POTTERS SYNDROME

Potter Syndrome and Potter Phenotype refers to a group of findings associated with a lack of amniotic fluid and kidney failure in an unborn infant.

Causes


In Potters syndrome, the primary problem is kidney failure. The kidneys fail to develop properly as the baby is growing in the womb. The kidneys normally produce the amniotic fluid (as urine).

Potter Phenotype refers to a typical facial appearance that occurs in a newborn when

there is no amniotic fluid. The lack of amniotic fluid is called Oligohydramnios. Without amniotic fluid, the infant is not cushioned from the walls of the uterus. The pressure of the uterine wall leads to an unusual facial appearance, including widely separated eyes.

Potter Phenotype may also lead to abnormal limbs, or limbs that are held in abnormal positions or contractures.

Oligohydramnios also stops development of the lungs, so the lungs do not work properly at birth.

Symptoms


Widely separated eyes with epicanthal folds, broad nasal bridge, low set ears, and receding chin
Absence of urine output
Difficulty breathing


Tests 

A pregnancy ultrasound may show lack of amniotic fluid, absence of fetal kidneys, or severely abnormal kidneys in the unborn baby.

The following tests may be used to help diagnose the condition in a newborn:

X-ray of the abdomen
X-ray of the lungs

 

Treatment


Resuscitation at delivery may be attempted pending the diagnosis. Treatment will be provided for any urinary outlet obstruction.

Outlook (Prognosis)


This is a very serious condition, usually deadly. The short-term outcome depends on the severity of lung involvement. Long-term outcome depends on the severity of kidney involvement.

Prevention


There is no known prevention.

Copyright @ 2019 Charlies-Angel-Centre Foundation | All rights reserved