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A group of anomalies presented in infants as a result of in utero exposure (between 20-36 days after fertilization) to thalidomide, a sedative used in treatment of a range of conditions, including morning sickness, leprosy and multiple myeloma (see these terms). Thalidomine embryopathy is characterized by phocomelia, amelia, forelimb and hand plate anomalies (absence of humerus and/or forearm, femur and/or lower leg, thumb anomalies). Other anomalies include facial hemangiomas, and damages to ears (anotia, microtia), eyes (microphthalmia, anophthalmos, coloboma, strabismus), internal organs (kidney, heart, and gastrointestinal tract), genitalia, and heart. Infant mortality associated with thalidomide embryopathy is estimated to be as high as 40%. Thalidomide is contraindicated in pregnancy and pregnancy prevention is recommended in women under treatment.
Features include common findings: Split hand, Preaxial hand polydactyly, Triphalangeal thumb, and Abnormal fibula morphology and others; and sometimes findings: Abnormality of the outer ear, Hearing loss (hearing impairment), Insulin resistance, and Chronic rhinitis and others.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Arms and legs | 3 | Split hand, Preaxial hand polydactyly, Upper limb phocomelia |
Phenotype severity distribution: 12 common features.
Estimated prevalence: 1-9 in 1,000,000 (Rare).
No clinical trials have been registered for thalidomide embryopathy.
12 publications have been identified in PubMed for thalidomide embryopathy. Research spans Review / Meta-Analysis (42%), Case Report / Case Series (25%), and Basic Science / Preclinical (17%).
Research Type | Count | % of Total |
|---|---|---|
Research summaries | 5 | 42% |
Data assembled from 4 of 12 sources · Last updated Sep 18, 2026, 9:58 AM UTC
European rare disease database
Genetic and Rare Diseases Info Center
Growth and development |
1 |
Short stature |
Bones and joints | 1 | Aplasia/hypoplasia of the femur |
Ears | 1 | Hearing loss (hearing impairment) |
Hormones | 1 | Insulin resistance |
3 |
25% |
Laboratory research | 2 | 17% |
Disease patterns and progression | 2 | 17% |
Beyer R (2026). [PMID: 40983097](https://pubmed.ncbi.nlm.nih.gov/40983097/). *Z Orthop Unfall*. [Epidemiology / Natural History]
Zhao J (2026). [PMID: 40549513](https://pubmed.ncbi.nlm.nih.gov/40549513/). *J Craniofac Surg*. [Basic Science / Preclinical]
Samal P (2026). [PMID: 41728140](https://pubmed.ncbi.nlm.nih.gov/41728140/). *Indian J Hematol Blood Transfus*. [Review / Meta-Analysis]
Collins MD (2025). [PMID: 40198353](https://pubmed.ncbi.nlm.nih.gov/40198353/). *Arch Toxicol*. [Review / Meta-Analysis]
Kawauchi A (2025). [PMID: 40692203](https://pubmed.ncbi.nlm.nih.gov/40692203/). *Spec Care Dentist*. [Case Report / Case Series]
Klein-Weigel PF (2025). [PMID: 40599048](https://pubmed.ncbi.nlm.nih.gov/40599048/). *Vasa*. [Review / Meta-Analysis]
Haga N (2025). [PMID: 40904645](https://pubmed.ncbi.nlm.nih.gov/40904645/). *Intractable Rare Dis Res*. [Review / Meta-Analysis]
Sagoe K (2024). [PMID: 38318695](https://pubmed.ncbi.nlm.nih.gov/38318695/). *Disabil Rehabil*. [Epidemiology / Natural History]
Kothari S (2024). [PMID: 39140906](https://pubmed.ncbi.nlm.nih.gov/39140906/). *Gastroenterology*. [Review / Meta-Analysis]
Strasser AS (2024). [PMID: 39168984](https://pubmed.ncbi.nlm.nih.gov/39168984/). *Nat Commun*. [Basic Science / Preclinical]