Amanda M Dave, Kyoko Fukahori, Meghan Mack, Caitlin McNamara
{"title":"Acute Flaccid Paralysis.","authors":"Amanda M Dave, Kyoko Fukahori, Meghan Mack, Caitlin McNamara","doi":"10.1542/pir.2024-006722","DOIUrl":"10.1542/pir.2024-006722","url":null,"abstract":"<p><p>Acute flaccid paralysis is a clinical syndrome referring to acute onset of weakness that can result from a variety of causes, including autoimmune diseases, viral infections, and neurological disorders. Management is largely supportive, but a multidisciplinary approach to treatment and rehabilitation is imperative.</p>","PeriodicalId":20007,"journal":{"name":"Pediatrics in review","volume":"47 3","pages":"139-148"},"PeriodicalIF":1.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147322066","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":"Don't Be Rash: Exploring Mucositis in a Teenager.","authors":"Anna Lackey, Sarah Calardo, Kanika Gupta","doi":"10.1542/pir.2024-006617","DOIUrl":"https://doi.org/10.1542/pir.2024-006617","url":null,"abstract":"","PeriodicalId":20007,"journal":{"name":"Pediatrics in review","volume":"47 3","pages":"182-184"},"PeriodicalIF":1.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147322150","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}
Mayanka Mahendran, Shiva Majmudar, Alfonso Hoyos-Martinez
{"title":"Lower Extremity Cramping and Palpitations in a 17-Year-Old Boy.","authors":"Mayanka Mahendran, Shiva Majmudar, Alfonso Hoyos-Martinez","doi":"10.1542/pir.2024-006670","DOIUrl":"https://doi.org/10.1542/pir.2024-006670","url":null,"abstract":"","PeriodicalId":20007,"journal":{"name":"Pediatrics in review","volume":"47 3","pages":"160-162"},"PeriodicalIF":1.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147322121","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}
Nikolai Aksenov, Ashok Jain, Allen Hong, Olubunmi Fatoki
{"title":"Uncovering the Layers: Common Gastrointestinal Complaints and Uncommon Findings.","authors":"Nikolai Aksenov, Ashok Jain, Allen Hong, Olubunmi Fatoki","doi":"10.1542/pir.2024-006706","DOIUrl":"https://doi.org/10.1542/pir.2024-006706","url":null,"abstract":"","PeriodicalId":20007,"journal":{"name":"Pediatrics in review","volume":"47 3","pages":"167-171"},"PeriodicalIF":1.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147322074","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}
Aaron Grubner, Anya Wang, Paul Fisher, Madeline H Renny
{"title":"Lower Back Pain in a Healthy 17-Year-Old Adolescent.","authors":"Aaron Grubner, Anya Wang, Paul Fisher, Madeline H Renny","doi":"10.1542/pir.2025-006744","DOIUrl":"https://doi.org/10.1542/pir.2025-006744","url":null,"abstract":"","PeriodicalId":20007,"journal":{"name":"Pediatrics in review","volume":"47 3","pages":"163-166"},"PeriodicalIF":1.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147322156","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":"Eosinophilic Fasciitis in Pediatric Patients: A Rare but Distinct Autoimmune Fibrosing Disorder.","authors":"Jeremy R Ellis, Bernard A Cohen","doi":"10.1542/pir.2025-006932","DOIUrl":"10.1542/pir.2025-006932","url":null,"abstract":"<p><p>Eosinophilic fasciitis (EF), or Shulman syndrome, first described in 1974, is a rare fibrosing disorder characterized by painful, symmetric swelling and progressive woody induration of skin and subcutaneous tissues. Although the pathogenesis remains unclear, EF is considered immune-mediated, often triggered by physical exertion, infections, or medications. Pediatric EF, a particularly uncommon subset, can exhibit distinct clinical features, including pronounced extracutaneous manifestations, unpredictable disease progression, and variable therapeutic responses. Clinical presentations range from rapidly advancing fibrosis leading to joint contractures to fluctuating inflammatory episodes. Diagnosis is challenging because of the absence of universal criteria, although peripheral eosinophilia, elevated inflammatory markers, and imaging findings support clinical suspicion. Definitive diagnosis depends on deep skin and fascial biopsy, revealing eosinophil-rich lymphoplasmacytic infiltrates and fibrosis. Management primarily relies on systemic corticosteroids, supplemented by steroid-sparing immunosuppressive medications in refractory cases. Early diagnosis and treatment are critical because untreated EF can cause irreversible fibrosis and significant functional impairment. The disease's rarity, heterogeneous presentations, and unclear etiology further complicate clinical management. Recent insights suggest EF may involve intricate interactions among environmental triggers, immune dysregulation, and fibrotic remodeling. This review aims to provide an updated overview of pediatric EF, highlighting current knowledge on clinical manifestations, diagnosis, differential diagnosis, therapeutic approaches, and outcomes, supported by an illustrative case, with emphasis on areas needing further research.</p>","PeriodicalId":20007,"journal":{"name":"Pediatrics in review","volume":"47 3","pages":"121-128"},"PeriodicalIF":1.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147322071","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":"Social Media and Adolescent Mental Health: A Practical Approach.","authors":"Megan A Moreno, Avery Salerno","doi":"10.1542/pir.2024-006545","DOIUrl":"10.1542/pir.2024-006545","url":null,"abstract":"<p><p>The vast majority of youth use social media, which plays an important role in the lives of adolescents. Concerns around social media and mental health closely follow a previous pattern of concerns and cross-sectional studies that examined internet use and mental health. Social media and mental health study findings can be sorted into 3 categories: negative association, no population-level association, and a more complex association. Several critical mechanisms can be applied to understand the risks and benefits of social media for adolescents. Mechanisms explaining negative outcomes include problematic internet use (PIU) and exposure to negative content or experiences. Mechanisms to explain positive outcomes include social support, identity development, learning, and civic engagement. Screening for PIU and social media use with validated instruments and nonjudgmental approaches is critical. Prevention and management include ongoing communication and providing resources for families. In summary, population-level concerns about social media and adolescent health are not scientifically supported. However, pediatricians are charged with caring for individual adolescents who may experience a variety of positive and negative outcomes from their social media use that pediatricians can positively impact through communication and resources.</p>","PeriodicalId":20007,"journal":{"name":"Pediatrics in review","volume":"47 3","pages":"129-138"},"PeriodicalIF":1.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147322089","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":"17-Year-Old Girl With Fatigue, Night Sweats, and Persistent Abdominal Pain After 2 Weeks of Vomiting and Diarrhea.","authors":"Sirey Zhang, Zoe Parisian-Jeppesen, Emilie Morris, Sonia Mehra","doi":"10.1542/pir.2025-006787","DOIUrl":"https://doi.org/10.1542/pir.2025-006787","url":null,"abstract":"","PeriodicalId":20007,"journal":{"name":"Pediatrics in review","volume":"47 3","pages":"172-175"},"PeriodicalIF":1.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147322088","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}
Kathryn Westphal, Julie K Wood, Nicholas M Potisek
{"title":"Hypothermia in Young Infants.","authors":"Kathryn Westphal, Julie K Wood, Nicholas M Potisek","doi":"10.1542/pir.2024-006703","DOIUrl":"https://doi.org/10.1542/pir.2024-006703","url":null,"abstract":"","PeriodicalId":20007,"journal":{"name":"Pediatrics in review","volume":"47 3","pages":"179-181"},"PeriodicalIF":1.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147322118","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}
Andrea Montano Ballesteros, Adam Beaton, Balagangadhar R Totapally
{"title":"Basics of Mechanical Ventilation for the Outpatient Pediatrician.","authors":"Andrea Montano Ballesteros, Adam Beaton, Balagangadhar R Totapally","doi":"10.1542/pir.2025-006919","DOIUrl":"https://doi.org/10.1542/pir.2025-006919","url":null,"abstract":"","PeriodicalId":20007,"journal":{"name":"Pediatrics in review","volume":"47 3","pages":"149-159"},"PeriodicalIF":1.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147322126","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}