Neurobehavioral Disorder Associated With Prenatal Alcohol Exposure.
Children and adolescents affected by prenatal exposure to alcohol who have brain damage that is manifested in functional impairments of neurocognition, self-regulation, and adaptive functioning may most appropriately be diagnosed with neurobehavioral disorder associated with prenatal exposure. This Special Article outlines clinical implications and guidelines for pediatric medical home clinicians to identify, diagnose, and refer children regarding neurobehavioral disorder associated with prenatal exposure. Emphasis is given to reported or observable behaviors that can be identified as part of care in pediatric medical homes, differential diagnosis, and potential comorbidities. In addition, brief guidance is provided on the management of affected children in the pediatric medical home. Finally, suggestions are given for obtaining prenatal history of in utero exposure to alcohol for the pediatric patient.
University of Vermont College of Medicine, Burlington, Vermont; jhagan@aap.net.
Joseph F
JF
Hagan
University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma.
Tatiana
T
Balachova
Centers for Disease Control and Prevention, Atlanta, Georgia.
Jacquelyn
J
Bertrand
Children's Research Triangle, Chicago, Illinois.
Ira
I
Chasnoff
Centers for Disease Control and Prevention, Atlanta, Georgia.
Elizabeth
E
Dang
University of Florida, Gainesville, Florida.
Daniel
D
Fernandez-Baca
Emory University, Atlanta, Georgia.
Julie
J
Kable
Weill Cornell Medical College, New York, New York.
Barry
B
Kosofsky
University of North Carolina, Chapel Hill, North Carolina.
Yasmin N
YN
Senturias
Centers for Disease Control and Prevention, Atlanta, Georgia.
Natasha
N
Singh
Western Michigan University, Portage, Michigan; and.
Mark
M
Sloane
Yale Medical School, New Haven, Connecticut.
Carol
C
Weitzman
Centers for Disease Control and Prevention, Atlanta, Georgia.
Jennifer
J
Zubler
D000293:Adolescent; D002648:Child; D003937:Diagnosis, Differential; D005260:Female; D063647:Fetal Alcohol Spectrum Disorders / Q000175:diagnosis*; D006801:Humans; D009422:Nervous System Diseases / Q000175:diagnosis / Q000209:etiology*; D011247:Pregnancy; D011297:Prenatal Exposure Delayed Effects / Q000175:diagnosis*
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