Choanal atresia associated with prenatal methimazole exposure: Three new patients

被引:30
作者
Barbero, P
Ricagni, C
Mercado, G
Bronberg, R
Torrado, M
机构
[1] Ctr Nacl Genet Med, RA-1725 Buenos Aires, DF, Argentina
[2] Hosp Garrahan, Serv Genet, Buenos Aires, DF, Argentina
关键词
methimazole; embryopathy; choanal atresia; teratology;
D O I
10.1002/ajmg.a.20668
中图分类号
Q3 [遗传学];
学科分类号
071007 ; 090102 ;
摘要
We report three patients with bilateral choanal atresia in children prenatally exposed to methimazole (MMI) in order to define a MMI embryopathy clinical pattern. The combination of choanal atresia and other specific malformations strongly resembles previously reported patients exposed to MMI in utero. At present, propylthiouracil is considered the best treatment in pregnancies. However in Argentina and some other countries MMI is the only antithyroid drug, possibly posing a significant risk to the unborn fetus. (C) 2004 Wiley-Liss, Inc.
引用
收藏
页码:83 / 86
页数:4
相关论文
共 21 条
[1]   Choanal atresia: The result of maternal thyrotoxicosis or fetal carbimazole? [J].
Barwell, J ;
Fox, GF ;
Round, J ;
Berg, J .
AMERICAN JOURNAL OF MEDICAL GENETICS, 2002, 111 (01) :55-56
[2]  
Clementi M, 1999, AM J MED GENET, V83, P43
[3]   Adverse effects of prenatal methimazole exposure [J].
Di Gianantonio, E ;
Schaefer, C ;
Mastroiacovo, PP ;
Cournot, MP ;
Benedicenti, F ;
Reuvers, M ;
Occupati, B ;
Robert, E ;
Bellemin, B ;
Addis, A ;
Arnon, J ;
Clementi, M .
TERATOLOGY, 2001, 64 (05) :262-266
[4]   Teratogen update: Antithyroid drugs - Methimazole, carbimazole, and propylthiouracil [J].
Diav-Citrin, O ;
Ornoy, A .
TERATOLOGY, 2002, 65 (01) :38-44
[5]   CHOANAL ATRESIA AND ATHELIA - METHIMAZOLE TERATOGENICITY OR A NEW SYNDROME - BRIEF CLINICAL REPORT [J].
GREENBERG, F .
AMERICAN JOURNAL OF MEDICAL GENETICS, 1987, 28 (04) :931-934
[6]  
Hall BD, 1997, AM J HUM GENET, V61, pA100
[7]   Epidemiology of choanal atresia with special reference to the CHARGE association [J].
Harris, J ;
Robert, E ;
Kallen, B .
PEDIATRICS, 1997, 99 (03) :363-367
[8]   Severe malformations in infant born to hyperthyroid woman on methimazole [J].
Johnsson, E ;
Larsson, G ;
Ljunggren, M .
LANCET, 1997, 350 (9090) :1520-1520
[9]   Severe embryopathy and exposure to methimazole in early pregnancy [J].
Karlsson, FA ;
Axelsson, O ;
Melhus, H .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 2002, 87 (02) :947-948
[10]   MATERNAL AND PERINATAL OUTCOME IN THYROTOXICOSIS COMPLICATING PREGNANCY [J].
KRIPLANI, A ;
BUCKSHEE, K ;
BHARGAVA, VL ;
TAKKAR, D ;
AMMINI, AC .
EUROPEAN JOURNAL OF OBSTETRICS GYNECOLOGY AND REPRODUCTIVE BIOLOGY, 1994, 54 (03) :159-163