{"title":"Is There a Relationship Between Vitamin D Level and Iron Deficiency Anemia in Children?","authors":"Emine Özdemir Kaçer, C. Kılıçaslan","doi":"10.4274/jpea.2023.202","DOIUrl":"https://doi.org/10.4274/jpea.2023.202","url":null,"abstract":"Iron deficiency anemia (IDA) is the most common type of anemia in children and a major cause of morbidity and mortality. VitaminD deficiency (VDD) is a growing public health issue that has been connected to several chronic diseases, such as osteoporosis,cancer, and metabolic syndrome. Recently, in a meta-analytic study conducted on both children and adults, it was clearly shownthat there is a relationship between VDD and the risk of anemia. In this study, we wanted to review the prevalence of vitamin Dinsufficiency in children with IDA. We conducted a retrospective review of patient records from January 2017 to December 2019 toidentify individuals aged 4 months to 18 years who had been diagnosed with IDA. Demographic data, dietary patterns, nutritionalsupplements, Vitamin D levels, and laboratory tests were recorded. Two hundred thirty girls and 198 boys were enrolled in thestudy, bringing the total number of patients to 428. The patients had a mean age of 7.24±5.1 months. The distribution of femalegender according to vitamin D groups (normal, insufficient, deficient) was 85, 103, and 42, respectively; the male gender is 78,89, and 31, respectively (p=0.745). No statistically significant difference was found between nutrition categories and vitamin Dgroups in different age groups (p=0.293; p=0.238; p=0.396). No statistically significant difference was found between continuousquantitative variables such as age, hemoglobin, and ferritin and vitamin D groups in different age groups (p=0.885; p=0.168;p=0.728). There was no significant association observed between the severity of anemia and VDD in children with IDA in our study.In the diagnosis of IDA, it may be useful to look at vitamin D levels by considering the time of admission. Further studies are neededfor the association between vitamin D levels and IDA.","PeriodicalId":118905,"journal":{"name":"The Journal of Pediatric Academy","volume":"73 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127326927","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":"Assessment of Hypertension in Children with Autosomal Dominant Polycystic Kidney Disease; Single-Center Experience","authors":"Alper Uygun, H. Nalcacioglu, O. Aydog","doi":"10.4274/jpea.2023.199","DOIUrl":"https://doi.org/10.4274/jpea.2023.199","url":null,"abstract":"Autosomal dominant polycystic kidney disease (ADPKD) is one of the most common hereditary renal cystic diseases. Althoughits clinical manifestations usually occur in adulthood, hypertension (HT) is known to develop in most patients before the decline inrenal function and it is associated with faster progression to end stage kidney disease (ESKD). We investigated ambulatory bloodpressure monitoring (ABPM) results of 23 patients with ADPKD, followed up in the Pediatric Nephrology Clinic of Ondokuz MayısUniversity Medical Faculty Hospital. Patients’ demographic characteristics, laboratory and ultrasonography (US) results, officeblood pressure, and ABPM measurements were evaluated. The parameters of gender, age, increased kidney size, proteinuria,glomerular filtration rate (GFR) was compared in hypertensive and non-hypertensive group. Twenty three patients (13 girls, tenboys) with a mean age of 11.94±4.01 (min-max: 4.6-18) years and a female/male ratio of 1.3/1 were examined. Ultrasound revealedincreased kidney sizes in 12 patients (52.2%) and multiple cysts in the bilateral kidneys in 20 patients (87%). Mild to moderateproteinuria was detected in 7 patients (30.4%). The HT ratio of patients was 52.2% and 39.1% when assessed with office bloodpressure (BP) measurement and ABPM respectively. A non-dipper pattern was established in 14 patients (60.9%). Gender, age,increased kidney size, proteinuria, GFR did not differ significantly between ADPKD patients with and without ambulatory HT. Thisstudy shows that nearly half of children with ADPKD have HT by ABPM. BP should be regularly screened by ABPM in all pediatricADPKD patients.","PeriodicalId":118905,"journal":{"name":"The Journal of Pediatric Academy","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130147159","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}
Mehmet Emin Ertunç, Ahmet Genar Çelik, Akif Tahiroğlu, Ekrem Ünal
{"title":"Inherited Bone Marrow Failure Syndromes in Children","authors":"Mehmet Emin Ertunç, Ahmet Genar Çelik, Akif Tahiroğlu, Ekrem Ünal","doi":"10.4274/jpea.2023.218","DOIUrl":"https://doi.org/10.4274/jpea.2023.218","url":null,"abstract":"Inherited bone marrow failure syndromes are disorders of hematopoiesis that are mostly encountered in childhood. Taking the basisfrom genetics, they are characterized by pancytopenia, increased risk of developing myelodysplastic syndrome and malignancy.Extrahematopoietic presentations are observed often in addition to symptoms related to defective hematopoiesis (also known asbone marrow failure). The biology, clinical features, and management of the main syndromes such as Fanconi anemia, dyskeratosiscongenita, Shwachman-Diamond syndrome, congenital amegakaryocytic thrombocytopenia, Diamond-Blackfan anemia, andsevere congenital neutropenia are briefly summarized in this review.","PeriodicalId":118905,"journal":{"name":"The Journal of Pediatric Academy","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124380784","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":"Vitamin D, Insulin Resistance and Cytokine Levels in Obese Pubertal Children","authors":"Serap Kirkiz Kayalı, P. Cinaz, A. Bideci","doi":"10.4274/jpea.2023.213","DOIUrl":"https://doi.org/10.4274/jpea.2023.213","url":null,"abstract":"Insulin resistance (IR) develops in obese children because of low vitamin levels and increased pro-inflammatory cytokine levels.This study aimed to analyze the relation between vitamin D, insulin resistance, tumor necrosis factor-alpha and interleukin 6 (IL-6)levels at admission and after weight loss. This study included 84 obese and 28 healthy pubertal children. Patient group was dividedinto four: IR positive and negative; weight loss (WL) positive and negative. Baseline and follow-up (6th month) values of serum25-hydroxyvitamin D and other parameters were evaluated. The prevalence of serum vitamin D deficiency and insufficiency were3.6% and 21.4% in the control group, 15.2% and 10.9% and 7.9% and 15.8% in the obese insulin positive and negative group;respectively. There was no relationship between vitamin D and IRand IL-6 levels, whereas cytokine levels were lower in obesechildren. As WL increased, vitamin D level and IR improved. No significant difference was found between vitamin D levels of obeseand control subjects. In obese children with weight loss, an insignificant increase was observed in vitamin D, cytokines, quantitativeinsulin sensitivity check index values and an insignificant decrease was noted in homeostatic model assessment for IR value.Further longitudinal studies with larger patient series with greater WL are warranted.","PeriodicalId":118905,"journal":{"name":"The Journal of Pediatric Academy","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133810638","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}
Nilgün Harputluoğlu, M. Coşkun, D. Çubukçu, T. Çelik
{"title":"The Relationship Between Dyspnea Severity with Radiological and Laboratory Findings in Pneumonia in Children in Pediatric Palliative Care","authors":"Nilgün Harputluoğlu, M. Coşkun, D. Çubukçu, T. Çelik","doi":"10.4274/jpea.2023.198","DOIUrl":"https://doi.org/10.4274/jpea.2023.198","url":null,"abstract":"In care patients; pneumonia is common due to being bedridden, atrophy of respiratory muscles and use of medical devices.Dyspnea is the second most common symptom after pain in pediatric palliative care. In this study, it was aimed to examine therelationship between the severity of dyspnea and pneumonia. The study is a study that included patients admitted to pediatricpalliative care, diagnosed with pneumonia, and applied Modified Borg Scale (MBS) between December 15, 2019 and December15, 2020. The MBS has a scoring system ranging from 0 to 10 and assesses the severity of dyspnea. A total of 72 (34.4%) patientsdiagnosed with pneumonia and underwent MBS were included in the study. 51.4% (n=37) of the study group were male, and themedian age was 6.00 years (ranges of quarters=9). It was observed that the severity of dyspnea did not affect determining thepneumonia type and possible pathogen (p=0.613, p=0.948, respectively) In line with the results of the study, it can be concludedthat there is no relationship between the severity of dyspnea and pneumonia in patients in need of care.","PeriodicalId":118905,"journal":{"name":"The Journal of Pediatric Academy","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130905853","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":"Case of Pediatric Urticaria Pigmentosa","authors":"Şevkiye Aydoğdu, İbrahim Halil Aydoğdu","doi":"10.4274/jpea.2023.201","DOIUrl":"https://doi.org/10.4274/jpea.2023.201","url":null,"abstract":"<jats:p>None</jats:p>","PeriodicalId":118905,"journal":{"name":"The Journal of Pediatric Academy","volume":"18 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114122735","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":"Exfoliative Cheilitis in Childhood: A Successful Treatment with Tacrolimus","authors":"Emel Ulusoy, A. Abacı","doi":"10.4274/jpea.2023.193","DOIUrl":"https://doi.org/10.4274/jpea.2023.193","url":null,"abstract":"Exfoliative cheilitis is a hardly diagnosed disease by pediatricians. We have presented this report to draw the attention of cliniciansbecause the child is the youngest patient with complete relief from using tacrolimus ointment in the literature. We present the three-year-old child with scaled, crusted, and sensitive upper and lower lips. He was admitted to different centers from the beginningof the complaints without any relief despite different treatments. The clinicians may encounter exfoliative cheilitis in different agegroups. There are some approaches to management and therapy of the disease. But consensus has not yet occurred on definitivetreatment, especially in childhood.","PeriodicalId":118905,"journal":{"name":"The Journal of Pediatric Academy","volume":"85 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114554174","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}
M. A. Yoldaş, A. Tayfur, Ayşegül Danış, Fatma Hancı, H. Atasoy, S. Bolu, Zeliha Coşgun, M. E. Kalfaoğlu, S. A. Kayış
{"title":"The Predictors of Pneumonia in Children with COVID-19","authors":"M. A. Yoldaş, A. Tayfur, Ayşegül Danış, Fatma Hancı, H. Atasoy, S. Bolu, Zeliha Coşgun, M. E. Kalfaoğlu, S. A. Kayış","doi":"10.4274/jpea.2023.200","DOIUrl":"https://doi.org/10.4274/jpea.2023.200","url":null,"abstract":"The purpose of this study was to evaluate the relationship between the presence of pneumonia and blood parameters in casesof Coronavirus disease (COVID-19) and to examine their predictive characteristics in terms of pneumonia. We reviewed the filerecords of 151 pediatric patients with a diagnosis of COVID-19 confirmed by the real time-reverse transcription polymerase chainreaction test in nasopharyngeal swabs. The patients were divided into two groups based on direct chest X-ray and computedtomography results in [Group 1 (n:41), with pneumonia findings, and Group 2 (n:110), with no pneumonia findings]. The groups’demographic data, clinical and laboratory findings were compared. Pulmonary involvement was determined in 41 (27.1%) ofthe 151 patients. The [body mass index (BMI) Z-score], red blood cell distribution width (RDW), mean platelet volume (MPV),neutrophil lymphocyte ratio, passive leg raise, and D-dimer levels were significantly higher in patients with pneumonia than thosewithout pneumonia in our study. Based on multivariate logistic regression analysis, BMI Z-score, MPV, and RDW were found tobe independent risk factors of pneumonia in patients. The current study showed higher levels of blood parameters in patients withcoronavirus disease 2019 (COVID -19) presenting with pneumonia than those without pneumonia. We suggest that BMI-Z scoreand MPV value may assist in predicting pulmonary involvement in patients with COVID-19.","PeriodicalId":118905,"journal":{"name":"The Journal of Pediatric Academy","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128380654","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":"Evaluation of Thiol/Disulfide Homeostasis and Neurogenin 3 Levels as a Marker of Oxidative Stress in Children and Adolescents Newly Diagnosed with Type 1 Diabetes","authors":"Gözde Deliktaş, Reyhan Deveci Sevim, Tolga Ünüvar","doi":"10.51271/jpea-2022-195","DOIUrl":"https://doi.org/10.51271/jpea-2022-195","url":null,"abstract":"The objective of the study was to determine the relationship between autoimmunity and dynamic thiol/disulfide, neurogenin 3 (ngn 3) status in the newly diagnosed with type 1 diabetes mellitus (T1DM), the level of treatment, and thiol/disulfide homeostasis and neurogenin 3, and to found the changes in neurogenin 3 level due to beta cell damage in children newly diagnosed with T1DM. Totally 60 children aged 1-18 years old, 30 of them newly diagnosed with type 1 diabetes (patients), and 30 of them healthy children in the same age group (control) were included in the study. Insulin and C-peptide levels of newly diagnosed T1DM patients were lower than the control group, however, HbA1c, glucose, creatinine, cholesterol, triglyceride, and LDL levels were found higher in patients. Total thiol level and Gad antibody positive rate were found higher in children newly diagnosed with T1DM. In addition, it was observed that the rate of anti-insulin antibody positivity increased in the 6th-month control of patients. However, HbA1c and glucose levels at diagnosis were higher in patients compared to the control group at the sixth month. Insulin and C-peptide levels were determined lower in patients admitted with diabetic ketoacidosis. A negative correlation was observed between native thiol and anti-insulin antibody parameters and a positive correlation between ngn 3 and total cholesterol and LDL. In conclusion, thiol/disulfide homeostasis and ngn 3 parameters can be used as oxidative stress markers in children and adolescents newly diagnosed with T1DM.","PeriodicalId":118905,"journal":{"name":"The Journal of Pediatric Academy","volume":"125 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124732370","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}
Merve Yoldaş Çelik, H. Yazıcı, Fehime Erdem, E. Canda, Banu Sarsik Kumbaraci, İpek Kaplan Bulut, S. Kalkan Uçar, S. Kabasakal, M. Çoker
{"title":"Nephrotic syndrome in a patient with Glycogen Storage Disease Type IXb.","authors":"Merve Yoldaş Çelik, H. Yazıcı, Fehime Erdem, E. Canda, Banu Sarsik Kumbaraci, İpek Kaplan Bulut, S. Kalkan Uçar, S. Kabasakal, M. Çoker","doi":"10.51271/jpea-2022-192","DOIUrl":"https://doi.org/10.51271/jpea-2022-192","url":null,"abstract":"Introduction: Glycogen storage disorder (GSD) IXb is characterized by liver and muscle involvement. We present a GSD IXb patient with an incidental union of nephrotic syndrome. \u0000Case Report: A 4 year-old-patient was diagnosed with GSD IXb at 13 months of age with mildly elevated transaminases and hepatomegaly. During the follow-up period, there was no hypoglycemia. Development and growth were normal. In the last month, the onset of generalized edema was reported. Urinalysis showed a high protein level. He had low serum albumin, high serum triglycerides cholesterol. Complement levels were normal. The patient was diagnosed as minimal change disease with a renal biopsy. He was treated with oral prednisone. \u0000Discussion: Minimal Change Disease is the most common cause of idiopathic nephrotic syndrome cases in children and the first step for therapy is the usage of corticosteroids. This is the first report of nephrotic syndrome associated with GSD IXb disease.","PeriodicalId":118905,"journal":{"name":"The Journal of Pediatric Academy","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121768131","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}