Multiple Congenital Anomalies in a Neonate of a Diabetic Mother

당뇨병 산모에서 출생한 다발성 기형 신생아 1례

  • Kim, Hyun-A (Department of Pediatrics, College of Medicine, Hanyang University) ;
  • O, Yung-Chul (Department of Pediatrics, College of Medicine, Hanyang University) ;
  • Park, Hyun-Kyung (Department of Pediatrics, College of Medicine, Hanyang University) ;
  • Jeon, Seok-Chol (Department of Radiology, College of Medicine, Hanyang University) ;
  • Seol, In-Joon (Department of Pediatrics, College of Medicine, Hanyang University) ;
  • Moon, Soo-Jee (Department of Pediatrics, College of Medicine, Hanyang University)
  • 김현아 (한양대학교 의과대학 소아과학교실) ;
  • 오영철 (한양대학교 의과대학 소아과학교실) ;
  • 박현경 (한양대학교 의과대학 소아과학교실) ;
  • 전석철 (한양대학교 의과대학 영상의학과교실) ;
  • 설인준 (한양대학교 의과대학 소아과학교실) ;
  • 문수지 (한양대학교 의과대학 소아과학교실)
  • Published : 2009.05.31

Abstract

Maternal diabetes is known to have teratogenic effects which increase the risk for congenital anomalies, such as caudal dysplasia, cardiac defects, hydronephrosis, and small left colon syndrome. Infants of diabetic mothers have a 10-fold higher frequency of anomalies in the central nervous system and a 5-fold higher frequency of congenital heart defects. However, jejunal atresia combined with multiple anomalies of the face, ears, and hands has rarely been reported. Herein we report a neonate born to a diabetic mother, who had hemifacial microsomia, displacement of the lacrimal ducts, polydactyly of the right hand, microtia of the right ear and proximal jejunal atresia presenting as bile regurgitation on the 1st day of life.

저자들은 당뇨병이 임신 초기부터 진단된 산모에서 출생한 신생아에서 작은 악안면, 우측소이증, 오른손의 손가락다지증, 오른쪽 눈물샘의 위치 이상이 동반된 상검판 기형, 근위부 공장폐쇄증을 지닌 사례와 수술 후 공장 부위의 협착증을 중재적 방사선 시술로 치료하였기에 문헌 고찰과 함께 보고하는 바이다.

Keywords

References

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