Document Detail


Holoprosencephaly as a possible embryonic alcohol effect.
MedLine Citation:
PMID:  1897567     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Three mothers of infants with holoprosencephaly consumed alcohol heavily in pregnancy. We postulate that early alcohol exposure is a possible cause of their malformation. The 3 mothers consumed alcohol only in the first trimester but the first mother continued to take chlordiazepoxide and imipramine throughout the pregnancy. Her infant had an alobar holoprosencephaly associated with a median cleft lip, ocular hypotelorism, and a flat nose. The other infants had semilobar holoprosencephaly and hydrocephalus. These latter 2 infants did not show the characteristic facies of the fetal alcohol syndrome. G-band chromosome studies were normal in all 3 infants. The association of holoprosencephaly with alcohol exposure during pregnancy in humans has been mentioned only briefly, although this malformation has been induced by alcohol in animals. These 3 infants may support the hypothesis that acute or subacute heavy alcohol exposure early in pregnancy could lead to holoprosencephaly without the necessity of a chronic alcohol exposure and without necessarily causing the typical facial findings of the fetal alcohol syndrome.
Authors:
G M Ronen; W L Andrews
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of medical genetics     Volume:  40     ISSN:  0148-7299     ISO Abbreviation:  Am. J. Med. Genet.     Publication Date:  1991 Aug 
Date Detail:
Created Date:  1991-10-24     Completed Date:  1991-10-24     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7708900     Medline TA:  Am J Med Genet     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  151-4     Citation Subset:  IM    
Affiliation:
Department of Pediatrics, Memorial University of Newfoundland, St. John's, Canada.
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MeSH Terms
Descriptor/Qualifier:
Abnormalities, Drug-Induced*
Alcohol Drinking / adverse effects*
Chlordiazepoxide / therapeutic use
Female
Holoprosencephaly / chemically induced*,  ultrasonography
Humans
Imipramine / therapeutic use
Maternal-Fetal Exchange
Pregnancy
Smoking
Chemical
Reg. No./Substance:
50-49-7/Imipramine; 58-25-3/Chlordiazepoxide

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


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