris mechanizmusa TÁMOP-4.2.2/08/1/2008-0015 TÁMOP
Internet cím:	Intézményi repozitóriumban (DEA) tárolt változat DOI
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