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Predicate | Object |
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rdf:type | |
lifeskim:mentions |
umls-concept:C0000769,
umls-concept:C0009170,
umls-concept:C0041618,
umls-concept:C0183683,
umls-concept:C0232910,
umls-concept:C0332157,
umls-concept:C0332281,
umls-concept:C0332453,
umls-concept:C0344211,
umls-concept:C0521457,
umls-concept:C1171411,
umls-concept:C1317973,
umls-concept:C1521721,
umls-concept:C1708480,
umls-concept:C1801960
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pubmed:issue |
4
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pubmed:dateCreated |
1994-12-8
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pubmed:abstractText |
The dramatic increase in cocaine use over the past decade has led to a concern about its possible teratogenicity. We have identified 6 structural fetal anomalies which we postulate may have cocaine-induced vascular accidents as the teratogenic mechanism: 2 complex choroid plexus cysts, gastroschisis, meconium peritonitis, urethral stenosis, and radial hypoplasia. Two additional anomalous neonates were born to perinatal cocaine users. Eight of 51 (15.7%) cocaine-exposed perinates exhibited anomalies versus 120 of 2,194 (5.4%) perinates without known cocaine exposure during this time period. This represents a 3-fold relative risk (RR = 2.87, OR = 3.22, chi square = 9.68, p < 0.005) for the cocaine-exposed fetus. Subjects were all identified as cocaine users prior to ultrasound-detected anomaly and ultrasonologists were blinded to maternal drug history. The vascular disruption model as the plausible mechanism for cocaine-associated teratogenesis is supported by the type of anomalies reported. In addition, cocaine use was prospectively determined to have occurred at the critical developmental period in each case.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
1015-3837
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
9
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
239-45
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:7945904-Abnormalities, Drug-Induced,
pubmed-meshheading:7945904-Adolescent,
pubmed-meshheading:7945904-Adult,
pubmed-meshheading:7945904-Cocaine,
pubmed-meshheading:7945904-Female,
pubmed-meshheading:7945904-Fetal Diseases,
pubmed-meshheading:7945904-Humans,
pubmed-meshheading:7945904-Maternal-Fetal Exchange,
pubmed-meshheading:7945904-Pregnancy,
pubmed-meshheading:7945904-Risk Factors,
pubmed-meshheading:7945904-Ultrasonography, Prenatal,
pubmed-meshheading:7945904-Vascular Diseases
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pubmed:articleTitle |
Ultrasound diagnosis of fetal anomalies associated with in utero cocaine exposure: further support for cocaine-induced vascular disruption teratogenesis.
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pubmed:affiliation |
Department of Obstetrics and Gynecology, Duke University Medical Center, Durham, N.C.
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pubmed:publicationType |
Journal Article
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