Prenatal diagnosis and management of Milroy syndrome: a case report

Author:

Fasoulakis Zacharias1ORCID,Chatziioannou Marianna1,Koutras Antonios1,Theodora Marianna1ORCID,Pegkou Afroditi1,Pampanos Andreas2,Daskalakis George1,Antsaklis Panagiotis1ORCID

Affiliation:

1. 1st Department of Obstetrics and Gynecology , National and Kapodistrian University of Athens , Athens , Greece

2. Department of Genetics , “General Hospital Alexandra” , Athens , Greece

Abstract

Abstract Objectives Milroy syndrome is a rare hereditary disorder characterized by congenital lymphedema, caused by mutations in the vascular endothelial growth factor receptor 3 (VEGFR3) gene. Case presentation We present a case report of a first-described mutation of a male fetus diagnosed prenatally with Milroy syndrome through amniocentesis. The fetus had bilateral lower limb edema, and genetic testing confirmed the diagnosis of Milroy syndrome. The patient was closely monitored throughout the pregnancy, and after delivery, the infant was managed with appropriate therapies, including compression garments and manual lymphatic drainage. The parents were provided with appropriate counseling and support. Conclusions This case highlights the significance of early detection and appropriate management of Milroy syndrome, which can lead to improved outcomes for affected infants.

Publisher

Walter de Gruyter GmbH

Subject

Obstetrics and Gynecology,Embryology,Pediatrics, Perinatology and Child Health

Reference23 articles.

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2. Queisser, A, Seront, E, Boon, LM, Vikkula, M. Genetic basis and therapies for vascular anomalies. Circ Res 2021;129:155–73. https://doi.org/10.1161/circresaha.121.318145.

3. Smeltzer, DM, Stickler, GB, Schirger, A. Primary lymphedema in children and adolescents: a follow-up study and review. Pediatrics 1985;76:206–18.

4. Rockson, SG. Lymphedema. Am J Med 2001;110:288–95. https://doi.org/10.1016/s0002-9343(00)00727-0.

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