Pediatrics in review最新文献_第3页

Recurrent Nausea, Vomiting, and Elevated Lipase in a 14-Year-Old Girl. 14岁女孩复发性恶心、呕吐和脂肪酶升高。

IF 1.5

Pediatrics in review Pub Date : 2026-08-01 DOI: 10.1542/pir.2025-006942

Megan Jorgensen, Sarah Cole, Jennifer Reed

引用次数: 0

Something Doesn't Look Right: Recognizing and Managing Limb-Length Discrepancy. 有些事情看起来不太对：识别和处理肢体长度的差异。

IF 1.5

Pediatrics in review Pub Date : 2026-08-01 DOI: 10.1542/pir.2025-006863

D'Arcy Marsh, Mohamed Said, Catherine Mackey, Eric Fornari

{"title":"Something Doesn't Look Right: Recognizing and Managing Limb-Length Discrepancy.","authors":"D'Arcy Marsh, Mohamed Said, Catherine Mackey, Eric Fornari","doi":"10.1542/pir.2025-006863","DOIUrl":"https://doi.org/10.1542/pir.2025-006863","url":null,"abstract":"Leg length discrepancy (LLD) is a frequently encountered yet often underrecognized musculoskeletal condition in children. Minor differences in leg length are common and typically benign; however, more significant discrepancies may reflect underlying congenital, developmental, or acquired pathology. Because many children adapt well, these discrepancies can remain unnoticed until gait changes, pain, or functional limitations appear. Early recognition is essential, as management depends on the child's remaining growth and the underlying cause. Epidemiologic studies suggest that up to 90% of children have some degree of asymmetry, but clinically significant LLD is rare. Despite this, many pediatricians report uncertainty about how to distinguish true from apparent discrepancies and when to refer for orthopedic evaluation. The optimal approach involves routine screening during well-child visits, accurate physical examination, and timely referral when progressive or symptomatic differences are detected. This review summarizes the causes, evaluation, and management of pediatric LLD and provides practical guidance to help pediatricians recognize red flags, interpret imaging, and counsel families effectively.","PeriodicalId":20007,"journal":{"name":"Pediatrics in review","volume":"47 8","pages":"439-449"},"PeriodicalIF":1.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148649134","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}

引用次数: 0

Childhood Attachment Patterns and Disorders. 儿童依恋模式和障碍。

IF 1.5

Pediatrics in review Pub Date : 2026-08-01 DOI: 10.1542/pir.2025-006869

Victoria Fierro-Cobas

引用次数: 0

Hantavirus Infections in Children. 儿童汉坦病毒感染。

IF 1.5

Pediatrics in review Pub Date : 2026-08-01 DOI: 10.1542/pir.2025-006862

Calvin J Cable, Walter Dehority

{"title":"Hantavirus Infections in Children.","authors":"Calvin J Cable, Walter Dehority","doi":"10.1542/pir.2025-006862","DOIUrl":"https://doi.org/10.1542/pir.2025-006862","url":null,"abstract":"Hantaviruses are rare but deadly pathogens. New World hantaviruses, primarily present in North and South America, cause hantavirus cardiopulmonary syndrome, which leads to death in up to one-third of affected patients. Old World hantaviruses, primarily endemic to Europe and Asia, cause hemorrhagic fever with renal syndrome and, dependent on the specific hantavirus, may cause death in up to 15% of patients. A heightened clinical suspicion is important for diagnosis of these conditions because important epidemiologic clues may exist at the time of presentation. A variety of testing modalities exist, from evaluation of blood smears (for hantavirus cardiopulmonary syndrome and may be available at many rural clinics) to serological evaluation and polymerase chain reaction testing (available at tertiary care centers or as a send-out to a reference laboratory). Despite the absence of proven antiviral therapies for many of these viruses, supportive care present at tertiary-level medical centers including invasive cardiovascular monitoring, mechanical ventilation, and access to dialysis (for hemorrhagic fever with renal syndrome) and extracorporeal membrane oxygenation (for hantavirus cardiopulmonary syndrome) may improve outcomes. Given the high risk of death as well as the potential for these patients to decompensate rapidly over 24 hours, early recognition of hantavirus infections and transfer to a tertiary medical center is imperative. The nonspecific prodrome, which mimics more common viral illnesses ubiquitous in children, as well as a more rapid progression to death in children than adults with hantavirus cardiopulmonary syndrome, highlights the need for pediatricians to remain vigilant for this rare and dangerous disease.","PeriodicalId":20007,"journal":{"name":"Pediatrics in review","volume":"47 8","pages":"429-438"},"PeriodicalIF":1.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148649026","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}

引用次数: 0

An Infant Presenting with Respiratory Distress. 一例婴儿出现呼吸窘迫。

IF 1.5

Pediatrics in review Pub Date : 2026-08-01 DOI: 10.1542/pir.2025-006991

Peyton Houser, Gillian Hopgood, Richard Scriven, Caitlin Keane-Bisconti

引用次数: 0

Idiopathic Thrombocytopenia. 特发性血小板减少。

IF 1.5

Pediatrics in review Pub Date : 2026-08-01 DOI: 10.1542/pir.2025-006802

Julia Cartwright, Jennifer Blase, Lauren Helms

引用次数: 0

Return to Play After Sport-Related Injury. 在运动相关损伤后恢复比赛。