Multiple Congenital Anomalies in a Neonate of a Diabetic Mother.

Kim,  Hyun A; O,  Yung Chul; Park,  Hyun Kyung; Jeon,  Seok Chol; Seol,  In Joon; Moon,  Soo Jee

Case Report

Journal of the Korean Society of Neonatology 2009;16(1):89-93.
Published online May 1, 2009.

Multiple Congenital Anomalies in a Neonate of a Diabetic Mother.

Hyun A Kim, Yung Chul O, Hyun Kyung Park, Seok Chol Jeon, In Joon Seol, Soo Jee Moon

¹Department of Pediatrics, College of Medicine, Hanyang University, Seoul, Korea. neopark@hanyang.ac.kr
²Department of Radiology, College of Medicine, Hanyang University, Seoul, Korea.

당뇨병 산모에서 출생한 다발성 기형 신생아 1례

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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.

Key Words: Gestational diabetes; Congenital anomalies; Jejunal atresia; Hemifacial microsomia; Polydactyly; Microtia