Pediatria Polska最新文献

{"title":"Gastrointestinal symptoms of COVID-19 in children","authors":"Kamil Faltin, Paweł Małecki, A. Mania, A. Cwalinska, Marta Kostrzewa-Faltin, Karol Lubarski, Z. Lewandowska, Katarzyna Mazur-Melewska, M. Figlerowicz","doi":"10.5114/polp.2022.123233","DOIUrl":"https://doi.org/10.5114/polp.2022.123233","url":null,"abstract":"Introduction: The COVID-19 pandemic progresses. The clinical manifestation of the disease and the severity of its course vary significantly. There are considerable differences between symptoms of SARS-CoV-2 infection in the child and adult populations. The gastrointestinal (GI) symptoms are an essential element in understanding the pathophysiology of the disease and in drawing conclusions concerning the diagnostic, therapeutic, and epidemiological management of COVID-19. The aim of the study was to characterize the gastroenterological symptoms of COVID-19 in the paediatric population and to find differences in the course of the disease between paediatric patients with and without GI symptoms of COVID-19. Material(s) and Method(s): We report the clinical characteristics of 321 children with COVID-19 (age 0-215 months) hospitalized between March 2020 and April 2021. The following division was used when processing the data: the first wave of cases in Poland lasted from the beginning of the pandemic to June 2020, the 2nd wave September-November 2020, and the 3rd wave February-May 2021. We specifically compared the differences between patients with and without GI symptoms. Result(s): Among all included patients, 95 (29.5%) had GI symptoms - the most common included abdominal pain (15.27%) and diarrhoea (14%). Approximately 3% of patients with GI symptoms required surgical intervention. As the pandemic progressed, GI symptoms were reported with increasing frequency - during the first wave 9%, the second wave 25%, and the third wave 38%. Patients with GI symptoms had more frequent and statistically significantly higher inflammatory parameters. During treatment, GI patients more often required the administration of antibiotics. The most common abdominal ultrasound abnormalities were liver enlargement, a slight amount of free fluid in the peritoneal cavity, and moderately enlarged individual lymph nodes. Conclusion(s): Gastrointestinal symptoms form an image of COVID-19, which is a possible prognostic risk factor for severe course of the disease. Gastrointestinal symptoms should be treated as a possible isolated image of COVID-19. Copyright © 2022 Termedia Publishing House Ltd.. All rights reserved.","PeriodicalId":39653,"journal":{"name":"Pediatria Polska","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70499512","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":"Skeletal and dental abnormalities in patients with sex chromosome aberrations: a systematic case-based review","authors":"Dawid Gruszczyński, Kacper Nijakowski, A. Wolska-Bułach, K. Lacka","doi":"10.5114/polp.2022.114705","DOIUrl":"https://doi.org/10.5114/polp.2022.114705","url":null,"abstract":"Sex chromosome aneuploidies (SCAs) are common chromosomal disorders characterised by an atypical number of sex chromosomes. Turner syndrome (TS), Klinefelter syndrome (KS), and Jacobs syndrome (JS) are associated with a wide spectrum of skeletal manifestations, including craniofacial and limb anomalies. This systematic review aimed to analyse the incidence of skeletal abnormalities in selected SCAs based on case reports. In this review, 55 articles were included from the MEDLINE/PubMed and Google Scholar databases, according to PRISMA guidelines. High-arched palate, skeletal class II, and cubitus valgus were most frequently demonstrated among TS patients. Patients with KS and JS most often presented micrognathia, hypertelorism, and flat nasal bridge in the craniofacial region. In contrast, radioulnar synostosis, clinodactyly, and pes planus could be observed in the limbs of KS patients. The presence of dysmorphic facial features and limb malformations may indicate SCAs, which are underdiagnosed in the general population due to a variety of phenotypes.","PeriodicalId":39653,"journal":{"name":"Pediatria Polska","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70497168","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":"A 15-year-old boy with travel-imported dengue haemorrhagic fever","authors":"Anna Tomasik, M. Pokorska-Śpiewak, B. Kowalik-Mikołajewska, M. Marczyńska","doi":"10.5114/polp.2022.114704","DOIUrl":"https://doi.org/10.5114/polp.2022.114704","url":null,"abstract":"Dengue is a viral, mosquito-spread disease with a high prevalence in tropical and subtropical areas. We report a case of travel-imported dengue haemorrhagic fever in a 15-year-old Polish boy. The patient presented with fever, headache, and muscle pain. He was initially diagnosed with influenza. He gradually developed skin rash, mild hepatosplenomegaly, episodic gingival bleeding, and mild symptoms of plasma leakage in the form of palms swelling. The laboratory results revealed leukopaenia and thrombocytopaenia with increasing haematocrit. Dengue virus infection was confirmed by simultaneous detection of NS1, IgM, and IgG antibodies. The patient was treated empirically in the critical phase with satisfactory outcome. The symptoms subsided and the platelet and leukocyte levels gradually reached the normal range for his age.","PeriodicalId":39653,"journal":{"name":"Pediatria Polska","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70497630","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":"Deletion of the RNF6 gene in a patient with epileptic encephalopathy – a case report and literature review","authors":"Michael Stefan, Paweł Zapolnik, A. Pyrkosz","doi":"10.5114/polp.2022.120119","DOIUrl":"https://doi.org/10.5114/polp.2022.120119","url":null,"abstract":"","PeriodicalId":39653,"journal":{"name":"Pediatria Polska","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70498726","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":"Celiac disease and ulcerative colitis as comorbid diseases – the diagnostic challenge","authors":"Julia Graczyk, Oliwia Makowska, Eliza Łężyk-Ciemniak, A. Szaflarska-Popławska, A. Krogulska","doi":"10.5114/polp.2022.117914","DOIUrl":"https://doi.org/10.5114/polp.2022.117914","url":null,"abstract":"","PeriodicalId":39653,"journal":{"name":"Pediatria Polska","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70498812","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":"The relationship between the Chinese visceral adiposity index and the presence of nonalcoholic fatty liver disease \u0000in obese children – a pilot study","authors":"N. Ismail, Abeer Nour ElDin Abd ElBaky, Shadia Hassan Ragab, Mona H. Ibrahim","doi":"10.5114/polp.2022.120103","DOIUrl":"https://doi.org/10.5114/polp.2022.120103","url":null,"abstract":"","PeriodicalId":39653,"journal":{"name":"Pediatria Polska","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70498840","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":"Desirable and undesirable lifestyle changes in Polish children resulting from the COVID-19 pandemic","authors":"Michalina Rucińska, N. Rutkowska, M. Skowronek, P. Matusik, A. Zachurzok","doi":"10.5114/polp.2022.120196","DOIUrl":"https://doi.org/10.5114/polp.2022.120196","url":null,"abstract":"Introduction: This study hypothesized that the lockdown due to the COVID-19 pandemic implemented in Poland on 11 March 2020 negatively influenced the lifestyle, dietary and sleeping habits, and physical activity of Polish children. The study aimed to assess the change of children's lifestyle habits, and screen and sleep time due to measures taken during this lockdown. Material(s) and Method(s): The study was cross-sectional and involved 486 parents of children aged 3-18 years, who completed the questionnaire containing 37 questions related to sociodemographic factors, nutrition, physical activity, and screen and sleep time regarding the child before and during lockdown. Result(s): During the lockdown, the number of meals consumed daily increased significantly in children between 7 and 11 years old (0.19 +/-0.68, p < 0.001) and 12 and 18 years old (0.24 +/-0.81, p = 0.005), whereas it decreased in the youngest group (3-6 years old) (-0.11 +/-0.66, p < 0.001). The declared consumption of fast food decreased in all groups (p < 0.001), whereas the number of responders who prepared meals at home increased significantly (95.9% vs. 98.4%, p = 0.02). The time of physical activity decreased significantly during the lockdown in the groups of older children (p < 0.001), especially in children who live in blocks of flats. In the youngest group of children, the declared time of physical activity did not change significantly. In all groups of children, the screen time increased significantly during the pandemic. The amount of sleep also increased in all age groups but its quality worsened. Conclusion(s): It can be concluded that the lockdown due to the COVID-19 pandemic generated mainly undesirable lifestyle changes (decreased physical activity, increased screen time);however, desirable effects (increase in meals eaten at home and amount of sleep) were also observed. Copyright © 2022 Termedia Publishing House Ltd.. All rights reserved.","PeriodicalId":39653,"journal":{"name":"Pediatria Polska","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70499282","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":"Cardiovascular complications in children and adolescents\u0000with anorexia","authors":"Izabela Pilarska, Kinga Grabska","doi":"10.5114/polp.2022.123194","DOIUrl":"https://doi.org/10.5114/polp.2022.123194","url":null,"abstract":"","PeriodicalId":39653,"journal":{"name":"Pediatria Polska","volume":"91 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70499424","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":"Borrelial lymphocytoma in a child","authors":"Sylwia Feszak, Igor Feszak, Radosław Opiła, J. Peregud-Pogorzelski","doi":"10.5114/polp.2022.123248","DOIUrl":"https://doi.org/10.5114/polp.2022.123248","url":null,"abstract":"","PeriodicalId":39653,"journal":{"name":"Pediatria Polska","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70500085","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":"Breastfeeding during the COVID-19 pandemic","authors":"Paulina Szczygioł, B. Królak-Olejnik","doi":"10.5114/polp.2022.116033","DOIUrl":"https://doi.org/10.5114/polp.2022.116033","url":null,"abstract":"The SARS-CoV-2 coronavirus pandemic significantly influenced aspects of children's nutrition, in particular breastfeeding and the percentage of breastfeeding mothers. During the pandemic, changes in postnatal care have occurred and may result in a global decline of the breastfeeding initiation rate and problems with longterm maintenance of lactation. Mother's milk is not a source of viral infection for a child;on the contrary, due to the presence of antibodies specific to the SARS-CoV-2 virus, it gives the possibility of acquiring passive immune protection. Currently, breastfeeding requires special care and protection. Emphasizing the benefits of human milk should become a priority in obstetric, neonatal and pediatric departments.","PeriodicalId":39653,"journal":{"name":"Pediatria Polska","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70497757","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}