Evidence map›Paper›PMID 38839731›Full record

ArticleJournal of medical toxicology : official journal of the American College of Medical Toxicology2024

Neonatal and Maternal Ichthyosiform Dermopathy in Association with Kava Use during Pregnancy.

Hannah H Spungen, Kartik Mody, Becky Micetic, Christine Wade, A Min Kang

Abstract readCase Reports
In one paragraph

Article in Journal of medical toxicology : official journal of the American College of Medical Toxicology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Hannah H SpungenUniversity of Arizona College of Medicine- Phoenix, Phoenix, AZ, USA.
Kartik ModyUniversity of Arizona College of Medicine- Phoenix, Phoenix, AZ, USA.
Becky MiceticBanner- University Medical Center Phoenix, Phoenix, AZ, USA.
Christine WadeBanner- University Medical Center Phoenix, Phoenix, AZ, USA.
A Min KangUniversity of Arizona College of Medicine- Phoenix, Phoenix, AZ, USA. aaron.kang@bannerhealth.com.ORCID 0000-0001-7784-0655

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionKava, a substance derived from the Piper methysticum plant, is enjoying a surge in popularity in the United States due to its purported anxiolytic and analgesic effects. Though ichthyosiform dermopathy is a known adverse effect associated with chronic kava exposure in adults, dermopathy in a newborn due to maternal kava use has not yet been described. CASE REPORT: This is a case of a 41-year-old woman who was taking a combination kava/kratom product throughout her pregnancy. She developed an ichthyosiform dermopathy that resolved after she stopped using the product postpartum. Her male infant had a neonatal course complicated by both neonatal opioid withdrawal syndrome, attributed to maternal kratom and buprenorphine use, as well as a diffuse ichthyosiform rash similar to descriptions of kava ichthyosiform dermopathy in adults. His neonatal course was complicated by Group B streptococcus and Serratia marscecens bacteremia (treated with antibiotics) and seizures (treated with lorazepam and phenobarbital). His rash resolved completely by day of life 22. At 9-month outpatient follow-up, he had no dermatologic abnormalities or rash recurrence. DISCUSSION: Maternal kava use during pregnancy may cause fetal dermopathy presenting as an acquired ichthyosis. More public education is needed about the potential consequences of kava use, particularly during pregnancy.

Indexed as

KavaAdultFemaleHumansInfant, NewbornMaleNeonatal Abstinence SyndromePregnancyPregnancy ComplicationsPrenatal Exposure Delayed EffectsDermopathyIchthyosisKavaNewbornPregnancy

Identifiers

PMID38839731
PMCPMC11288220

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.