title: Limb deficiency with or without Möbius sequence in seven Brazilian children associated with misoprostol use in the first trimester of pregnancy.
abstract: Misoprostol, a synthetic analog of prostaglandin, has been widely used in Brazil as an abortifacient. Abortion is illegal in Brazil. An uncertain number of these abortion attempts are unsuccessful and the pregnancy continues. We report on 7 patients whose mothers attempted to abort using this drug in the first trimester of gestation without success. The 7 patients presented with limb defects and in 4 of them a diagnosis of Möbius sequence was made.
authors.affiliation: Department of Orthopedics, Faculdade de Medicina, Universidade de São Paulo, Brazil.
authors.forename: C H
authors.initials: CH
authors.lastname: Gonzalez
authors.forename: F R
authors.initials: FR
authors.lastname: Vargas
authors.forename: A B
authors.initials: AB
authors.lastname: Perez
authors.forename: C A
authors.initials: CA
authors.lastname: Kim
authors.forename: D
authors.initials: D
authors.lastname: Brunoni
authors.forename: M J
authors.initials: MJ
authors.lastname: Marques-Dias
authors.forename: C R
authors.initials: CR
authors.lastname: Leone
authors.forename: J
authors.initials: J
authors.lastname: Correa Neto
authors.forename: J C
authors.initials: JC
authors.lastname: Llerena Júnior
authors.forename: J C
authors.initials: JC
authors.lastname: de Almeida
mesh_terms: D000014:Abnormalities, Drug-Induced; D000015:Abnormalities, Multiple / Q000139:chemically induced*; D000024:Abortion, Illegal; D001938:Brazil; D003389:Cranial Nerve Diseases / Q000139:chemically induced / Q000151:congenital*; D004480:Ectromelia / Q000139:chemically induced*; D005158:Facial Paralysis / Q000139:chemically induced / Q000151:congenital*; D005260:Female; D005532:Foot Deformities, Congenital / Q000139:chemically induced; D006228:Hand Deformities, Congenital / Q000139:chemically induced; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D016595:Misoprostol / Q000009:adverse effects*; D011247:Pregnancy; D013577:Syndrome
chemical_list: D016595:Misoprostol