Fetal Alcohol Syndrome (cont.)
How is the diagnosis of fetal alcohol syndrome made?
The diagnosis of FAS must be based on solid evidence. FAS is a diagnosis
of great importance for the entire lifetime of the child, not to speak of
its implications for the child's mother and other family members.
To establish a diagnosis of FAS, by convention, the following minimal
criteria are met:
- small size and weight before and after birth (pre- and postnatal
retardation)
- specific appearance of the head and face with at
least two of the three following groups of sign: small head size (microcephaly), small
eyes (microphthalmia) and/or short eye openings (palpebral fissures, and/or
underdevelopment of the upper lip, indistinct groove between the lip and nose
(the philtrum), and flattened cheekbones
- brain involvement with evidence for delay in development, intellectual
impairment, or neurologic abnormalities
These criteria are used for the following reasons:
- FAS can be difficult to diagnose at and after birth;
- FAS can easily be confounded with many other disorders;
- there is no one clinical feature that
specifically identifies FAS; and
- there is no laboratory test to aid in the
diagnosis.
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A characteristic pattern of mild facial anomalies associated with FAS include small eye openings, a thin upper lip, or flattened ridges between the base of the nose and the upper lip (a flattened philtrum).
Source: Warren, K.R., and Foudin, L.L. Alcohol-related birth defects-the past, present, and future.
Alcohol Research & Health 25(3):153-158, 2001. (Image from NIAAA) |
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