Publications by authors named "Fabio Tofani"
Article Synopsis
- ADHD affects about 7% of young people, and many women might be on medication like atomoxetine or methylphenidate during pregnancy, but the safety of these treatments for the fetus has not been well-studied.
- The objective of the study was to investigate the adverse effects on children whose mothers were treated with ADHD medications during pregnancy by analyzing data from various electronic databases.
- The analysis included ten studies with over 16 million pregnant women, and the findings indicated that there was no significant increase in miscarriages or congenital anomalies in the offspring of mothers who used these ADHD medications during pregnancy.
The patient is a 34-year-old female with systemic lupus erythematosus and secondary antiphospholipid antibody syndrome, who evolved with convulsive crises, partially controlled with an anticonvulsant, and auscultation of a cardiac murmur, whose investigation showed the presence of a mitral valve vegetation. Once the diagnosis of Libman-Sacks endocarditis was established, therapy with warfarin sodium was initiated, and, after 6 months of oral anticoagulation, the patient had total control of the convulsive crises and the valvular vegetation disappeared on echocardiography. This study discusses the occurrence of Libman-Sacks endocarditis in systemic lupus erythematosus, its association with antiphospholipid antibody syndrome, and the anticoagulant therapy.
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