Needle puncture scars from midtrimester amniocentesis

Raimer, S.

doi:10.1001/archderm.120.10.1360

Cited by 15 publications

(4 citation statements)

References 17 publications

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“…Skin puncture has been noted in up to 5.5% of amniocentesis procedures (Karp and Hayden 1977, Verjaal et al 1981, Finegan et al 1985. Babies who have undergone intrauterine procedures such as blood transfusion or muscle biopsy may not show skin scarring at birth, this appearing some Case Report 557 (Bruce et al 1984, Raimer and Raimer 1984, Naylor et al 1990, Benzie et al 1994. Skin dimpling or scarring on the scalp should raise the possibility of needle penetration of the skull.…”

Section: Discussionmentioning

confidence: 99%

Five cases of brain injury following amniocentesis in mid‐term pregnancy

Squier¹,

Chamberlain

Zaiwalla³

et al. 2000

Develop Med Child Neuro

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This paper describes the neuroimaging and neuropathological findings in five cases of severe brain damage after traumatic mid‐trimester amniocentesis, all performed between 1986 and 1994. Although fetal injury after amniocentesis has been reported, reports of brain injury are infrequent. Continuous ultrasound monitoring may reduce the risk of fetal injury but follow‐up ultrasound scans can be falsely reassuring. Withdrawal of blood‐stained fluid, particularly if it contains tissue fragments, should alert the operator to the possibility of fetal damage. Histological examination of such tissue fragments may confirm the nature of the fetal damage. The consequences of fetal brain injury are severe, all five of our cases showed evidence of disruption of brain development compatible with mid‐term injury. Obstetricians and their patients should be aware of the small but significant risk of brain damage after mid‐term amniocentesis.

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Section: Discussionmentioning

confidence: 99%

Five cases of brain injury following amniocentesis in mid‐term pregnancy

Squier¹,

Chamberlain

Zaiwalla³

et al. 2000

Develop Med Child Neuro

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“…Dimplelike scars are not uncommon after amniocentesis. This procedure is usually performed in the second trimester, and the estimated rate of secondary skin scarring is 1% to 3% (16,17). The lesions are 2-to 5-mm, dimplelike depressions, although linear scars may be seen less commonly.…”

Section: Discussionmentioning

confidence: 99%

“…They may be single or multiple, and usually are present on extremities but may be anywhere. Amniocentesis in the third trimester, a time wheti the fetus is a much larger target for accidental puncture, is performed most often to manage isoimmunization or to evaluate fetal maturity (16). The frequency of scarring from the procedure performed at this time is unknown.…”

Section: Discussionmentioning

confidence: 99%

Bilateral Skin Dimples on the Shoulders

Spencer

Schneiderman

Grossman

1993

Pediatric Dermatology

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Cutaneous depressions, commonly known as dimples, are uncommon in locations other than the face. An infant had deep dimple-like depressions near the acromion bilaterally. This most likely represents benign autosomal acromial dimples, a rarely reported autosomal dominant condition. Other causes of dimples include a variety of congenital malformation syndromes, and infectious, metabolic, and traumatic etiologies. Awareness of the etiology and significance of skin dimples is helpful to the clinician when confronted with this unusual finding.

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“…On the other hand, amniocentesis has been associated with a risk of skin dimpling. [17][18][19] Other risks of both procedures include cramping, vaginal bleeding, infection, and amniotic fluid leakage. 14…”

Section: Prenatal Diagnosismentioning

confidence: 99%

Prenatal diagnosis of genodermatoses: current scope and future capabilities

2010

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The genodermatoses encompass a range of inheritable skin diseases that may be associated with significant mortality and long-term morbidity. In the past, options for prenatal diagnosis of these diseases were limited to fetal skin biopsy. As a result of recent leaps made in genetics and molecular biology, DNA-based prenatal diagnosis is now available for an increasing number of genodermatoses, and newer non-invasive methods are being developed that have the potential for tremendous future impact in dermatology. Dermatologists caring for patients with genodermatoses should be aware of the options for screening and prenatal testing and partake in a multi-disciplinary approach to patient care.

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Needle puncture scars from midtrimester amniocentesis

Cited by 15 publications

References 17 publications

Five cases of brain injury following amniocentesis in mid‐term pregnancy

Five cases of brain injury following amniocentesis in mid‐term pregnancy

Bilateral Skin Dimples on the Shoulders

Prenatal diagnosis of genodermatoses: current scope and future capabilities

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