UNASSIGNED: CHARGE syndrome is a rare genetic disorder with multiple specific clinical features. The prenatal diagnosis is crucial but rarely achieved. We report a fetus with fetal external ear abnormality detected by ultrasound at 22nd week of gestation. Postnatal examination revealed an external ear abnormality, a mild atrial septal defect, and other clinical signs of CHARGE syndrome. A de novo pathogenic nonsense mutation in the CHD7 gene (c.406C > T, p.Q136X in exon 2) was identified to cause the disorder. Our study demonstrated that prenatal diagnosis and genetic testing were recommended to obtain a solid diagnosis of CHARGE syndrome when fetal external ear abnormality was detected by ultrasound examination.
■CHARGE综合征是一种罕见的遗传性疾病,具有多种特定的临床特征。产前诊断至关重要,但很少实现。我们报告了在妊娠第22周通过超声检测到的胎儿外耳异常。产后检查发现外耳异常,轻度房间隔缺损,和其他CHARGE综合征的临床症状。CHD7基因中的从头致病性无义突变(c.406.C>T,外显子2中的p.Q136X)被鉴定为导致该疾病。我们的研究表明,当超声检查发现胎儿外耳异常时,建议进行产前诊断和基因检测以获得CHARGE综合征的可靠诊断。