Persistently elevated AFP and AChE in amniotic fluid from a normal fetus following demise of its twin.

Abstract:

:Intrauterine fetal demise (IUFD) in one of twins at 12 weeks of gestation was accompanied by markedly elevated maternal serum alpha-fetoprotein (AFP) at 17 and 18 weeks. Amniotic fluid AFP from the healthy surviving twin's sac at 18.5 and 23 weeks was also greatly increased along with a positive acetylcholinesterase (AChE) band. Persistently elevated AFP and positive AChE so long after fetal demise--6.5 and 11 weeks post IUFD--has not, to our knowledge, been previously described. In similar cases, high level ultrasound and careful placental examination at birth should be utilized to search for fetal abnormalities or multiple pregnancy with IUFD.

journal_name

Prenat Diagn

journal_title

Prenatal diagnosis

authors

Bass HN,Oliver JB,Srinivasan M,Petrucha R,Ng W,Lee JE

doi

10.1002/pd.1970060105

subject

Has Abstract

pub_date

1986-01-01 00:00:00

pages

33-5

issue

1

eissn

0197-3851

issn

1097-0223

journal_volume

6

pub_type

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