Paola Belleri, Mauro Guariento, Maria Giulia Tisato, Giovanna La Fauci
{"title":"Rabdomiolisi... stellare","authors":"Paola Belleri, Mauro Guariento, Maria Giulia Tisato, Giovanna La Fauci","doi":"10.53126/mebxxvif041","DOIUrl":"https://doi.org/10.53126/mebxxvif041","url":null,"abstract":"The case of a 9-year-old boy presenting with brown coloured urine (myoglobinuria) and extraordinarily high blood CPK levels is described. A diagnosis of rhabdomyolisis related to a Coxsackievirus A and B infection was finally made.","PeriodicalId":198715,"journal":{"name":"Medico e Bambino pagine elettroniche","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133177715","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":"Nuovi mostri allergologici","authors":"Francesco Baldo, Prisca Da Lozzo","doi":"10.53126/mebxxvif039","DOIUrl":"https://doi.org/10.53126/mebxxvif039","url":null,"abstract":"The authors describe two cases in which a wrong diagnosis of allergy has negatively affected the normal health behaviour of the children and their families.","PeriodicalId":198715,"journal":{"name":"Medico e Bambino pagine elettroniche","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131307427","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}
Elena Borelli, M. L. Casciana, C. Giacomozzi, Silvia Fasoli
{"title":"Un rene… due uteri! La sindrome di Herlyn-Werner-Wunderlich","authors":"Elena Borelli, M. L. Casciana, C. Giacomozzi, Silvia Fasoli","doi":"10.53126/mebxxvif042","DOIUrl":"https://doi.org/10.53126/mebxxvif042","url":null,"abstract":"The case of an eleven-year-old girl with acute pelvic abdominal pain due to hematocolpos is presented. Herlyn-Werner-Wunderlich syndrome was finally diagnosed.","PeriodicalId":198715,"journal":{"name":"Medico e Bambino pagine elettroniche","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130971220","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":"Un Meckel fantasma","authors":"Irene Malni","doi":"10.53126/mebxxvige011","DOIUrl":"https://doi.org/10.53126/mebxxvige011","url":null,"abstract":"The case of a 3-year-old child with acute abdomen due to the perforation of a Meckel’s diverticulum is presented. At the first surgical exploration the diagnosis was misunderstood because of the anomalous positioning in the mesenteric side of the diverticulum.","PeriodicalId":198715,"journal":{"name":"Medico e Bambino pagine elettroniche","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131618660","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":"IperCPKemia in Pediatria: approccio pratico e confronto con le linee guida","authors":"Anna Vaivoda, S. Pastore","doi":"10.53126/mebxxvige015","DOIUrl":"https://doi.org/10.53126/mebxxvige015","url":null,"abstract":"In this retrospective, single-centre study, the Authors analyse the cause of the high blood value of the creatinphosphokinase enzyme (CPK). Even if severe diseases as muscular dystrophy are usually associated with high (> ten time normal value) blood levels, even a moderate increase should cause alarm if persistent.","PeriodicalId":198715,"journal":{"name":"Medico e Bambino pagine elettroniche","volume":"143 ","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133686310","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}
Sofia Todero, Tammam Hasan, L. Ragni, Andrea Donti
{"title":"Un’insolita ipertensione polmonare","authors":"Sofia Todero, Tammam Hasan, L. Ragni, Andrea Donti","doi":"10.53126/mebxxvige013","DOIUrl":"https://doi.org/10.53126/mebxxvige013","url":null,"abstract":"The Authors describe the case of a newborn presenting with severe pulmonary hypertension due to the hypoplasia of the pulmonary arteries and finally diagnosed with Alagille syndrome. The typical vertebral anomalies and hyperbilirubinaemia were also present.","PeriodicalId":198715,"journal":{"name":"Medico e Bambino pagine elettroniche","volume":"107 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128319371","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":"Sembrava un lombrico: la cisti del rafe mediano","authors":"Sara Romanò, Rosaura Conti","doi":"10.53126/mebxxvige017","DOIUrl":"https://doi.org/10.53126/mebxxvige017","url":null,"abstract":"The Authors describe the rare (and striking) case of a 4-year-old child with an infected median raphe cyst.","PeriodicalId":198715,"journal":{"name":"Medico e Bambino pagine elettroniche","volume":"223 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124434285","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}
Francesco Accomando, Melodie O. Aricò, E. Valletta
{"title":"Kawasaki? Adenovirus? Kawasaki da adenovirus o con adenovirus?","authors":"Francesco Accomando, Melodie O. Aricò, E. Valletta","doi":"10.53126/mebxxvige006","DOIUrl":"https://doi.org/10.53126/mebxxvige006","url":null,"abstract":"Kawasaki disease (KD) still represents a challenge for differential diagnosis because it shares clinical features with other infectious diseases. Adenovirus infection has many symptoms that can be found among the diagnostic criteria of KD. However, the two entities have some minor differences that are useful to distinguish them. It is quite important, even with a positive PCR test for adenovirus, not to exclude a possible KD to avoid a diagnosis delay and possible severe complications.","PeriodicalId":198715,"journal":{"name":"Medico e Bambino pagine elettroniche","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125097373","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":"Un caso insolito di trombocitopenia","authors":"A. Barachino","doi":"10.53126/mebxxvige004","DOIUrl":"https://doi.org/10.53126/mebxxvige004","url":null,"abstract":"A two-and-a-half-year-old child presents with spontaneous ecchymosis. In addition to severe thrombocytopoenia, initial investigations show the presence of neutropoenia and signs of immune-mediated haemolysis (positivity of the direct antiglobulin test). This raises the suspicion of Evans syndrome, since this syndrome is characterized, according to the current definition, by the destruction of at least two medullary cell lines in the absence of other diagnoses. Evans syndrome in many cases can be secondary to various pathological conditions. Investigations are carried out in the infectious, immunological, rheumatological and genetic fields, and lead to the identification of a mutation that is one of the causes of common variable immunodeficiency (CVID). So, on that ground, it can be affirmed that the present case of Evans syndrome is secondary to CVID.","PeriodicalId":198715,"journal":{"name":"Medico e Bambino pagine elettroniche","volume":"101 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123850274","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}
A. Clavenna, G. Segre, Elisa Roberti, Ilaria Costantino, Francesca Scarpellini, Valeria Tessarollo, M. Bonati
{"title":"L’integrazione di differenti prospettive sullo sviluppo del bambino","authors":"A. Clavenna, G. Segre, Elisa Roberti, Ilaria Costantino, Francesca Scarpellini, Valeria Tessarollo, M. Bonati","doi":"10.53126/mebxxvige001","DOIUrl":"https://doi.org/10.53126/mebxxvige001","url":null,"abstract":"Objective - To assess the feasibility of a shared approach that combines the clinical expertise of family paediatricians and the perspectives of parents in the early identification of potential disorders in children using standard clinical practice tools. Study design - Within the NASCITA birth cohort, in addition to the family paediatrician’s clinical evaluation, the M-CHAT-R was completed by parents to assess the child’s language, social skills, behaviour, and sensory areas. Parents were also asked to complete the PSI-SF to verify the magnitude of stress in the parent-child system. Univariate and multivariate analyses were performed to evaluate the association between child and parental characteristics and the presence of warning signs. Results - The follow-up assessment was completed for 435 infants: 69 (15.8%) presented warning signs: 43 in the paediatrician’s assessment and 36 in the M-CHAT-R (10 in both). A total of 16 children (14 with warning signs) received a diagnosis after a specialist evaluation. Being male (OR = 2.42, 95% CI: 1.20-4.86) and having sleep disorders (OR = 2.48, 95% CI 1.19-5.71) was associated with a greater likelihood of warning signs in the multivariate analysis, while reading aloud was a protective factor (not exposed versus exposed, OR = 3.14; 95% CI 1.60-6.17). For 73 children (18.4%), at least one parent tested positive for PSI-SF. An increased prevalence of parental distress was observed in children with warning signs (OR 2.36, 95% CI 1.27-4.37). Conclusions - Integrating physician and parental perspectives during well-child visits and in clinical practice appears feasible and can improve the identification of children at risk of developmental disorders.","PeriodicalId":198715,"journal":{"name":"Medico e Bambino pagine elettroniche","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131724720","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}
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