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Fetal hydantoin syndrome is a drug-related embryofetopathy that can occur when an embryo/fetus is exposed to the anticonvulsant drug phenytoin, characterized by distinct craniofacial anomalies (hypertelorism and epicanthal folds, short nose and deep nasal bridge, malformed and low set ears, short neck) as well as hypoplastic distal phalanges and underdevelopment of nails of fingers and toes, prenatal and postnatal growth retardation, and neurological impairment (at a 2-3 times higher risk than that of the general population) including cognitive deficits and motor developmental delay. Less commonly, microcephaly, ocular defects, oral clefts, umbilical and inguinal hernias, hypospadias and cardiac anomalies have also been reported.
Estimated prevalence: Unknown (Unknown prevalence).
No clinical trials have been registered for fetal hydantoin syndrome.
3 publications have been identified in PubMed for fetal hydantoin syndrome. Research spans Review / Meta-Analysis (33%), Case Report / Case Series (33%), and Epidemiology / Natural History (33%).
Trimeche O (2025). [PMID: 39643432](https://pubmed.ncbi.nlm.nih.gov/39643432/). *Journal of medical genetics*. [Review / Meta-Analysis]
Durbin A (2025). [PMID: 39875206](https://pubmed.ncbi.nlm.nih.gov/39875206/). *Journal of intellectual disability research : JIDR*. [Epidemiology / Natural History]
Tribble JT (2025). [PMID: 40099172](https://pubmed.ncbi.nlm.nih.gov/40099172/). *JAAD case reports*. [Case Report / Case Series]
Data assembled from 3 of 12 sources · Last updated Sep 18, 2026, 1:14 AM UTC
European rare disease database
Genetic and Rare Diseases Info Center