子宮内胎児発育遅延を示した弾力線維性仮性黄色腫合併妊娠の1例

概要

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Pseudoxanthoma elasticum (PXE) is a rare disease that causes dermal papule due to degeneration of the elastic fibers. We report here a case of intrauterine growth retardation associated with maternal PXE. A 27-year-old primigravida woman successfully conceived after cryopreserved-embryo transfer with intracytoplasmic sperm injection. She was admitted because of intrauterine growth retardation at 34 weeks of gestation. A female neonate, weighing 1,490g, was delivered by cesarean section at 36 weeks of gestation due to late deceleration of the fetal heart beat. Placental bed biopsy specimens showed destruction of decidual spiral arteries and calcium deposition. In this case, the findings suggest that degeneration of the elastic tissue of the decidual arterial wall may have caused the intrauterine growth retardation.
社団法人日本産科婦人科学会の論文
2002-04-01