Anjali Agrawal, Bo Borch-Christensen, Vanessa Gildenstern, Jaron A Smith
{"title":"Primary Varicella Infection Presenting as Kaposi Varicelliform Eruption in an Unimmunized Infant With Severe Atopic Dermatitis: A Case Report.","authors":"Anjali Agrawal, Bo Borch-Christensen, Vanessa Gildenstern, Jaron A Smith","doi":"10.1111/jpc.70608","DOIUrl":"https://doi.org/10.1111/jpc.70608","url":null,"abstract":"","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149111210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Naima Nimmi, Bindu Joseph, Habib Bhurawala, Smita Shah, Anita Munoz, Muhammad Aziz Rahman
{"title":"Paediatricians' Support for Adolescent Vaping Cessation in Australia: A National Cross-Sectional Study.","authors":"Naima Nimmi, Bindu Joseph, Habib Bhurawala, Smita Shah, Anita Munoz, Muhammad Aziz Rahman","doi":"10.1111/jpc.70605","DOIUrl":"https://doi.org/10.1111/jpc.70605","url":null,"abstract":"<p><strong>Background: </strong>Adolescent vaping is rising globally and in Australia, and evidence on paediatricians' cessation support is scarce. This study examined predictors of paediatricians' engagement in vaping cessation among adolescents, focusing on disparities in knowledge, attitudes, practices and barriers across various sociodemographic and professional factors.</p><p><strong>Methods: </strong>A nationwide cross-sectional, web-based survey was conducted among paediatricians and paediatric registrars practising across Australia between May and October 2023. Data were collected using a structured questionnaire on demographics, knowledge, attitudes and barriers (28-item Likert scale) and practices adapted from the WHO 5A framework. Multivariable logistic regression was conducted to investigate the association.</p><p><strong>Results: </strong>A total of 90 paediatricians participated, of whom 67.5% were female and 78.8% practised in metropolitan areas. A vast majority (90%) recognised its addictive nature and nearly all (97.7%) of them viewed vaping among adolescents as a gateway to tobacco and other substance use. Only one in three were aware of referral options for cessation, over two-thirds routinely advised against vaping, one in five provided cessation support and one-third arranged follow-up care. Some variation was observed by age and gender; however, evidence of systematic differences by geographic location or primary medical training was limited after adjustment. Senior paediatricians were more likely to recognise EVALI symptoms and less likely to report time constraints. Key barriers included limited referral knowledge, insufficient time and discomfort, which significantly impeded engagement.</p><p><strong>Conclusion: </strong>Although paediatricians recognised vaping as a major concern, their support rarely extended to routine cessation care, demonstrating the need for clearer referral pathways and targeted training.</p>","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149111128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Systemic Factors Associated With Paediatric Dental General Anaesthesia Utilisation in Aotearoa New Zealand: A Scoping Review.","authors":"Sathananthan Kanagaratnam, Philip J Schlüter","doi":"10.1111/jpc.70611","DOIUrl":"https://doi.org/10.1111/jpc.70611","url":null,"abstract":"<p><strong>Aim: </strong>To identify systemic factors associated with paediatric dental general anaesthesia (DGA) utilisation among children aged 0-13 years in Aotearoa New Zealand (NZ), using a multilevel conceptual framework.</p><p><strong>Methods: </strong>A scoping review was conducted in accordance with PRISMA-ScR guidelines. Peer-reviewed literature published between 2000 and 2025 was identified through searches of PubMed and Google Scholar. Eligible studies examined paediatric DGA, dental hospitalisation or contributing factors in NZ. Data were extracted and synthesised across four domains: disease burden, service access, treatment pathways and structural and social determinants. Study quality was assessed using the Mixed Methods Appraisal Tool.</p><p><strong>Results: </strong>Sixteen studies were included. Persistent severe early childhood caries was consistently associated with DGA utilisation, particularly among Māori, Pacific and socioeconomically disadvantaged children. Health system factors-including delayed access to community oral health services, missed appointments, workforce constraints and variation in referral practices-were also associated with increased hospitalisation. Treatment-related factors, including restoration failure and repeat DGA, contributed to service demand, although evidence was primarily observational. Structural and social determinants, including socioeconomic deprivation and access barriers, influenced both disease burden and service engagement. Evidence regarding migration was limited and inconclusive.</p><p><strong>Conclusions: </strong>Increasing paediatric DGA utilisation in NZ is associated with interacting clinical, health system and structural factors. As the current evidence base is largely observational, causal inference is limited. Reducing demand will likely require coordinated prevention-focused strategies, improved service access and continuity and attention to structural and social inequities, supported by further research.</p>","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149111117","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Congenital Ichthyosis and Jordans' Anomaly: A Diagnostic Clue to Chanarin-Dorfman Syndrome.","authors":"Harun Yildirim, Sule Caliskan Kamis, Onur Recep Gunduz, Savas Ozturk, Ebru Aydin Yildirim","doi":"10.1111/jpc.70552","DOIUrl":"10.1111/jpc.70552","url":null,"abstract":"","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":"2058-2061"},"PeriodicalIF":1.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148794501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Phakomatosis Pigmentovascularis Type IIb With Sturge-Weber Syndrome Presenting as Stroke-Like Episodes.","authors":"Sneha Vaidya, Rajwanti Vaswani, Sonu Antony, Gayatri Deshmukh, Rachel Julie Noronha","doi":"10.1111/jpc.70548","DOIUrl":"10.1111/jpc.70548","url":null,"abstract":"","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":"2070-2073"},"PeriodicalIF":1.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148840304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tomer Mevorach, Amit Goldstein, Orly Lavan, Shelly Shteinling, Adi Sela, Silvana Fennig
{"title":"Physiological and Cardiac Effects of Weight Loss in Adolescents With Atypical Anorexia Nervosa Versus Those Undergoing Bariatric Surgery: A Retrospective Comparative Study.","authors":"Tomer Mevorach, Amit Goldstein, Orly Lavan, Shelly Shteinling, Adi Sela, Silvana Fennig","doi":"10.1111/jpc.70558","DOIUrl":"10.1111/jpc.70558","url":null,"abstract":"<p><strong>Objective: </strong>Adolescents with atypical anorexia nervosa (AAN) experience cardiac complications at rates comparable to typical anorexia nervosa, despite remaining within or above a normal weight range. The physiological mechanisms underlying this paradox remain poorly understood. This study is the first to compare cardiac outcomes between adolescents with AAN and those who underwent bariatric surgery, a population experiencing similarly rapid and substantial weight loss within a medically supervised context.</p><p><strong>Methods: </strong>A retrospective study compared adolescents with AAN (n = 102, 82% female, mean age 15.0 ± 1.6 years) and adolescents who underwent bariatric surgery (n = 90, 67% female, mean age 16.4 ± 1.1 years) on weight loss magnitude and pace, minimum heart rate, thyroid function, physical activity and laboratory indices.</p><p><strong>Results: </strong>Despite losing more weight at a faster rate, the bariatric surgery group had significantly higher minimum heart rates (83.6 vs. 62.2 bpm, p < 0.001) and no cases of clinically significant bradycardia, compared with 22.5% in the AAN group. Rate of weight loss did not correlate with minimum heart rate in either group. Exploratory analyses suggested an association between T3 levels and minimum heart rate, warranting further investigation.</p><p><strong>Conclusion: </strong>Weight loss magnitude and rate alone do not determine cardiac risk in AAN. The nutritional context and physiological adaptations specific to eating disorders appear to have a role in the cardiac outcome. Adolescents with AAN require proactive cardiac monitoring regardless of current weight or pace of weight loss.</p>","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":"2041-2047"},"PeriodicalIF":1.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13671252/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148880800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yılmaz Seçilmiş, Ayten Güleç, Nimetullah Alper Durmuş, Ümmügülsüm Özgül Gümüş, Selcan Öztürk, Mehmet Canpolat, Emre Bülbül, Şükrü Oral, Emir Gökalp, Hüseyin Per
{"title":"From Leukaemia to MOGAD, From Refractive Error to Dural Fistula: Torticollis as the Presenting Sign of Serious Disease in Children.","authors":"Yılmaz Seçilmiş, Ayten Güleç, Nimetullah Alper Durmuş, Ümmügülsüm Özgül Gümüş, Selcan Öztürk, Mehmet Canpolat, Emre Bülbül, Şükrü Oral, Emir Gökalp, Hüseyin Per","doi":"10.1111/jpc.70551","DOIUrl":"10.1111/jpc.70551","url":null,"abstract":"<p><strong>Aim: </strong>To describe the etiological spectrum and pathophysiological mechanisms of torticollis in a clinically selected paediatric cohort and to characterise clinical features associated with serious underlying pathology.</p><p><strong>Methods: </strong>We conducted a retrospective observational study at a tertiary referral centre over 5 years. Only patients in whom torticollis led to advanced evaluation or intervention were included. Cases were retrospectively classified by dominant pathophysiological mechanism.</p><p><strong>Results: </strong>Fifteen patients (9 boys, 6 girls; median age 4 years) were included. Aetiologies included intracranial tumours (n = 5), spinal dural arteriovenous fistula, myelin oligodendrocyte glycoprotein antibody-associated disease (MOGAD), ADPRHL2-related neurodegeneration (CONDSIAS), atlantoaxial subluxation, cervical lymphadenitis, laryngomalacia, epilepsy, ocular disorders, and acute monocytic leukaemia (AML-M5). Seven dominant mechanisms were assigned: compensatory posturing (n = 7), pain-avoidance posturing (n = 3), vestibulocerebellar dysfunction (n = 1), cervical spine instability (n = 1), ocular compensation (n = 1), cortical irritability (n = 1), and paroxysmal neurodegeneration (n = 1). Torticollis resolved in 13 of 15 patients (86.7%) after definitive treatment.</p><p><strong>Conclusions: </strong>Torticollis developing after the neonatal period may be the presenting sign of conditions ranging from refractive error to leukaemia, MOGAD, and dural arteriovenous fistula in children. The mechanism-based interpretations presented here are hypothesis-generating and require prospective validation.</p>","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":"2029-2040"},"PeriodicalIF":1.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148865469","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Clinical Features and Outcomes of Neonates With COVID-19-Associated Cerebral White Matter Injury: A Case Series.","authors":"Xiangxiang Chen, Yanyan Ni, Mingyu Han, Jingjing Lin, Tianming Yuan","doi":"10.1111/jpc.70546","DOIUrl":"10.1111/jpc.70546","url":null,"abstract":"","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":"2062-2066"},"PeriodicalIF":1.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148794469","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Janaa Issa, Ahmad Fasfoos, Alaa M I Alazzeh, Tabarak Almasri, Izzeddin A Bakri, Ibrahim Alzatari
{"title":"Paediatric Extratesticular Epidermoid Cyst Extending Towards the Perineal Region in a 6-Year-Old Boy: A Case Report.","authors":"Janaa Issa, Ahmad Fasfoos, Alaa M I Alazzeh, Tabarak Almasri, Izzeddin A Bakri, Ibrahim Alzatari","doi":"10.1111/jpc.70559","DOIUrl":"10.1111/jpc.70559","url":null,"abstract":"","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":"2079-2083"},"PeriodicalIF":1.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148891925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Edwina Mingay, Jan Belcher, Rani Bhatia, Kahn Preece, Kirrilly Pursey
{"title":"Nutritional Biochemistry in Paediatric Inborn Errors of Immunity: A Single Centre Audit.","authors":"Edwina Mingay, Jan Belcher, Rani Bhatia, Kahn Preece, Kirrilly Pursey","doi":"10.1111/jpc.70601","DOIUrl":"10.1111/jpc.70601","url":null,"abstract":"","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":"2088-2090"},"PeriodicalIF":1.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149025226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}