Document Detail


Fetal alcohol spectrum disorders in young adulthood.
MedLine Citation:
PMID:  17236896     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To test the hypothesis that fetal alcohol syndrome (FAS), with the full phenotype, and fetal alcohol effect (FAE), with some but not all of the features, can be combined under the umbrella term fetal alcohol spectrum disorders (FASD). STUDY DESIGN: We investigated the long-term sequelae of intrauterine alcohol exposure using physical examination, psychosocial interviews, and a behavioral checklist in a 20-year follow-up study of 37 patients with FASD originally diagnosed as having FAS or FAE in infancy and childhood. RESULTS: Although the characteristic craniofacial malformations of FAS/FAE diminish over time, microcephaly, a poorly developed philtrum and a thin upper lip, and, to a lesser degree, short stature and underweight (in boys) persist. In females, adult body weight increases. Persistent mental handicaps, including intellectual disability, limited occupational options, and dependent living, are the major sequelae, and the scores for various behavioral problems are significantly increased. CONCLUSIONS: The devastating effects of intrauterine exposure to alcohol persist into early adulthood and severely limit careers and independent living.
Authors:
Hans-Ludwig Spohr; Judith Willms; Hans-Christoph Steinhausen
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of pediatrics     Volume:  150     ISSN:  1097-6833     ISO Abbreviation:  J. Pediatr.     Publication Date:  2007 Feb 
Date Detail:
Created Date:  2007-01-22     Completed Date:  2007-02-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0375410     Medline TA:  J Pediatr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  175-9, 179.e1     Citation Subset:  AIM; IM    
Affiliation:
Department of Pediatrics, Hospital of the German Red Cross, Berlin, Germany. h.spohr@drk-kliniken-westend.de
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Age Distribution
Body Mass Index
Child
Cohort Studies
Developmental Disabilities / diagnosis*,  epidemiology*
Female
Fetal Alcohol Syndrome / diagnosis*,  epidemiology*
Humans
Incidence
Male
Pregnancy
Prenatal Exposure Delayed Effects
Probability
Prognosis
Risk Assessment
Severity of Illness Index
Sex Distribution

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


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