Prenatal hypocalvaria after prolonged intrauterine exposure to angiotensin II receptor antagonists
Author(s) -
Marine Lallemant,
Sarah Prévost,
François Nobili,
D. Riethmuller,
R. Ramanah,
MarieFrance Seronde,
Nicolas Mottet
Publication year - 2018
Publication title -
journal of the renin-angiotensin-aldosterone system
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.457
H-Index - 46
eISSN - 1752-8976
pISSN - 1470-3203
DOI - 10.1177/1470320318810940
Subject(s) - medicine , fetus , pregnancy , endocrinology , renin–angiotensin system , biology , blood pressure , genetics
We report a case of prenatal exposure to angiotensin II receptor antagonists (ARA II) from the beginning of pregnancy in a patient with a hypokinetic dilated cardiomyopathy. This case report emphasizes the fetal renal impact of prolonged intrauterine exposure to renin-angiotensin system (RAS) blockers, and highlights that this exposure can cause severe prenatal hypocalvaria. This delayed ossification can be reversible after birth, but the presence of anhydramnios indicates an early and irreversible block of RAS blockers in the fetus that is responsible for fetal kidney development abnormalities. This association carries a high risk of neonatal death. Prolonged exposure to ARA II or other RAS blockers remains prohibited throughout pregnancy.
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