Fetal alcohol spectrum disorder: report of one case.

Yi-Chen Huang, Hsin-Yu Lo, Wun-Tsong Chaou
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Abstract

One seven-year-old aboriginal boy visited our outpatient department for survey of study difficulty. The physical examination revealed microcephaly, broad depressed nasal bridge, thin upper lip, smooth philtrum, epicanthal folds and clinodactyly. He also had mild mental retardation and abnormal findings on brain MRI. His mother had confirmed daily alcoholic consumption (72 to 144 gm) during pregnancy. Besides the short stature and microcephaly, the patient had developmental delay in language. According to the history, clinical presentation, and the finding of brain imaging, this case matches the diagnosis of fetal alcohol spectrum disorder. It seems reasonable to consider that some cases with the idiopathic developmental delay may fit in this disorder, thus suggesting the importance of total abstinence from alcohol during pregnancy.

胎儿酒精谱系障碍1例报告
一名七岁原住民男童到我门诊部进行学习困难调查。体格检查显示:小头畸形,鼻梁宽凹陷,上唇薄,中膈平滑,上膈皱褶,趾突。他也有轻微的智力迟钝和脑部核磁共振异常。他的母亲证实在怀孕期间每天饮酒(72至144克)。除了身材矮小和小头畸形外,患者还有语言发育迟缓。根据病史、临床表现和脑成像结果,本病例符合胎儿酒精谱系障碍的诊断。考虑到一些特发性发育迟缓的病例可能符合这种疾病,这似乎是合理的,因此建议在怀孕期间完全戒酒的重要性。
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