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I learned this because I crashed the new kite on its maiden flight

J Allergy Clin Immunol 114(2):260264

VACTERL association [1] Limb deformities Syndactyly: fusion of two or more fingers or toes (most common congenital malformation of the limbs) Polymelia/polydactyly: supernumerary limbs, fingers, or toes Oligodactyly, adactyly: absence of one or more of the fingers or toes Ectromelia: collective term for hypoplasia and/or aplasia of one or more long bones, resulting in limb deformity Peromelia/perodactyly: amputation-like stump of a limb, finger, or toe Maternal conditions Diabetes mellitus (pregestational diabetes mellitus or gestational diabetes mellitus) [2] Diabetic embryopathy Diabetic fetopathy For more information, see Fetal and neonatal complications of diabetes mellitus in pregnancy in "Diabetes mellitus in pregnancy." Obesity [3] Preterm birth Stillbirth Neural tube defects Congenital heart disease Cleft lip, cleft palate Limb reduction abnormalities Macrosomia Graves disease [4] Neonatal hyperthyroidism Preterm birth Stillbirth Intrauterine growth restriction Low birth weight Developmental and behavioral problems Hypothyroidism Phenylketonuria (maternal PKU) [5] [6] Phenylalanine embryopathy Definition: the developmental malformations in a newborn resulting from PKU during pregnancy Clinical findings Intrauterine growth restriction Microcephaly Congenital heart disease Intellectual disability Developmental problems Risks of substance use during pregnancy For information on screening and management of substance use during pregnancy, see Prenatal psychosocial screening. Alcohol: fetal alcohol syndrome (embryo-fetal alcohol syndrome) [7] Epidemiology Most common cause of teratogenic damage in children (0.21.5 per 1,000 live births) [8] Most common preventable cause of intellectual disability in the US Mechanism of teratogenesis Failed neuronal and glial cell migration Clinical findings Dysmorphic features

This parasite has been known to cause brain damage and even death

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