[FETAL ALCOHOL SPECTRUM DISORDER (FASD) AND ADOPTIONS FROM THE FORMER SOVIET UNION]
Gideon Koren1,2,3, Rana Cohen2
1Maccabi Institute of Research and Innnovation.
Insights
Fetal alcohol spectrum disorder (FASD) is rarely diagnosed in Israel, despite its prevalence elsewhere. This case highlights the importance of considering FASD in adopted children presenting with ADHD and aggressive behaviors.
Area of Science:
- Pediatrics
- Neurodevelopmental Disorders
- Adoption Medicine
Background:
- Fetal alcohol spectrum disorder (FASD) affects over 1-2% of North American infants.
- FASD is infrequently diagnosed in Israel.
- Children adopted from the former Soviet Union may have biological mothers with alcohol dependence.
Introduction:
Fetal alcohol spectrum disorder is presently estimated to affect more than 1-2 % of babies in North America. In Israel it is quite rarely diagnosed. Many of the children adopted from the former Soviet Union were born to alcoholic women.
Background:
A 4.5 year old boy adopted from Ukraine, presented with inattention, hyperactivity and aggressiveness. He was born with severe intra uterine growth restriction (IUGR) and continued to grow on the 3rd percentile. His biological mother was alcohol dependent.
Discussion:
This case highlights the need to consider the differential diagnosis of children with ADHD plus aggressive behavior, as well as maintaining a high index of suspicion of FASD in children adopted from the Soviet Union.
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