Residência Pediátrica最新文献_第7页

Rare congenital tumor as an atypical cause of neonatal stridor: Case report of a rare case of neonatal stridor and atypical evolution of late airway obstruction due to congenital oropharyngeal teratoma (Epignathus) 罕见先天性肿瘤作为新生儿喘鸣的不典型病因:罕见新生儿喘鸣及先天性口咽畸胎瘤(表腺瘤)致晚期气道阻塞不典型演变1例报告

Residência Pediátrica Pub Date : 1900-01-01 DOI: 10.25060/residpediatr-2021.v11n2-130

M. Avelino, Leticia Berquó, J. Caixeta, C. Oliveira

{"title":"Rare congenital tumor as an atypical cause of neonatal stridor: Case report of a rare case of neonatal stridor and atypical evolution of late airway obstruction due to congenital oropharyngeal teratoma (Epignathus)","authors":"M. Avelino, Leticia Berquó, J. Caixeta, C. Oliveira","doi":"10.25060/residpediatr-2021.v11n2-130","DOIUrl":"https://doi.org/10.25060/residpediatr-2021.v11n2-130","url":null,"abstract":"BACKGROUND: Epignathus is the term used for congenital oropharyngeal teratoma, a rare condition however with great potential to cause fetal airway obstruction, attending with respiratory insufficiency and being able to cause perinatal death. Usual imaging exam in pregnancy follow-up such as ultrasonography can detect mass-type lesions occupying the head and neck region of the fetus, also commonly associated with polydramnium. The early diagnosis of Epignathus assists in planning management as delivery and adequate procedures to guarantee the fetal airway. CASE: We report an atypical case of a 44-day-old baby girl, born without complications, but with parents reports of mild stridor from birth without investigation, progressed with severe respiratory insufficiency requiring orotracheal intubation in emergency service. At the time, a mass was detected on oropharynx obstructing airway. After the surgical exeresis of the mass, histopathological study revealed mature teratoma. CONCLUSION: Neonatal stridor, however mild, requires an adequate investigation of the probable etiology. In medical practice, cases of severe stridor associated with symptoms such as respiratory effort or difficulty feeding tend to be more valued. Epignathus is not a common cause of neonatal stridor, especially in cases of late manifestations.","PeriodicalId":338092,"journal":{"name":"Residência Pediátrica","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130708702","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

Instruments to track risk signs for autism spectrum disorder in early development: Integrative literature review 追踪自闭症谱系障碍早期发展风险信号的仪器:综合文献综述

Residência Pediátrica Pub Date : 1900-01-01 DOI: 10.25060/residpediatr-2022.v12n4-672

Leticia Dias, Catarina Moldão, M. Bertoldo, Thayane Santana, Yandra Cunha, Ingrid Mata, Marilúcia Picanço

引用次数: 0

Supplementation of vitamins and minerals in premature newborn: An integrative literature review 早产儿补充维生素和矿物质:综合文献综述

Residência Pediátrica Pub Date : 1900-01-01 DOI: 10.25060/residpediatr-2022.v12n4-738

Daniella Vittorazzi, Clarissa Sulz, L. Soares

{"title":"Supplementation of vitamins and minerals in premature newborn: An integrative literature review","authors":"Daniella Vittorazzi, Clarissa Sulz, L. Soares","doi":"10.25060/residpediatr-2022.v12n4-738","DOIUrl":"https://doi.org/10.25060/residpediatr-2022.v12n4-738","url":null,"abstract":"INTRODUCTION: Premature newborns (PTNB) generally have micronutrient deficiencies. This fact is justified due to low stocks, insufficient diet and increased metabolic needs. Therefore, it is important to supplement with vitamins and minerals in the perinatal period and in the outpatient follow-up of these babies. OBJECTIVE: To evaluate the supplementation of vitamins and minerals in PTNB, highlighting its risks and benefits. Consider the indication and maintenance of supplements on an outpatient basis during follow-up. METHODS: Integrative review in PubMed, LILACS and SciELO databases. For the research, 473 articles were identified in English and Portuguese, published between 2012 and 2020. Of these, 16 articles were selected for the study. RESULTS: The benefit of vitamin A is greatly reduced and further analysis is needed. About vitamin D, most studies have shown that 400IU achieve adequate bone mineralization. Research has shown no significant effect on the use of calcium and phosphorus in preventing osteopenia. Regarding zinc supplementation, the only study found showed an improvement in growth in extremely low birth weight babies with chronic lung disease. However, ESPGHAN and SBP recommend its routine use for preterm in general. Iron deficiency is the most common nutritional deficiency in childhood and is associated with impaired neurodevelopment, so its supplementation is highly recommended. CONCLUSION: PTNB are a risk group for vitamin and mineral deficiency. There are few studies on routine supplementation, so the current recommendations, the SBP and ESPGHAN consensus, should be considered.","PeriodicalId":338092,"journal":{"name":"Residência Pediátrica","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125497358","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

Repercussion of weight loss on the growth rate of children and adolescents: a case study 体重减轻对儿童和青少年生长速度的影响:个案研究

Residência Pediátrica Pub Date : 1900-01-01 DOI: 10.25060/residpediatr-2023.v13n2-552

C. Lopes, M. Zambon, M. Antonio

{"title":"Repercussion of weight loss on the growth rate of children and adolescents: a case study","authors":"C. Lopes, M. Zambon, M. Antonio","doi":"10.25060/residpediatr-2023.v13n2-552","DOIUrl":"https://doi.org/10.25060/residpediatr-2023.v13n2-552","url":null,"abstract":"Report of the longitudinal evolution of the anthropometric indices of an obese child from preschool to the end of the puberty. It is about a 4 year-old boy with history of weight gain since the first year due to carbohydrate-rich and industrialized food intake, associated with physical inactivity and familiar history of obesity. At the first appointment he had body mass index (BMI) in Z-score + 7,36 and stature above the parental target. After orientations about lifestyle changes, he reached, at 7 years old, the lowest BMI and the growth rate became reduced. At this point, other causes of growth retardation have been ruled out, therefore the hypothesis was of growth stop secondary to weight loss and recanalization of the growth curve in response to the treatment of the exogenous obesity. In the evolution, the patient regained weight maintaining the drop on the stature, staying within the parental target. When puberty started, he presented progressive fall in BMI score and increased growth velocity. At 17, he reached BMI and stature within normality and parent target. Throughout the follow-up, the importance of healthy eating and realization of physical activity was reinforced. No medications were used, and there were no alterations at physical and complementary exams. The weight loss in obese children with tall stature for the parental target, can lead to slow growth rate when secondary to change to healthy habits and increase in physical activity, however without affecting the final height.","PeriodicalId":338092,"journal":{"name":"Residência Pediátrica","volume":"120 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123078046","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

ODD: behavioural perspectives and their association with ADHD and CT ODD:行为视角及其与ADHD和CT的关系

Residência Pediátrica Pub Date : 1900-01-01 DOI: 10.25060/residpediatr-2022.v12n1-433

Taynara Silva, Julia Fontoura, Viviane S. Carvalho, Glenia Maia

引用次数: 0

Six months of exclusive breastfeeding of very low birth weight preterm babies submitted to the kangaroo method 6个月的纯母乳喂养非常低的出生体重早产儿提交袋鼠法

Residência Pediátrica Pub Date : 1900-01-01 DOI: 10.25060/residpediatr-2023.v13n1-661

Kallyne Santos, Julianne Vilela, Thaíssa Costa, Élida Castro, C. Maia

{"title":"Six months of exclusive breastfeeding of very low birth weight preterm babies submitted to the kangaroo method","authors":"Kallyne Santos, Julianne Vilela, Thaíssa Costa, Élida Castro, C. Maia","doi":"10.25060/residpediatr-2023.v13n1-661","DOIUrl":"https://doi.org/10.25060/residpediatr-2023.v13n1-661","url":null,"abstract":"OBJECTIVE: To know the rate and factors associated with exclusive breastfeeding in the follow-up of the preterm submitted to the kangaroo method. METHODS: Cross-sectional study performed with pre-terms smaller than 33 weeks and/or birth weight <1,500 grams, born in 2019, submitted to the kangaroo method and followed up to six months. Descriptive analysis and association and comparison tests were carried out for the maternal and neonatal factors for the outcome of exclusive breastfeeding yes (G1) and not (G2) by the IBM-SPSS/Statistics program 22. RESULTS: Of the 111 patients who were discharged, 82 (100%) were followed up to the corrected ages 3.8/4.2 and chronological 5.9/6.3 months, respectively, in the G1/G2. Exclusive breastfeeding was present in G1 at 22 (26.8%) patients and 60 (73.2%) in the G2 had already introduced formula. Maternal age averages 28/29 years, gestational age 30.3/30.4 weeks, birth weight 1295/1434g, mechanical ventilation time 5.0/5.8 and total hospitalization 56/49 days in groups G1 and G2, respectively. Cesarian section frequencies 68/61%, necrotizing enterocolitis 4.5/8.3%, severe peri-intraventricular hemorrhage 4,5/8.3%, late sepsis 19/16.9%, and rehospitalization after discharge 4.5/6,8% in G1 and G2 patients. There was no statistical significance of the variables analyzed for the outcome of exclusive breastfeeding. CONCLUSION: Compared to other cohorts and at the service itself in 2010 analysis, the breastfeeding rate was high and, especially the exclusive breastfeeding, condition associated with the best development of the preterm. The perinatal variables were not determinants of the success of exclusive breastfeeding in these patients treated by the kangaroo method.","PeriodicalId":338092,"journal":{"name":"Residência Pediátrica","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121185984","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

A marked increase of leucine as a factor for poor outcome in the maple syrup urine disease 亮氨酸的显著增加是枫糖浆尿病预后不良的一个因素

Residência Pediátrica Pub Date : 1900-01-01 DOI: 10.25060/residpediatr-2023.v13n2-556

Bruna Braga, Gessianni Souza, F. Camara, A. C. Siqueira

{"title":"A marked increase of leucine as a factor for poor outcome in the maple syrup urine disease","authors":"Bruna Braga, Gessianni Souza, F. Camara, A. C. Siqueira","doi":"10.25060/residpediatr-2023.v13n2-556","DOIUrl":"https://doi.org/10.25060/residpediatr-2023.v13n2-556","url":null,"abstract":"INTRODUCTION: Leucinosis or Maple Syrup Disease (MSD) is an innate metabolism error caused by a deficiency in the activity of the alpha-keto acid-dehydrogenase enzyme complex, which leads to the accumulation of essential branched-chain amino acids (leucine, valine, and isoleucine), leucine is particularly toxic to the central nervous system (CNS). OBJECTIVES: Report a case of maple syrup disease in a 10-day-old newborn (NB), born to consanguineous parents, with late diagnosis, with high levels of leucine, with an unfavorable prognosis. COMMENTS: MSD is a rare condition, of autosomal recessive origin, which occurs due to the accumulation of essential branched-chain amino acids in tissues(leucine, valine, and isoleucine). The accumulation of amino acids mainly affects the CNS. Studies have shown that the elevated leucine concentration decreases the serum sodium concentration and increases intracellular water, causing cerebral edema. Neurological damage will depend on the degree and time of tissue exposure to metabolites. Despite the unfavorable outcome of the case presented, the prognosis of MSD can be modified with strict diet control and early and aggressive management of metabolic crisis.","PeriodicalId":338092,"journal":{"name":"Residência Pediátrica","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121219088","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

THE IMPACTO OF CLIMATE CHANGE ON THE DEMAND OF CHILDREN AND ADOLESCENTS FOR EMERGENCY SERVICES 气候变化对儿童和青少年对紧急服务需求的影响

Residência Pediátrica Pub Date : 1900-01-01 DOI: 10.25060/residpediatr-2023-807

Letícia Veronesi, J. Martin, Guilherme Silva, Maria Luisa Prieto, A. Valle, Paulo Boas, J. Corrente

{"title":"THE IMPACTO OF CLIMATE CHANGE ON THE DEMAND OF CHILDREN AND ADOLESCENTS FOR EMERGENCY SERVICES","authors":"Letícia Veronesi, J. Martin, Guilherme Silva, Maria Luisa Prieto, A. Valle, Paulo Boas, J. Corrente","doi":"10.25060/residpediatr-2023-807","DOIUrl":"https://doi.org/10.25060/residpediatr-2023-807","url":null,"abstract":"ABSTRACT GOALS To assess the impact of climatic variations on the demand of children and adolescents in emergency services. METHODS Ecological study conducted in a city countryside of São Paulo, which analysis of 39,336 emergency room visits in 2018 and correlation with meteorological data obtained from the meteorological station of the College of Agronomic Sciences of the municipality. Poisson regression models were fitted considering the season, temperature, relative humidity and precipitation. RESULTS The greatest demand for care was in the age group between 0 and 5 years (65.2%) with acute nasopharyngitis (8.7%) being the most frequent morbidity, followed by unspecified fever (6.1%); acute upper airway infection: 5.5%; acute tonsillitis: 5.2%; nausea and vomiting: 5%; diarrhea and gastroenteritis: 4.8%; cough: 4.6%; asthma: 4.2%; bronchopneumonia: 2.9% and acute pain: 2.4%. In summer, the most frequent morbidities were fever and diarrhea; in autumn: acute nasopharyngitis; in winter: IVA and fever; in spring: fever, acute nasopharyngitis. Acute nasopharyngitis, acute upper airway infection and bronchopneumonia mainly affect younger children and these diseases are more likely to occur at lower temperatures and in low air humidity. CONCLUSIONS There is a different frequency of morbidities in the different seasons of the year, as the chance of occurrence change depending on age, average temperature, average humidity and has no correlation with precipitation. Therefore, from the analysis of the climate, health services can anticipate to promote preventive measures and meet a greater or lesser demand of patients.","PeriodicalId":338092,"journal":{"name":"Residência Pediátrica","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121791754","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

Lysosomal Acid Lipase ( LAL) Deficiency: Enzyme Assay on Dried Blood Spot as Diagnostic Tool in a Patient Misdiagnosed as Niemann-Pick type C Disease 溶酶体酸性脂肪酶(LAL)缺乏:干血斑酶测定作为误诊为尼曼-匹克C型病的诊断工具

Residência Pediátrica Pub Date : 1900-01-01 DOI: 10.25060/residpediatr-2023-631

Marcella S. Borges, L. Araujo, Bruno Lima, L. Vagnini, Alberto Salles, Guerino Magalhaes, Joao Cristofolo, Joao Freitas, Pedro Aranas, J. Fonseca, Fernanda Timm, Charles Lourenco

{"title":"Lysosomal Acid Lipase ( LAL) Deficiency: Enzyme Assay on Dried Blood Spot as Diagnostic Tool in a Patient Misdiagnosed as Niemann-Pick type C Disease","authors":"Marcella S. Borges, L. Araujo, Bruno Lima, L. Vagnini, Alberto Salles, Guerino Magalhaes, Joao Cristofolo, Joao Freitas, Pedro Aranas, J. Fonseca, Fernanda Timm, Charles Lourenco","doi":"10.25060/residpediatr-2023-631","DOIUrl":"https://doi.org/10.25060/residpediatr-2023-631","url":null,"abstract":"Lysosomal acid lipase deficiency (LAL-D) is a lysosomal storage disorder involved in cholesterol ester metabolism. It is a poorly understood genetic cause of cirrhosis, dyslipidemia and premature atherosclerotic disease in children and adults. As the manifestations of LAL-D may resemble those observed in other more common diseases, delayed diagnosis is not uncommon. Wolman disease is an early-onset LAL-D phenotype that is usually fatal in the first year of life, but the most common form of the disease may occur at all ages. Recently, enzyme replacement therapy (ERT) for LAL-D has become available. Case report: A 12- year-old male patient was referred for hepatomegaly. Initially diagnosed as having Niemann-Pick type C disease (NPC), it did not present confirmatory mutations of this disease. Later, with enzymatic dosage of lysosomal acid lipase on filter paper, the diagnosis was redirected to LAL-D (with confirmation in enzymatic dosage in leukocytes and fibroblasts). Discussion: Although LAL-D is considered a rare and uncommon cause of liver disease, recent studies point to a higher prevalence of this disease. Early diagnosis is essential, since specific treatment for this disease is already available. About half of patients with LAL-D die before age 21 in the absence of adequate treatment","PeriodicalId":338092,"journal":{"name":"Residência Pediátrica","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123751545","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

Guillain-Barré syndrome in pediatrics: literature review 儿科格林-巴<s:1>综合征:文献综述

Residência Pediátrica Pub Date : 1900-01-01 DOI: 10.25060/residpediatr-2022.v12n3-523

M. Lucca, J. Maffini, M. Grassi, Marcelo Stadler-Junior, Vinícius Bezerra, P. João

{"title":"Guillain-Barré syndrome in pediatrics: literature review","authors":"M. Lucca, J. Maffini, M. Grassi, Marcelo Stadler-Junior, Vinícius Bezerra, P. João","doi":"10.25060/residpediatr-2022.v12n3-523","DOIUrl":"https://doi.org/10.25060/residpediatr-2022.v12n3-523","url":null,"abstract":"OBJECTIVE: The Guillain-Barré syndrome (GBS) is the most common cause of acute flaccid paralysis after polio was eradicated from some countries. This review discusses clinical presentation, the most common causes and treatment effectiveness due to GBS medical importance. METHODS: This article is a review of literature developed among 15 articles found in the database MEDLIDE, Cochrane and LILACS, between 2010 to 2020. The criteria were language (English, Portuguese, and Spanish), literature review articles, systematic reviews and metanalysis and 18 years old patients or younger. RESULTS: The pathologic anatomy varies according to the clinical subtype of the syndrome, presenting a variety of clinical presentations. The diagnosis is based on clinical data, but exams can be needed due to case complexity and the variety of differential diagnoses. The treatment aims to accelerate patient recovery, decrease complications and avoid long-term neurological deficit. Intravenous immunoglobulin is the most effective treatment. Plasmapheresis is also beneficial when initiated early, also its a cheaper technique. Even in developed countries, 5% of patients with GBS die due to medical complications. CONCLUSION: The GBS is the first cause of acute flaccid paralysis, although there are therapeutic options, the death rate is significant, as well as the sequelae. Research about this syndrome is necessary, since the improvement on the knowledge and management would result in reduced morbidity and mortality.","PeriodicalId":338092,"journal":{"name":"Residência Pediátrica","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125117986","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