Subject(s)
Hypertension/physiopathology , Infant, Newborn, Diseases/etiology , Pregnancy Complications, Cardiovascular/physiopathology , Adolescent , Adult , Antihypertensive Agents/adverse effects , Congenital Abnormalities/etiology , Female , Fetal Death/etiology , Fetal Growth Retardation/etiology , Humans , Infant, Newborn , Infant, Newborn, Diseases/chemically induced , Infant, Newborn, Diseases/metabolism , Middle Aged , Pregnancy , Respiratory Distress Syndrome, Newborn/etiologySubject(s)
Electrolytes/blood , Infant, Newborn, Diseases/blood , Pregnancy in Diabetics , Adult , Calcium/blood , Chlorides/blood , Female , Humans , Infant, Newborn , Magnesium/blood , Male , Potassium/blood , Pregnancy , Sodium/bloodABSTRACT
Se estudiaron 31 recien nacidos con estigmas fisicos de fetopatia diabetica. Se siguio el comportamiento clinico ademas de un analisis de las caracteristicas bioquimicas con especial enfasis en el sodio, cloro y potasio sericos, que se encontraron en limites de normalidad. Se comenta lo aparecido en la literatura en relacion a las caracteristicas bioquimicas del recien nacido de madre diabetica (RNMD). Finalmente se concluye que las peculiaridades metabolicas del RNMD no modifican significativamente la concentracion serica de electrolitos por lo que el encontrarlos alterados obliga a la busqueda de complicaciones
Subject(s)
Infant, Newborn , Humans , Male , Female , Electrolytes , Phenotype , Pregnancy in DiabeticsABSTRACT
We present the clinical picture of a patient with the fetal hydantoin syndrome. A review was made on etiology, pathogenesis, in this syndrome and the recommended medical management for the epileptic mother during pregnancy.
Subject(s)
Abnormalities, Drug-Induced/etiology , Abnormalities, Multiple/chemically induced , Fetus/drug effects , Phenytoin/adverse effects , Drug Therapy, Combination , Ductus Arteriosus, Patent/chemically induced , Epilepsy/drug therapy , Female , Hernia, Umbilical/chemically induced , Humans , Infant, Newborn , Infant, Small for Gestational Age , Maternal-Fetal Exchange , Microcephaly/chemically induced , Phenobarbital/administration & dosage , Phenytoin/administration & dosage , PregnancyABSTRACT
Se presenta un caso de sindrome fetal hidantoinico, revisandose los factores involucrados en la aparicion del sindrome. Se enuncian las alteraciones fenotipicas en el recien nacido atribuidas a anticonvulsivos administrados a la madre durante la gestacion y se enumeran las recomendaciones para el manejo de las pacientes epilepticas durante su embaraz