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Correspondence
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Volume 330:1685-1687 June 9, 1994 Number 23
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Diagnosis of Smith-Lemli-Opitz Syndrome

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 by Tint, G S.
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To the Editor: Tint et al. (Jan. 13 issue)1 reported a biochemical defect in cholesterol biosynthesis that gives rise to a well-recognized dysmorphic syndrome, the Smith-Lemli-Opitz syndrome. Plasma from affected children contains a high concentration of the cholesterol precursor 7-dehydrocholesterol and a low level of cholesterol. The risk of recurrence of this autosomal recessive condition in a subsequent child is 1 in 4, and to date, prenatal ultrasound scanning has been of limited use2.

We have used biochemical testing to perform a successful prenatal diagnosis. The first child of the couple requesting the prenatal diagnosis had the Smith-Lemli-Opitz syndrome, . . . [Full Text of this Article]

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Medical Schools and Home Care
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N Engl J Med 1994; 331:1098-1099, Oct 20, 1994. Correspondence

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