Medico e Bambino最新文献_第7页

Manifestazioni cutanee anulari e lupus eritematoso neonatale 环状皮肤表现和新生儿红斑狼疮

Medico e Bambino Pub Date : 2024-01-25 DOI: 10.53126/meb43033

Mario Tumminello, G. Serra, Deborah Bacile, Elisabetta Di Leto, Antonella Gangemi, Melania Guardino, G. Corsello

{"title":"Manifestazioni cutanee anulari e lupus eritematoso neonatale","authors":"Mario Tumminello, G. Serra, Deborah Bacile, Elisabetta Di Leto, Antonella Gangemi, Melania Guardino, G. Corsello","doi":"10.53126/meb43033","DOIUrl":"https://doi.org/10.53126/meb43033","url":null,"abstract":"Neonatal lupus erythematosus (NLE) is a rare immune-mediated disorder due to the pas- sage of maternal anti-Ro/SSA and anti-La/SSB antibodies through the placenta to the foe- tus and newborn. Major manifestations include cardiac anomalies and skin lesions, while hepatic and haematological abnormalities are observed in a minority of cases. The most serious complication is congenital heart block, usually already occurring in the prenatal period (second or third trimester of pregnancy). Cutaneous lupus is the typical manifestation of NLE, characterized by transient and generally photosensitive annular erythematous le- sions, preferentially localized on the face, scalp or periocular region, and less commonly observed on the trunk and extremities. Due to its benign and transient course, no treatment is required. Prophylaxis with hydroxychloroquine in pregnant women testing positive for autoantibodies and/or with a previously affected child may reduce the risk of cardiac and/or cutaneous complications in newborns and infants. The article reports the case of a two-day-old newborn showing a widespread cutaneous rash with erythematous “stepped” patches compatible with annular erythema, localized on their upper and lower limbs, as well as on the anterior surface of their trunk. Obstetric history, which revealed the mother being affected with Sjogren Syndrome and performing hydroxychloroquine prophylaxis, led to the NLE diagnostic suspicion, later confirmed by the detection of specific antibodies (anti-SSA/Ro60 and SSA/Ro52). Although the prognosis of cutaneous NLE is generally favourable, any coexisting and potential life-threatening complications, including haema- tological and cardiological abnormalities, should be ruled out.","PeriodicalId":39695,"journal":{"name":"Medico e Bambino","volume":"20 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139597415","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

Minori in viaggio per farsi curare 前往接受治疗的儿童

Medico e Bambino Pub Date : 2024-01-25 DOI: 10.53126/meb43027

R. Campi, M. Bonati

{"title":"Minori in viaggio per farsi curare","authors":"R. Campi, M. Bonati","doi":"10.53126/meb43027","DOIUrl":"https://doi.org/10.53126/meb43027","url":null,"abstract":"Equitable access to healthcare is crucial to ensure the fundamental human right to health for all, also for children. However, the possibility to use in appropriate manner medical services (e.g. to access hospital) differs substantially across Italian regions. It is a situa- tion, source of inequality, that has been known for some time and has not found a solu- tion to date. In 2020, the pandemic year, 74.071 hospital admissions occurred for chil- dren and adolescents residing in regions other than that of hospitalization (14.3% of to- tal hospitalizations outside the region of residence). The national flight index was 8.7 ranging from 3.4 of Lazio to 43.4 of Molise. 54.8% of out-region hospitalizations are for patients traveling from one of the regions bordering their residence, in particular to be born. The starting regions with the highest mobility rate and long distance hospitalisation were Calabria, Sardinia, and Sicily with a flight index of 29.0, 11.8 and 11.5 for a to- tal of 11,745 hospitalizations. The main causes of hospitalization in a region far from their own are attributable to psychiatric disorders (43.3% of its Major Diagnostic Cate- gory), epilepsy and cephalalgy care (24.3%), and surgery for the replacement of major joints or reimplantation of the lower limbs with (18.5%). The phenomenon of medical mi- gration undermines the principles of universality, equality and fairness and it is therefore necessary to intervene to guarantee an unfulfilled right in its entirety. Centers of excellen- ce for pediatric care and clinical research are also needed in the southern regions.","PeriodicalId":39695,"journal":{"name":"Medico e Bambino","volume":"53 18","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139598870","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

Una bambina molto in gamba...: alla ricerca del suo dolore 一个非常聪明的小女孩......：寻找她的痛苦

Medico e Bambino Pub Date : 2024-01-25 DOI: 10.53126/meb43045

L. Mambelli, Beatrice Gagliardo, M. Minguzzi, Federico Marchetti

引用次数: 0

Un sogno per Scampia 斯坎皮亚的梦想

Medico e Bambino Pub Date : 2024-01-25 DOI: 10.53126/meb43061

L. Greco, Salvatore Auricchio

引用次数: 0

Un vomito di troppo, un'evacuazione di meno 呕吐次数多，撤离次数少

Medico e Bambino Pub Date : 2024-01-25 DOI: 10.53126/meb43052

Micaela Cerreti