Article ; Online: Bilateral oblique facial clefts and extremity anomaly in an infant after intrauterine efavirenz exposure and review of its teratogenic risk.
2012 Volume 26, Issue 14, Page(s) 1775–1779
Abstract: Objective: Congenital anomalies may be caused by genetic or environmental factors or a combination of both. Oblique facial clefts are very rare congenital deformities. The occurrence of facial clefts and an extremity anomaly suggests a common underlying ...
Abstract | Objective: Congenital anomalies may be caused by genetic or environmental factors or a combination of both. Oblique facial clefts are very rare congenital deformities. The occurrence of facial clefts and an extremity anomaly suggests a common underlying cause. Lateral oro-ocular clefts do not occur along normal developmental planes and may be part of the amnion disruption complex sequence. Our objective was to report a case of this very event, which also followed an unusual intrauterine exposure and review the literature on the teratogenic risk of efavirenz. Study design: We report a case of amniotic rupture sequence after fetal HIV and antiretroviral exposure. Result: Teratogenic exposure has been rarely reported and never after antiretroviral exposure. Conclusion: By reporting and registering more cases, we will be able to better assess the risks such medications pose to the developing fetus. The publication of a single case report has the potential to contribute to our knowledge of the significance of prenatal exposure to antiretrovirals and other medications for common HIV-associated disorders. It also generates a hypothesis that can be tested with further clinical data, animal models and epidemiologic studies. |
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MeSH term(s) | Abnormalities, Drug-Induced/diagnostic imaging ; Abnormalities, Drug-Induced/etiology ; Abnormalities, Drug-Induced/surgery ; Acquired Immunodeficiency Syndrome/drug therapy ; Adult ; Anti-HIV Agents/administration & dosage ; Anti-HIV Agents/adverse effects ; Benzoxazines/administration & dosage ; Benzoxazines/adverse effects ; Child of Impaired Parents ; Cleft Palate/chemically induced ; Cleft Palate/diagnostic imaging ; Cleft Palate/surgery ; Craniofacial Dysostosis/chemically induced ; Craniofacial Dysostosis/diagnostic imaging ; Craniofacial Dysostosis/surgery ; Eye Abnormalities/chemically induced ; Eye Abnormalities/diagnostic imaging ; Eye Abnormalities/surgery ; Female ; Humans ; Imaging, Three-Dimensional ; Infant ; Infant, Newborn ; Maxillofacial Abnormalities/chemically induced ; Maxillofacial Abnormalities/diagnostic imaging ; Maxillofacial Abnormalities/surgery ; Pregnancy ; Prenatal Exposure Delayed Effects ; Radiography ; Teratogens |
Chemical Substances | Anti-HIV Agents ; Benzoxazines ; Teratogens ; efavirenz (JE6H2O27P8) |
Language | English |
Publishing date | 2012-09-10 |
Publishing country | England |
Document type | Case Reports ; Journal Article ; Review |
ZDB-ID | 639076-6 |
ISSN | 1473-5571 ; 0269-9370 ; 1350-2840 |
ISSN (online) | 1473-5571 |
ISSN | 0269-9370 ; 1350-2840 |
DOI | 10.1097/QAD.0b013e328356467a |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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