Abstract
In 1982, isotretinoin (Accutane) was marketed as an agent for treatment of acne. As early as 1983, Franz Rosa, MD, an official of the Federal Drug Administration (FDA), reported five cases of malformations associated with use of Accutane in pregnancy [1]. The malformations were major and included hydrocephalus, cardiovascular and ear defects [2 3]. By the most recent estimates available, malformations in a total of 94 human infants have been associated with prenatal Accutane exposure [4]. In contrast with the number of reported cases, the US FDA estimates that 900-1300 retinoid-exposed babies were born with severe birth defects in the first five years after Accutane was marketed. Because the drug is still commercially available, the Teratology Society has strongly recommended that women of childbearing age using the drug should practice contraception and that use of this drug should be thoroughly monitored [5].
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Creech Kraft, J.M. (2000). Retinoid metabolism in the embryo. In: Livrea, M.A. (eds) Vitamin A and Retinoids: An Update of Biological Aspects and Clinical Applications. MCBU Molecular and Cell Biology Updates. Birkhäuser, Basel. https://doi.org/10.1007/978-3-0348-8454-9_9
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