Teratogens Flashcards
ACE inhibitors
Renal damage
Alkylating agents
*Cyclophosphamide*
Absence of digits, multiple anomalies
Aminoglycosides
*Gentamicin*
CN VIII toxicity
Carbamazepine
Neural tube defects, craniofacial defects, fingernail hypoplasia, developmental delay, IUGR
Diethylstilbestrol (DES)
Vaginal clear cell adenocarcinoma, congenital Mullerian anomalies
Folate antagonists
Neural tube defects
Lithium
Ebstein anomaly (atrialized right ventricle)
Methimazole
Aplasia cutis congenita
Phenytoin
Fetal hydantoin syndrome: microcephaly, dysmorphic craniofacial features, hypoplastic nails & distal phalanges, cardiac defects, IUGR, intellectual disability
Tetracyclines
Discolored teeth
Thalidomide
Limb defects
(phocomelia, micromelia: “flipper limbs)
Valproate
Inhibition of maternal folate absorption
Neural tube defects
Warfarin
Bone deformities, fetal hemorrhage, abortion, opthalmologic abnormalities
*give Heparin*
Alcohol
Common cause of birth defects & intellectual disability
Fetal Alcohol Syndrome
Cocaine
Abnormal fetal growth & fetal addiction
Placental abruption