Document Detail


Association of high-dose bifonazole administration during early pregnancy and severe limb reduction defects in the newborn.
MedLine Citation:
PMID:  20014436     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Neonatal limb reduction defects may be caused by exposure to an external agent. The azole derivatives are used in the treatment of systemic and dermal mycoses. Their relative teratogenic risk is still controversial. CASES: We describe two newborns with severe limb defects who were exposed to high doses of oral (an unacceptable route) and/or intravaginal bifonazole during the entire first trimester of pregnancy. CONCLUSION: Although only two cases are insufficient to establish a relationship, our data suggest that maternal intake of bifonazole in early pregnancy poses a risk of morphogenic malformations. The literature suggests several possible mechanisms.
Authors:
Nehama Linder; Mandola Amarilla; Adriana Hernandez; Tsippy Tamiri; Lea Sirota; Gil Klinger; Itzhak Levy; Paul Merlob
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Birth defects research. Part A, Clinical and molecular teratology     Volume:  88     ISSN:  1542-0760     ISO Abbreviation:  Birth Defects Res. Part A Clin. Mol. Teratol.     Publication Date:  2010 Mar 
Date Detail:
Created Date:  2010-03-15     Completed Date:  2010-06-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101155107     Medline TA:  Birth Defects Res A Clin Mol Teratol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  201-4     Citation Subset:  IM    
Copyright Information:
Copyright 2009 Wiley-Liss, Inc.
Affiliation:
Department of Neonatology, Rabin Medical Center, Petach Tikva, Israel. linderm@ netvision.net.il
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MeSH Terms
Descriptor/Qualifier:
Abnormalities, Drug-Induced*
Abnormalities, Multiple / etiology*,  pathology
Antifungal Agents / administration & dosage,  adverse effects*
Female
Humans
Imidazoles / administration & dosage,  adverse effects*
Infant, Newborn
Limb Deformities, Congenital / chemically induced*,  pathology
Male
Maternal Exposure / adverse effects*
Risk Factors
Chemical
Reg. No./Substance:
0/Antifungal Agents; 0/Imidazoles; 60628-96-8/bifonazole

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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