Research Article
Suspected Spontaneous Reports of Birth Defects in the UK Associated with the Use of Carbimazole and Propylthiouracil in Pregnancy
Table 1
Suspected adverse drug reactions of congenital anomalies associated with carbimazole and propylthiouracil received via the UK Yellow Card Scheme.
| | | Carbimazole | Propylthiouracil | System | Congenital anomalies* | Number of anomalies (total) | Number with single anomaly | Number with other anomalies | Number of anomalies (total) | Number with single anomaly | Number with other anomalies |
| Skin | Aplasia cutis | 6 | 2 | 4 | 0 | 0 | 0 | | Other (skin disorder, ulcer) | 2 | 0 | 2 | 0 | 0 | 0 |
| Respiratory | Choanal atresia | 5 | 2 | 3 | 0 | 0 | 0 | | Tracheo-oesophageal fistula | 2 | 2 | 0 | 0 | 0 | 0 | | Other (neonatal respiratory distress syndrome, respiratory disorder) | 2 | 0 | 2 | 0 | 0 | 0 |
| Gastrointestinal | Cleft palate | 5 | 3 | 2 | 1 | 1 | 0 | | Omphalocele/umbilical abnormalities | 4 | 2 | 2 | 2 | 0 | 2 | | Patent vitellointestinal duct | 1 | 0 | 1 | 0 | 0 | 0 | | Duodenal atresia | 1 | 1 | 0 | 0 | 0 | 0 | | Anal atresia | 1 | 0 | 1 | 0 | 0 | 0 | | Other (neonatal jaundice and abnormal liver function tests) | 2 | 0 | 2 | 0 | 0 | 0 | | Not specified | 3 | 2 | 1 | 0 | 0 | 0 |
| Cardiovascular | Septal defects | 3 | 1 | 2 | 0 | 0 | 0 | | Other (Fallot’s tetralogy and coarctation of aorta) | 2 | 2 | 0 | 0 | 0 | 0 | | Not specified | 1 | 0 | 1 | 0 | 0 | 0 |
| Musculoskeletal | Limb/hand/foot malformation | 4 | 1 | 3 | 3 | 1 | 2 | | Not specified | 4 | 3 | 1 | 0 | 0 | 0 |
| Neurological | Spina bifida | 3 | 1 | 2 | 0 | 0 | 0 | | Hydrocephalus | 5 | 1 | 4 | 0 | 0 | 0 | | Anencephaly | 4 | 4 | 0 | 1 | 0 | 1 | | Hypotonia | 2 | 0 | 2 | 0 | 0 | 0 | | Other (spine malformation and holoprosencephaly) | 1 | 0 | 1 | 1 | 0 | 1 |
| Renal/urinary tract | Renal aplasia | 1 | 0 | 1 | 0 | 0 | 0 | | Other (urinary tract malformation, epispadias) | 1 | 0 | 1 | 1 | 1 | 0 |
| Endocrine | Thyroid disorder | 1 | 0 | 1 | 0 | 0 | 0 | | Hypogonadism | 1 | 0 | 1 | 0 | 0 | 0 |
| Craniofacial | Dysmorphic facies | 2 | 0 | 2 | 1 | 0 | 1 | | Skull malformation | 4 | 1 | 3 | 0 | 0 | 0 | | Ear malformation | 3 | 1 | 2 | 0 | 0 | 0 | | Deafness | 4 | 2 | 2 | 0 | 0 | 0 | | Eye malformation | 4 | 1 | 3 | 0 | 0 | 0 | | Other (nose malformation and teeth malformation) | 2 | 0 | 2 | 0 | 0 | 0 |
| Others | Nipple/breast anomalies (athelia and hypoplastic nipples) | 2 | 0 | 2 | 0 | 0 | 0 | | Developmental delay | 2 | 0 | 2 | 0 | 0 | 0 | | Autism | 0 | 0 | 0 | 1 | 0 | 1 | | Not specified | 7 | 1 | 6 | 0 | 0 | 0 |
| Total | | 97 | 33 | 64 | 11 | 3 | 8 |
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*One Yellow Card report may contain more than one reaction term. Therefore, the total number of reactions is greater than the total number of reports.
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