RT Journal Article T1 Prenatal Diagnosis of Peters-Plus Syndrome: A Case Report A1 Fortún-Agud, Marina A1 Monís-Rodríguez, Susana A1 Narbona-Arias, Isidoro A1 Andérica-Herrero, José Ramón A1 Gómez-Muñoz, Cristina A1 Blasco-Alonso, Marta A1 Jiménez-López, Jesús Salvador K1 Diagnóstico prenatal K1 Obstetricia AB Peters-Plus syndrome is a rare autosomal recessive disorder caused by biallelic pathogenicvariants in the B3GLCT gene and characterized by multisystem involvement. Fewer than100 cases have been reported to date, and only a limited number have been diagnosedprenatally. Prenatal identification is challenging due to the variable and non-specific natureof fetal findings and the frequent absence of detectable ocular anomalies during routineultrasound. We report a prenatal diagnosis of Peters-Plus syndrome in a monochorionic diamniotictwin pregnancy, based on the progressive identification of early-onset intrauterinegrowth restriction, rhizomelic limb shortening, craniofacial dysmorphism, and mild centralnervous system abnormalities. Standard cytogenetic and chromosomal microarray analyseswere normal, prompting extended genetic testing. Prenatal exome sequencing identifieda homozygous pathogenic splice-site variant (c.660+1G>A) in B3GLCT in both fetuses,confirming the diagnosis. This case highlights the importance of recognizing suggestivemultisystem prenatal findings and the crucial role of advanced genetic testing in achievingan accurate prenatal diagnosis. Early molecular confirmation enables appropriate parentalcounseling regarding prognosis, recurrence risk, and future reproductive options. PB MDPI SN 2075-1729 YR 2026 FD 2026-01-08 LK https://hdl.handle.net/10630/44676 UL https://hdl.handle.net/10630/44676 LA eng NO Fortún Agud M, Monís Rodríguez S, Narbona Arias I, Andérica Herrero JR, Gómez Muñoz C, Blasco Alonso M, Jiménez López JS. Prenatal Diagnosis of Peters-Plus Syndrome: A Case Report. Life. 2026; 16(1):92. https://doi.org/10.3390/life16010092 DS RIUMA. Repositorio Institucional de la Universidad de Málaga RD 4 mar 2026