International Case Reports Journal | Volume 1, Issue 1 | Case Report | Open Access

Rare Occurrence of Arthrogryposis Multiplex Congenita in a 26-Year-Old Pregnant Female: A Case Report and Review of Literature

Khurram Khaliq Bhinder1 , Azza Sarfraz* 2 , Shaista Riaz3 , Fizza Zubair4 , Ameena5 , Zainab Malik1 , Afaf Arif6 , Zouina Sarfraz7*

1.Shifa International Hospital, Islamabad, Pakistan 2. Aga Khan University, Karachi, Pakistan 3. McGill University, Montreal, Canada 4. Ameerudin Medical College, Lahore, Pakistan 5. Lahore General Hospital, Lahore, Pakistan 6. Ittefaq Hospital, Lahore, Pakistan 7. Fatima Jinnah Medical University, Lahore, Pakistan

*Correspondence to: Khurram Khaliq Bhinder1 , Azza Sarfraz* 2 , Shaista Riaz3 , Fizza Zubair4 , Ameena5 , Zainab Malik1 , Afaf Arif6 , Zouina Sarfraz7 

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Abstract

Arthrogryposis Multiplex Congenita (AMC) refers to the development of multiple joint contractures affecting two or more areas of the body, prenatally. AMC is commonly termed as congenital multiple ar throgryposis, fibrous ankylosis of multiple joints, myodystrophia fetalis deformans, otto syndrome, and rossi syndrome. Due to the permanently fixed joint position, contractures may be associated, ultimately leading to muscular atrophy. Essentially, the severity of the disease is based on the number of joints involved. We report a case of a 26-year-old woman who visited a tertiary care hospital in Pakistan for routine antenatal scans. Pulmonary hypoplasia was noted with narrowing of the chest cavity. No movement with reduced muscle mass was seen in all the limbs. The hip joint was fixed and flexed in position whereas the knee joints were in an extended position. All presenting features were sug gestive of AMC. Keeping in mind the patient’s history, an infectious disease etiology and the concomitant use of category C drugs in addition to genetic non-syndromic associations appear to be the causative in negative gynecological outcomes.

Keywords:

Arthrogryposis Multiplex Congenita; Otto syndrome; Congenital multiple arthrogryposis; Case report; Pakistan

Citation:

Bhinder KK, Sarfraz A, Riaz S, Zubair F, Ameena, Malik Z, Arif A, Sarfraz Z. Rare Occurrence of Arthrogryposis Multiplex Congenita in a 26-Year-Old Pregnant Female: A Case Report and Review of Literature. Int Case Rep Jour. 2021;1(1):1-4. doi: 10.5281/zenodo.4782240