Fetal Alcohol Spectrum Disorder: Report of One Case

胎兒酒精綜合症：一病例報告

黃乙珍(Yi-Chen Huang) ； 羅心妤(Hsin-Yu Lo) ； 趙文崇(Wun-Tsong Chaou)

《Acta Paediatrica Taiwanica》 49卷1期 (2008/02) Pp. 28-30

https://doi.org/10.7097/APT.200802.0028

摘要

一名七歲原住民男童，因學習困難由學校老師轉介至本院進行發展評估。理學檢查時發現其有小頭症、鼻樑扁平、上唇薄、人中不明顯，眼內貲贅皮以及第五指彎曲。測驗發現其有輕度智力障礙，腦部磁振攝影也有異常發現。其母在懷孕期間有確定飲酒史，每日酒精使用量至少有72~144公克。男童除了生長遲緩及小頭症，還有語言發展遲緩。根據病史、臨床表現及影像檢查結果，此病例符合胎兒酒精綜合症的診斷。不明原因發展遲緩的小朋友，可能有一部份屬於胎兒酒精綜合症的範疇，希望大眾正視在懷孕期間戒除酒精的重要性。

關鍵字

胎兒酒精綜合症 ； 發展遲緩 ； 小頭症

並列摘要

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.

並列關鍵字

fetal alcohol spectrum disorder ； developmental delay ； microcephaly