FETAL HYDANTOIN SYNDROME

Yıl 2012, Cilt: 6 Sayı: 2, 106 - 110, 01.08.2012

Fatih Hilmi Çetin Ebru Arhan Ayşegül Neşe Kurt Şebnem Soysal Tuğba Hirfanoğlu Ayşe Serdaroğlu

Öz

An association between hydantoin taken during pregnancy and congenital abnormalities was defined as “fetal hydantoin syndrome”(FHS). Associated minor congenital abnormalities include digit and nail hypoplasia, developmental delay, typical facial appearance, rib anomalies, abnormal palmar creases, hirsutism, and low hairlines. Serious defects such as cardiovascular malformations, cleft lip or palate, and inguinal hernia may also be associated with this syndrome. In this case report, a 13-month-old girl with fetal hydantoin syndrome whose mother had received phenytoin throughout pregnancy has been presented. Her physical examination revealed global developmental delay, craniofacial dysmorphism, and pes equino varus. The patient did not have the cardiovascular malformations associated with FHS.The aim of this case report is to promote awareness among pediatricians regarding the importance of recognizing FHS in infants with congenital abnormalities

Anahtar Kelimeler

Anticonvulsants, infant

Fetal Hidantoin Sendromu

Öz

Gebelikte hidantoin kullanımı ve konjenital anomali birlikteliği “ Fetal hidantoin sendromu” olarak tanımlanmıştır. Eşlik eden minör konjenital anomaliler; parmak ve tırnak hipoplazisi, büyüme geriliği, tipik yüz görünümü, kosta anomalileri, anormal palmar çizgiler, hirşutizm ve saç çizgisinde düşüklük olabilir. Kardiyovasküler malformasyonlar, yarık damak veya dudak ve inguinal herni bu sendromla ilişkili olabilir.Bu olgu takdiminde annesi gebeliği süresince hidantoin kullanmış, 13 aylık fetal hidantoin sendromlu bir kız hasta sunulmaktadır. Hastanın fizik muayene bulguları; genel gelişme geriliği, kraniyofasiyal dismorfizm ve pes ekino varusu içermekteydi. Olgunun sendrom ile ilişkili bir bulgu olan kardiyovasküler anomalisi yoktu.Bu olgu sunumu ile, pediatri uzmanlarının konjenital anomalili bebeklerde fetal hidantoin sendromunu akla getirmesi gerektiğini vurgulamayı amaçladık.

Anahtar Kelimeler

Antikonvülzanlar, bebek

Kaynakça

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