Fetal hydantoin syndrome

• History / PE:
  Microcephaly
  Digital/nail hypoplasia
  Hirsuitism
  Midfacial hypoplasia
  Cleft palate
  Rib anomalies
• Associated With:
  Phenytoin or carbamazepine use during pregnancy
• Differential Diagnosis:
  Fetal alcohol syndrome (no cleft palate or hirsuitism )