Facioscapulohumeral muscular dystrophy-Reproductive counseling, pregnancy, and delivery in a complex multigenetic disease

S.C.C. Vincenten*, N. Van der Stoep, A.D.C. Paulussen, K. Mul, U.A. Badrising, M. Kriek, O.W.H. Van der Heijden, B.G.M. Van Engelen, N.C. Voermans, C.E.M. De Die-Smulders, S. Lassche

*Corresponding author for this work

Research output: Contribution to journal(Systematic) Review article peer-review

Abstract

Reproductive counseling in facioscapulohumeral muscular dystrophy (FSHD) can be challenging due to the complexity of its underlying genetic mechanisms and due to incomplete penetrance of the disease. Full understanding of the genetic causes and potential inheritance patterns of both distinct FSHD types is essential: FSHD1 is an autosomal dominantly inherited repeat disorder, whereas FSHD2 is a digenic disorder. This has become even more relevant now that prenatal diagnosis and preimplantation genetic diagnosis options are available for FSHD1. Pregnancy and delivery outcomes in FSHD are usually favorable, but clinicians should be aware of the risks. We aim to provide clinicians with case-based strategies for reproductive counseling in FSHD, as well as recommendations for pregnancy and delivery.
Original languageEnglish
Pages (from-to)149-160
Number of pages12
JournalClinical Genetics
Volume101
Issue number2
Early online date1 Aug 2021
DOIs
Publication statusPublished - Feb 2022

Keywords

  • delivery
  • facioscapulohumeral muscular dystrophy
  • genetics
  • pregnancy
  • preimplantation genetic testing
  • prenatal diagnosis
  • NEUROMUSCULAR DISORDERS
  • SOMATIC MOSAICISM
  • D4Z4 REPEAT
  • FSHD
  • DIAGNOSIS
  • WOMEN
  • REARRANGEMENTS
  • PHENOTYPE
  • SMCHD1
  • REGION

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