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J Med Genet. 1987 November; 24(11): 692–695.
PMCID: PMC1050348

Fetal valproate syndrome: is there a recognisable phenotype?


Four infants who were exposed to sodium valproate or valproic acid during pregnancy are described. Common facial features in the three surviving infants include epicanthic folds, a flat nasal bridge, a broad nasal base, anteverted nostrils, a shallow philtrum, and a thin upper lip with a thick lower lip. Ridging of the metopic suture, congenital heart defect, postaxial polydactyly, and hypospadias were additional features in individual cases. In agreement with previous authors, we feel that there is a distinctive 'fetal valproate' phenotype.

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  • Gomez MR. Possible teratogenicity of valproic acid. J Pediatr. 1981 Mar;98(3):508–509. [PubMed]

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