By Arnold Rudolph MD
Colour atlas of neonatology. quantity considered one of a 5 quantity set masking an entire variety of dermatologic, cardiac, pulmonary, gastrointestinal, genitourinary, neurologic, and musculoskeletal issues, genetics, and syndromes.
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Extra info for Atlas of the Newborn, Volume 1 - Volume5
Note that there are fused vertebral columns with some separation at the lower thorax and upper abdomen and that there is dibrachus. 58. Asymmetric ischiopagus conjoined twins. Note that the twin on the right of the figure, which is attached at the ischia, is an anencephalic parasite with a partial thorax and abdomen and two upper and two lower extremities. The “normal” twin on the left of the figure had gastroschisis, imperforate anus, and rectovaginal fistula. There were two bladders, two kidneys, and two uteri present.
It is sometimes referred to as the TRAP (twin-reversed-arterial-perfusion) sequence. 30. A close-up of the abdomen of the same infant shows an omphalocele; there was also hydrops, pulmonary agenesis, and polyhydramnios. Acardiac anomalies include three groups: acephalus in 60 to 75% of cases, amorphus in 20% of cases, and a well-formed head and body in 10% of cases. 31. 30. Note the large cord of the “normal” infant which had three vessels and the small cord of the infant with acardius acephalus which had two vessels.
Close-up of the face of the same infant. Note the marked hirsutism, low hairline, low nasal bridge with a short upturned nose (“pug” nose), and long philtrum. 10. Hypertrichosis in another infant with the fetal hydantoin syndrome. Mother was treated throughout pregnancy with hydantoin. The risk of fetal hydantoin syndrome in infants of treated mothers is about 10%. 11. Gum hypertrophy in an infant with the fetal hydantoin syndrome. Many other findings have been reported in infants with fetal hydantoin syndrome, including widely spaced nipples, rib anomalies, abnormal palmar creases, pilonidal sinus, and congenital heart disease.