Abstract
Maternal mirror syndrome or Ballantyne syndrome is a rare consequence of severe fetal hydrops of either immune or non-immune etiology. True incidence of mirror syndrome is unknown as very few cases are described in the literature1. It is characterized by fetal or placental hydrops with maternal oedema, mild hypertension, albuminuria, aneamia, ascites & pleural / pericardial effusion. It was first described by John W Ballantyne in 1892, thus acquiring its name. It is also called mirror syndrome since the maternal condition mirrors the fetal pathology.
Highlights
Maternal mirror syndrome or Ballantyne syndrome is a rare consequence of severe fetal hydrops of either immune or non-immune etiology
We report a case of mirror syndrome following a trisomic fetus to highlight importance of considering this in the diagnostic work up of a patient with significant oedema during pregnancy
Mirror syndrome is often associated with severe fetal hydrops
Summary
Maternal mirror syndrome or Ballantyne syndrome is a rare consequence of severe fetal hydrops of either immune or non-immune etiology. True incidence of mirror syndrome is unknown as very few cases are described in the literature[1]. It is characterized by fetal or placental hydrops with maternal oedema, mild hypertension, albuminuria, aneamia, ascites & pleural / pericardial effusion. It was first described by John W Ballantyne in 1892, acquiring its name. It is called mirror syndrome since the maternal condition mirrors the fetal pathology. There are case reports of improvement in maternal condition with successful treatment of fetal hydrops. We report a case of mirror syndrome following a trisomic fetus to highlight importance of considering this in the diagnostic work up of a patient with significant oedema during pregnancy
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