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足月新生儿因母亲接触卡比马唑导致腹裂

Gastroschisis Due to Maternal Exposure to Carbimazole in A Term Neonate.

作者信息

Asfour Suzan S, Al-Mouqdad Mountasser M

机构信息

Clinical Pharmacy Department, King Saud Medical City, Riyadh, SAU.

Neonatal Intensive Care Unit, King Saud Medical City, Riyadh, SAU.

出版信息

Cureus. 2022 May 7;14(5):e24808. doi: 10.7759/cureus.24808. eCollection 2022 May.

DOI:10.7759/cureus.24808
PMID:35686264
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9170418/
Abstract

Pregnant women with hyperthyroidism need careful management, which is due to the increased risk of maternal and fetal complications. However, safe and effective therapies for hyperthyroidism during pregnancy remain limited. Carbimazole is an anti-thyroid agent and has been used to treat hyperthyroidism. Gastroschisis is a congenital severe abdominal birth defect of the fetus but its etiology remains unclear. Here, we present a case of a female term neonate who developed gastroschisis after being exposed to carbimazole in uteroduring the first and half of the second trimester.

摘要

患有甲状腺功能亢进症的孕妇需要仔细管理,这是因为母婴并发症的风险增加。然而,孕期甲状腺功能亢进症的安全有效治疗方法仍然有限。卡比马唑是一种抗甲状腺药物,一直用于治疗甲状腺功能亢进症。腹裂是胎儿先天性严重的腹部出生缺陷,但其病因尚不清楚。在此,我们报告一例足月女新生儿病例,该患儿在孕早期和孕中期前半期子宫内接触卡比马唑后发生了腹裂。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e1f/9170418/fd880e4613a3/cureus-0014-00000024808-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e1f/9170418/6ddc0fea12e4/cureus-0014-00000024808-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e1f/9170418/fd880e4613a3/cureus-0014-00000024808-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e1f/9170418/6ddc0fea12e4/cureus-0014-00000024808-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e1f/9170418/fd880e4613a3/cureus-0014-00000024808-i02.jpg

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本文引用的文献

1
Gastroschisis Following Treatment with High-Dose Methimazole in Pregnancy: A Case Report.孕期大剂量甲巯咪唑治疗后发生腹裂:1例报告
Drug Saf Case Rep. 2019 May 23;6(1):5. doi: 10.1007/s40800-019-0099-2.
2
Complexity of gastroschisis predicts outcome: epidemiology and experience in an Australian tertiary centre.复杂性先天性腹裂预测结局:澳大利亚一家三级中心的流行病学和经验。
BMC Pregnancy Childbirth. 2018 Jun 11;18(1):222. doi: 10.1186/s12884-018-1867-1.
3
Antithyroid Drugs and Congenital Malformations: A Nationwide Korean Cohort Study.
抗甲状腺药物与先天性畸形:一项全国性韩国队列研究。
Ann Intern Med. 2018 Mar 20;168(6):405-413. doi: 10.7326/M17-1398. Epub 2018 Jan 23.
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2016 American Thyroid Association Guidelines for Diagnosis and Management of Hyperthyroidism and Other Causes of Thyrotoxicosis.2016年美国甲状腺协会甲状腺功能亢进症及其他甲状腺毒症病因的诊断和管理指南。
Thyroid. 2016 Oct;26(10):1343-1421. doi: 10.1089/thy.2016.0229.
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Prevalence of thyrotoxicosis, antithyroid medication use, and complications among pregnant women in the United States.美国孕妇甲状腺功能亢进症、抗甲状腺药物使用及并发症的流行情况。
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Birth defects observed with maternal carbimazole treatment: Six cases reported to Nice's Pharmacovigilance Center.母体用卡比马唑治疗致出生缺陷:尼斯药物警戒中心报道六例。
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Management of Graves' hyperthyroidism in pregnancy: focus on both maternal and foetal thyroid function, and caution against surgical thyroidectomy in pregnancy.妊娠期格雷夫斯甲亢的管理:关注母体和胎儿的甲状腺功能,并警惕妊娠期手术甲状腺切除术。
Eur J Endocrinol. 2009 Jan;160(1):1-8. doi: 10.1530/EJE-08-0663. Epub 2008 Oct 10.
8
Development of gastroschisis: review of hypotheses, a novel hypothesis, and implications for research.腹裂的发生发展:假说综述、一种新假说及对研究的启示
Am J Med Genet A. 2007 Apr 1;143A(7):639-52. doi: 10.1002/ajmg.a.31578.
9
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10
[Gastroschisis. Management. 50 cases].[腹裂。治疗。50例]
J Gynecol Obstet Biol Reprod (Paris). 1995;24(5):565-9.