{"id":5909,"date":"2017-08-01T18:12:29","date_gmt":"2017-08-01T22:12:29","guid":{"rendered":"http:\/\/localhost:10028\/practiceareas\/diethylstilbestrol-des\/"},"modified":"2022-06-21T16:54:49","modified_gmt":"2022-06-21T20:54:49","slug":"diethylstilbestrol-des","status":"publish","type":"practiceareas","link":"https:\/\/napolilaw.lemonadestand.org\/fr\/domaines-de-pratique-2\/diethylstilbestrol-des\/","title":{"rendered":"DES Daughters"},"content":{"rendered":"<h2>DES filles et blessures graves<\/h2>\n<p>Doctors once considered Diethylstilbestrol to be something of a miracle drug which could all but end most pregnancy complications, but instead of a panacea, the drug created an entire generation of victims.<\/p>\n<p>The synthetic estrogen was created in 1938, and after a brief series of clinical trials, the Food and Drug Administration allowed doctors to prescribe it to pregnant women in 1947. At the time, many doctors believed that low estrogen levels caused most pregnancy complications, and even though that idea was somewhat debunked by the 1950s (and is entirely debunked today), doctors kept administering it in large quantities.<\/p>\n<p>About that same time, researchers began to question DES\u2019 safety, leading to a 1971 FDA declaration that the drug was <a href=\"https:\/\/www.cdc.gov\/des\/consumers\/about\/history.html\" target=\"_blank\" rel=\"noopener noreferrer\">inadapt\u00e9 aux femmes enceintes<\/a>. Mais les prescriptions se sont poursuivies pendant plusieurs ann\u00e9es encore, car l&#039;agence n&#039;a pas rappel\u00e9 le m\u00e9dicament.<\/p>\n<p>&nbsp;<\/p>\n<h3>DES Filles (et DES Fils)<\/h3>\n<p>In the 1940s and 1950s, many pregnant women went to general practitioners. These doctors probably had no idea that they were prescribing a powerful drug which was, at best, only marginally effective.<\/p>\n<p>The FDA took adverse action against DES based on a 1971 study which linked Diethylstilbestrol with vaginal clear cell adenocarcinoma, an unusual and aggressive form of <a href=\"https:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJM197104222841604\" target=\"_blank\" rel=\"noopener noreferrer\">cancer du col de l&#039;ut\u00e9rus<\/a> qui est difficile \u00e0 traiter et a un taux de mortalit\u00e9 \u00e9lev\u00e9. Les filles DES, ou les femmes qui ont \u00e9t\u00e9 expos\u00e9es au m\u00e9dicament in utero, ont d\u00e9velopp\u00e9 cette maladie \u00e0 un rythme alarmant. Au fil des ans, le di\u00e9thylstilbestrol a \u00e9galement \u00e9t\u00e9 associ\u00e9 \u00e0 d&#039;autres probl\u00e8mes de sant\u00e9 graves, notamment\u00a0:<\/p>\n<ul>\n<li><strong>Infertilit\u00e9 et sant\u00e9 reproductive<\/strong>: Les scientifiques ont class\u00e9 le DES comme t\u00e9ratog\u00e8ne, un groupe de substances qui empoisonnent essentiellement l&#039;ut\u00e9rus. Plus tard dans leur vie, les femmes qui ont \u00e9t\u00e9 expos\u00e9es \u00e0 la drogue pendant leur in utero sont souvent confront\u00e9es \u00e0 divers probl\u00e8mes de reproduction, notamment la grossesse extra-ut\u00e9rine, l&#039;accouchement pr\u00e9matur\u00e9 et l&#039;avortement spontan\u00e9.<\/li>\n<li><strong>Cancer du sein<\/strong>: L&#039;exposition au DES augmente le risque de cancer du sein, mais pas autant que l&#039;ad\u00e9nocarcinome vaginal \u00e0 cellules claires.<\/li>\n<li><strong>Ob\u00e9sit\u00e9<\/strong>: Le DES est \u00e9galement un ob\u00e9sog\u00e8ne connu, de sorte que les victimes d\u00e9veloppent souvent une ob\u00e9sit\u00e9 inexpliqu\u00e9e \u00e0 l&#039;\u00e2ge adulte.<\/li>\n<\/ul>\n<p>Les fils DES ont des probl\u00e8mes similaires, car ils ont des cas plus \u00e9lev\u00e9s de cancer des testicules, d&#039;infertilit\u00e9 et de faible taux de testost\u00e9rone.<\/p>\n<p>&nbsp;<\/p>\n<h3>DES Petites-filles<\/h3>\n<p>Researchers now know that DES is an epigenetic drug that actually has the power to alter a person\u2019s genetic code. As a result, the physical abnormalities that affect DES daughters and sons may affect their children as well. Many researchers fear that these effects may continue indefinitely as they are passed down from parents to children.<\/p>\n<p>The good news is that the side effects seem to have diminished somewhat, as DES granddaughters and grandsons are likely to have fertility issues but, so far, are not more prone to reproductive cancer. The bad news is that the psychological effects of DES exposure, such as <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/20332145\" target=\"_blank\" rel=\"noopener noreferrer\">d\u00e9pression s\u00e9v\u00e8re<\/a>, peut-\u00eatre m\u00eame pire.<\/p>\n<p>&nbsp;<\/p>\n<h3>R\u00e9clamations pour dommages<\/h3>\n<p>Because the DES exposure occurred so many years ago, one would think that these cases would be difficult to prove. But two plaintiff-friendly legal rules make the process much easier.<\/p>\n<p>One is the <a href=\"http:\/\/scholarship.law.missouri.edu\/cgi\/viewcontent.cgi?article=1187&amp;context=facpubs\" target=\"_blank\" rel=\"noopener noreferrer\">responsabilit\u00e9 li\u00e9e \u00e0 la part de march\u00e9<\/a> doctrine. This rule is now widely used in products liability cases but was actually conceived in a DES daughters case. In most of these cases, the victim\/plaintiff names several potential defendants but, through no fault of his or her own, the victim\/plaintiff cannot identify the actual tortfeasor (company which sold DES to the victim\/plaintiff\u2019s mother). If a substantial share of the possibly responsible companies are named in the lawsuit and the jury awards damages, each defendant is responsible for a share of damages based on its market share at the time the drug was sold.<\/p>\n<p>Another key doctrine is the <a href=\"http:\/\/digitalcommons.law.scu.edu\/cgi\/viewcontent.cgi?article=1930&amp;context=lawreview\" target=\"_blank\" rel=\"noopener noreferrer\">r\u00e8gle de d\u00e9couverte<\/a>. This principle states that the three-year statute of limitations is tolled (suspended) until the victim knows about the injury and has a plausible reason to connect that injury with someone else\u2019s negligence.<\/p>\n<p>Successful plaintiffs are normally entitled to compensatory damages for medical bills, lost wages, emotional distress, loss of enjoyment in life, and other consequential damages, as well as significant punitive damages which punish the tortfeasor\u2019s wrongful conduct and help deter others from doing the same thing.<\/p>\n<p>DES daughters must often deal with lifelong and\/or serious injuries. For a free consultation with a <a href=\"\/fr\/contentieux-pharmaceutique\/\">avocat contentieux pharmaceutique<\/a> \u00e0 New York, contactez Napoli Shkolnik PLLC. Des rendez-vous apr\u00e8s les heures d&#039;ouverture sont disponibles.<\/p>","protected":false},"excerpt":{"rendered":"<p>DES Daughters And Serious Injury Doctors once considered Diethylstilbestrol to be something of a miracle drug which could all but end most pregnancy complications, but instead of a panacea, the&#8230;<\/p>","protected":false},"featured_media":0,"menu_order":61,"template":"","practiceareas_category":[743],"class_list":["post-5909","practiceareas","type-practiceareas","status-publish","hentry","practiceareas_category-pharmaceutical-litigation"],"acf":[],"_links":{"self":[{"href":"https:\/\/napolilaw.lemonadestand.org\/fr\/wp-json\/wp\/v2\/practiceareas\/5909","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/napolilaw.lemonadestand.org\/fr\/wp-json\/wp\/v2\/practiceareas"}],"about":[{"href":"https:\/\/napolilaw.lemonadestand.org\/fr\/wp-json\/wp\/v2\/types\/practiceareas"}],"version-history":[{"count":0,"href":"https:\/\/napolilaw.lemonadestand.org\/fr\/wp-json\/wp\/v2\/practiceareas\/5909\/revisions"}],"wp:attachment":[{"href":"https:\/\/napolilaw.lemonadestand.org\/fr\/wp-json\/wp\/v2\/media?parent=5909"}],"wp:term":[{"taxonomy":"practiceareas_category","embeddable":true,"href":"https:\/\/napolilaw.lemonadestand.org\/fr\/wp-json\/wp\/v2\/practiceareas_category?post=5909"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}