Fetal alcohol syndrome and pyloric stenosis: alcohol induced or an association?
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Abhay Kumar Lodha
Abstract
We report a newborn with fetal alcohol syndrome with severe feeding intolerance and failure to thrive due to pyloric stenosis. This illustrates the importance of early recognition of pyloric stenosis in fetal alcohol syndrome to improve nutrition and growth. We speculate that pyloric stenosis in neonates results from the absence or immaturity of intrinsic nitric oxide synthase-containing neurons in the pyloric muscle in children of alcohol-addicted mothers.
References
1 American Academy of Pediatrics: Committee on substance abuse and committee on children with disabilities. Fetal alcohol syndrome and alcohol-related neurodevelopmental disorders. Pediatrics106(2) (2000) 358Search in Google Scholar
2 Carty H, D Shaw, F Brunelle, B Kendall: Imaging Children. Vol I. Churchill Livingstone, London 1994Search in Google Scholar
3 Dehaene P: Fetal alcohol syndrome and pyloric stenosis. Arch Pediatr6(1) (1999) 106Search in Google Scholar
4 Jain L: Maternal substance abuse. Indian J Pediatr65(2) (1998) 283Search in Google Scholar
5 Mangyanda MK, C Mbuila, L Geniez, A Personne, P Boize, EH Gasmi, P Hayat: Fetal alcohol syndrome and hypertrophic pyloric stenosis in two brothers. Arch Pediatr5(6) (1998) 695Search in Google Scholar
6 Rudolph AM, JIE Hoffman, CD Rudolph: Rudolph's Pediatrics. Appleton & Lange Stamford, CT 1999Search in Google Scholar
7 Sy ED, YS Shan, CH Lin, PW Lin: Immature intrinsic nerve innervations of pyloric stenosis in idiopathic hypertrophic pyloric stenosis. J Formos Med Assoc103 (2004) 558Search in Google Scholar
8 Thackray HM, C Tift: Fetal alcohol syndrome. Pediatr Rev22 (2001) 47Search in Google Scholar
© by Walter de Gruyter Berlin New York
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Articles in the same Issue
- Pregnancy outcome of euploid fetuses with increased nuchal translucency: how bad is the news?
- Cerebral edema on MRI in severe preeclamptic women developing eclampsia
- Smoking during pregnancy and bulimia nervosa in offspring
- Stimulation of hCG protein and mRNA in first trimester villous cytotrophoblast cells in vitro by glycodelin A
- Umbilical artery Doppler and umbilical cord pH at birth in small-for-gestational-age fetuses: valid estimate of their relationship
- Hemodynamics of the renal artery and descending aorta in fetuses with renal disease using color Doppler ultrasound – longitudinal comparison to normal fetuses
- Echocardiographic measurements in infants of diabetic mothers and macrosomic infants of nondiabetic mothers
- Obstetric and neonatal outcomes in apparently isolated mild fetal ventriculomegaly
- Visual analysis of antepartum fetal heart rate tracings: inter- and intra-observer agreement and impact of knowledge of neonatal outcome
- Multiple positive results during a neonatal screening program: a retrospective analysis of incidence, clinical implications and outcomes
- Thrombocytopoiesis in healthy term newborns
- Infected neonatal cephalohematomas caused by anaerobic bacteria
- Endothelin-1 concentrations in cord blood of neonates with meconium-stained amniotic fluid
- Fetal alcohol syndrome and pyloric stenosis: alcohol induced or an association?
- Course of pregnancy and birth in a patient with Bernard-Soulier syndrome – a case report
