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Background: X-linked recessive chondrodysplasia punctata 1 (CDPX1) is a rare congenital skeletal dysplasia characterized by stippled epiphyses, nasal hypoplasia, and brachytelephalangy. ARSL (formerly known as ARSE), a member of the sulfatase gene family located on Xp22.3, has been identified as the causative gene for CDPX1.

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Chondrodysplasia Punctata: A Case Report of Fetal Warfarin Syndrome.

J Nepal Health Res Counc

January 2017

Department of Radiology and Imaging, Tribhuvan University Teaching Hospital, Kathmandu, Nepal.

Chondrodysplasia punctata is abnormal calcification in the cartilage of developing bones and has been seen in association with deranged vitamin K metabolism. Warfarin, an oral anticoagulant acting on vitamin K dependent clotting factors is known to cause chondrodysplasia punctata. Despite the knowledge of the condition the management of patients with prosthetic heart valves might require use of the drug for anticoagulation.

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Article Synopsis
  • Conradi-Hünermann-Happle syndrome (CDPX2) is a rare X-linked dominant skeletal disorder predominantly affecting females, with severe cases being extremely rare and usually lethal in males.
  • A study focused on 9 female fetuses with EBP mutations revealed key ultrasound findings such as bone abnormalities and irregular spinal structure, with a mean diagnosis age of 22 weeks in gestation.
  • The results emphasize that prenatal detection of specific skeletal abnormalities can indicate the possibility of CDPX2, as most cases arise from new mutations rather than inherited ones.
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Fetotoxicity of warfarin anticoagulation.

Arch Gynecol Obstet

September 2010

Department of Pediatrics, UCMS and GTB Hospital, Dilshad Garden, Delhi, India.

Introduction: Fetal warfarin syndrome (warfarin embryopathy) is a consequence of maternal ingestion of warfarin during pregnancy. Warfarin fetotoxicity comprises wide range of manifestations including dysmorphology in neonate with characteristic classical features of nasal hypoplasia and stippling of epiphyses.

Materials And Methods: Here we present a case of a neonate whose mother was on unsupervised warfarin prophylaxis throughout pregnancy.

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