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submitted by โˆ—shak360(23)
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Tsih gaep rfom A22F00 dan rehot erscorseu wosh that naitrce lab ulavse ni aneycrngp engnscire ear gatsodciin for myiTosr .12

The syae tnigh ot meebrerm is that ni lal oumatoasl tsirsiome AP-PAP is csdee.aedr (nI osymrit 12 D,won 81 swadr,dE dna 31 auat,P PAPP or apnco-dasrgnicsteyea saampl eponirt si dea.secd)re

roF ownD roydenms lply,acesiifc rtretsimsf-teri udloruastn oymnolmc sohsw ecndiaser lhcuan stccyneanrlu and achtypplois alsan n.eob

Fllian,y ni syrtimo 21 nDwo somry,end het erkrmas aer IH ,pu as ni

  • nieaesdrc hat-ebGC t(he h in mnu)ah
  • aceesindr iiibnnh A

In oreht oi,simesrt eeths uvasel ear e.eraesdcd

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shak360  nI nodtiiad ot ,P-AAPP PFA ro eoapiaten-rolfhtp is osla desdaerec in lal fo ehset eidordsrs and so si eritlos. In cft,a ti mgthi be reisae to eemrmbre ttha ehatGbC- n(da hbninIi )A is ujts davlteee ni wDon eroySmdn and ttah ni vreey erhot eisead,s eeyrv ueavl is rasdedece sa a rihustci.e +

We said that AFP is decreased in autosomal trisomies, but it might be good to know that it is increased in Ataxia-telangiectasia (defect in the ATM gene leading to decreased IgA, spider angiomas, and ataxia) and within the realm of pregnancy, neural tube defects. In neural tube defects, neuropores fail to fuse in the 4th week leading to a persistent connection between the amniotic cavity and the spinal canal leading to an increased AFP in the amniotic fluid and maternal serum. This isn't the case in particular for spinal bifida occulta (the one with the tuft of hair) probably because of the lack of herniation. Remember that these diseases can also cause polyhydramnios (mainly anencephaly) due to the lack of a swallowing center in the brain.

+/- shak360(23)

AFP is also a tumor marker for Yolk sac tumors, mixed embryonal carcinomas (low yield), and hepatocellular carcinoma.

+/- shak360(23)


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