Perfectionnement en Pédiatrie最新文献

{"title":"Histoire de l’hématologie pédiatrique","authors":"Nicolas Sirvent","doi":"10.1016/j.perped.2026.04.005","DOIUrl":"10.1016/j.perped.2026.04.005","url":null,"abstract":"","PeriodicalId":101006,"journal":{"name":"Perfectionnement en Pédiatrie","volume":"9 2","pages":"Pages 140-154"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148557296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dysphagie chez l’enfant : orientation diagnostique","authors":"Raphael Enaud,&nbsp;Candice Tetard,&nbsp;Laurent Rebouissoux,&nbsp;Haude Clouzeau,&nbsp;Thierry Lamireau","doi":"10.1016/j.perped.2026.04.009","DOIUrl":"10.1016/j.perped.2026.04.009","url":null,"abstract":"<div><div>La dysphagie est un symptôme présent dans de nombreuses pathologies ORL ou œsophagiennes. Le caractère aigu ou chronique, douloureux ou non, le contexte et les signes associés permettent d’orienter la recherche étiologique. En cas de dysphagie aiguë, les infections de la cavité oro-pharyngée sont les causes les plus fréquentes ; une ingestion de corps étranger sera évoquée en cas de dysphagie brutale et isolée chez le petit enfant. En cas de dysphagie chronique non douloureuse située dans l’œsophage, l’exploration de première intention est le transit baryté de l’œsophage (TOGD) à la recherche d’une sténose, d’un autre obstacle, ou de troubles moteurs. En cas de douleur associée, la fibroscopie œso-gastroduodénale (FOGD) est indiquée à la recherche d’une œsophagite peptique, infectieuse ou à éosinophiles.</div></div><div><div>Dysphagia is a symptom found in many ENT and esophageal conditions. Determining whether the condition is acute or chronic, painful or painless, along with the context and associated signs, helps to guide the search for the underlying cause. In cases of acute dysphagia, infections of the oropharyngeal cavity are the most common cause, and the ingestion of a foreign body should be considered in cases of sudden, isolated dysphagia in young children. In cases of chronic, painless dysphagia involving the esophagus, the first-line investigation is total esophagogastric dissociation (TOGD) to identify any stenosis, another obstruction, or motor disorders. In cases of associated pain, esophagogastroduodenoscopy (FOGD) is indicated to investigate peptic, infectious, or eosinophilic esophagitis.</div></div>","PeriodicalId":101006,"journal":{"name":"Perfectionnement en Pédiatrie","volume":"9 2","pages":"Pages 112-121"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148274670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Que faire devant un pouce à ressaut ?","authors":"Toul-La Alhada,&nbsp;Abdelfetah Lalioui","doi":"10.1016/j.perped.2026.04.001","DOIUrl":"10.1016/j.perped.2026.04.001","url":null,"abstract":"","PeriodicalId":101006,"journal":{"name":"Perfectionnement en Pédiatrie","volume":"9 2","pages":"Pages 137-139"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148557295","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Une hypokaliémie persistante","authors":"Myriam Ouldbba,&nbsp;Jean Delmas,&nbsp;Céline Icher,&nbsp;Frédéric Lavrand,&nbsp;Anne Rullier,&nbsp;Thierry Lamireau,&nbsp;Raphael Enaud,&nbsp;Laurent Rebouissoux","doi":"10.1016/j.perped.2026.04.007","DOIUrl":"10.1016/j.perped.2026.04.007","url":null,"abstract":"","PeriodicalId":101006,"journal":{"name":"Perfectionnement en Pédiatrie","volume":"9 2","pages":"Pages 122-125"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148557299","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gynécologie de l’enfant et de l’adolescence","authors":"Marguerite Baron","doi":"10.1016/j.perped.2026.04.014","DOIUrl":"10.1016/j.perped.2026.04.014","url":null,"abstract":"","PeriodicalId":101006,"journal":{"name":"Perfectionnement en Pédiatrie","volume":"9 2","pages":"Page 158"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148557300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hyperglycémie du nouveau-né","authors":"Elsa Kermorvant,&nbsp;Michel Polak","doi":"10.1016/j.perped.2026.04.006","DOIUrl":"10.1016/j.perped.2026.04.006","url":null,"abstract":"<div><div>L’hyperglycémie néonatale est fréquente, surtout chez le grand prématuré, où elle est généralement transitoire et liée à une immaturité métabolique. D’une façon générale, elle est aussi souvent observée en période péri-opératoire, ou dans un contexte d’anoxo-ischémie périnatale ou d’infection, car elle est favorisée par le stress. Chez le grand prématuré, l’hyperglycémie est associée à un plus grand risque d’anomalies neurodéveloppementales, de rétinopathie du prématuré et de mortalité. Sa prise en charge vise à maintenir un apport nutritionnel suffisant tout en contrôlant la glycémie. Elle repose surtout sur l’insuline, malgré un risque d’hypoglycémie, tandis que de nouvelles approches comme le glibenclamide sont en cours d’évaluation. Chez le nouveau-né à terme, une hyperglycémie persistante doit faire évoquer un diabète néonatal d’origine génétique, dont certaines formes peuvent être efficacement traitées par sulfonylurées.</div></div><div><div>Neonatal hyperglycemia is common, especially among extremely preterm infants, where it is generally transient and linked to metabolic immaturity. It is also frequently observed in the perioperative period or in the context of perinatal anoxia–ischemia or infection, as it is exacerbated by stress. In very preterm infants, hyperglycemia is associated with an increased risk of neurodevelopmental abnormalities, retinopathy of prematurity, and mortality. Management aims to maintain adequate nutritional intake while controlling blood glucose levels. This primarily relies on insulin therapy despite the risk of hypoglycemia. New approaches, such as glibenclamide, are currently being evaluated. In term newborns, persistent hyperglycemia should raise suspicion of neonatal diabetes. Certain forms of this genetic condition can be effectively treated with sulfonylureas.</div></div>","PeriodicalId":101006,"journal":{"name":"Perfectionnement en Pédiatrie","volume":"9 2","pages":"Pages 126-132"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148557293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Neurologie pédiatrique","authors":"Thierry Lamireau","doi":"10.1016/j.perped.2026.04.013","DOIUrl":"10.1016/j.perped.2026.04.013","url":null,"abstract":"","PeriodicalId":101006,"journal":{"name":"Perfectionnement en Pédiatrie","volume":"9 2","pages":"Page 157"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148557346","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cancers de l’adulte : et si cela se jouait dès l’enfance ?","authors":"Mirianna Mouret-Bonzi,&nbsp;Amandine Bertrand,&nbsp;Béatrice Fervers","doi":"10.1016/j.perped.2026.04.002","DOIUrl":"10.1016/j.perped.2026.04.002","url":null,"abstract":"","PeriodicalId":101006,"journal":{"name":"Perfectionnement en Pédiatrie","volume":"9 2","pages":"Pages 100-106"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148557351","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Les Assises de la pédiatrie et de la santé de l’enfant 2 ans plus tard : bilan et perspectives","authors":"Christèle Gras-Le Guen,&nbsp;Adrien Taquet (Ancien secrétaire d’État chargé de l’enfance et des familles)","doi":"10.1016/j.perped.2026.05.001","DOIUrl":"10.1016/j.perped.2026.05.001","url":null,"abstract":"","PeriodicalId":101006,"journal":{"name":"Perfectionnement en Pédiatrie","volume":"9 2","pages":"Pages 87-89"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148557352","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Santé des adolescents en France au cours des trois dernières décennies : résumé et commentaires de la Société Française pour la santé de l’adolescent basés sur le rapport du Haut Conseil de la Santé Publique","authors":"Nour Ibrahim,&nbsp;Guillaume Groffe,&nbsp;Marie Devernay,&nbsp;Paul Jacquin,&nbsp;Christine Fourmaux,&nbsp;Valerie Belien-Pallet,&nbsp;Adele Carlier-Gonot,&nbsp;Chantal Stheneur","doi":"10.1016/j.perped.2026.04.015","DOIUrl":"10.1016/j.perped.2026.04.015","url":null,"abstract":"<div><div>Au cours des trois dernières décennies, l’adolescence a connu des transformations d’une intensité sans précédent. Les changements technologiques rapides, les crises sanitaires, climatiques et sociales successives, la pression scolaire croissante et l’évolution des structures familiales ont profondément influencé les déterminants de la santé des adolescents. Le Haut Conseil de la santé publique (HCSP) français a analysé ces changements et présenté un tableau contrasté : si la mortalité et certains comportements à risque ont diminué, la santé mentale n’a cessé de se détériorer, en particulier chez les filles. Cette synthèse clinique explore les grandes tendances observées sur 30 ans et discute de leurs implications pour la pratique pédiatrique et les parcours de soins. Le défi consiste désormais à adapter les approches cliniques aux réalités contemporaines de l’adolescence, en privilégiant un cadre holistique qui intègre les environnements numériques, le contexte scolaire, les inégalités sociales et les nouvelles vulnérabilités psychologiques.</div></div><div><div>Over the past thirty years, adolescence has experienced unprecedented changes. Rapid technological advancements, ongoing health, climate, and social crises, rising academic pressure, and evolving family structures have deeply influenced the factors shaping adolescent health. The French High Council for Public Health (HCSP) examined these changes and presented a mixed picture: while mortality rates and certain risk behaviors have decreased, mental health has continuously worsened, especially among girls. This clinical summary reviews the major trends observed over three decades and considers their implications for pediatric practice and care pathways. The current challenge is to adapt clinical approaches to the realities of modern adolescence, emphasizing a comprehensive framework that includes digital environments, the school setting, social inequalities, and emerging psychological vulnerabilities.</div></div>","PeriodicalId":101006,"journal":{"name":"Perfectionnement en Pédiatrie","volume":"9 2","pages":"Pages 92-99"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148557350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}