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Tylenol use during pregnancy appears to be one piece of this larger environmental puzzle.[] THE TIMELINE: TYLENOL INTRODUCTION AND RISING NEURODEVELOPMENTAL DISORDER RATES The temporal correlation between widespread acetaminophen use and neurodevelopmental disorder prevalence is striking: ACETAMINOPHEN INTRODUCTION AND ADOPTION[] 1955: Tylenol (acetaminophen) introduced for clinical use in the United States 1960s-1970s: First use in pregnancy for pain and fever management 1980s: Widely recommended as first-line agent for pain and fever in pregnancy Late 1980s-1990s: Increased use for post-vaccination symptom management in infants (replacing aspirin due to Reyes syndrome concerns) 2000s-present: Routine use in newborns/infants after vaccination
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Our patient was diagnosed with severe GSSD after neonatal onset, with symptoms including hemolytic anemia, hyperbilirubinemia and severe metabolic acidosis (intractable), urine-organic acid analysis results suggestive of the presence of 5-oxoprolinuria, and imaging results suggestive of central nervous system damage and developmental retardation in the infant at follow-up
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