Pediatria i Medycyna Rodzinna-Paediatrics and Family Medicine最新文献_第8页

Nocturnal enuresis secondary to hyperthyroidism – case report and literature review 甲状腺功能亢进并发夜间遗尿1例报告及文献复习

IF 3.6

Pediatria i Medycyna Rodzinna-Paediatrics and Family Medicine Pub Date : 2022-09-16 DOI: 10.15557/pimr.2022.0025

Martyna Bik, Katarzyna Krzyżak, M. Mroz, Hanna Woźny, E. Trembecka-Dubel, K. Ziora, M. Szczepańska

引用次数: 0

The impact of the COVID-19 pandemic on childhood obesity – the need to implement an obesity prevention programme 2019冠状病毒病大流行对儿童肥胖的影响——实施肥胖预防规划的必要性

IF 3.6

Pediatria i Medycyna Rodzinna-Paediatrics and Family Medicine Pub Date : 2022-09-16 DOI: 10.15557/pimr.2022.0017

Anita Kocięba-Łaciak

{"title":"The impact of the COVID-19 pandemic on childhood obesity – the need to implement an obesity prevention programme","authors":"Anita Kocięba-Łaciak","doi":"10.15557/pimr.2022.0017","DOIUrl":"https://doi.org/10.15557/pimr.2022.0017","url":null,"abstract":"Obesity is a chronic disease that can lead to medical and psychological complications, including cardiovascular diseases, impaired glucose tolerance, chronic inflammations and visceral fatness. Obesity and sedentary lifestyle affect the morphology of osteochondral structures and the growth plate, leading to serious orthopaedic consequences. The stigma of obese children also increases the rates of anxiety disorders, depression and learning disabilities in the paediatric population. The COVID-19 pandemic has enforced the introduction of isolation rules, changing the living conditions of society. Working and studying remotely and keeping social contacts to a minimum resulted in a lower intensity of physical activity and altered eating habits, which significantly contributed to further weight gain in overweight and obese children. In the case of severe acute respiratory syndrome caused by coronavirus infection, organic changes associated with obesity may increase the risk of thromboembolism, reduce the glomerular filtration rate of the kidneys and increase the inflammatory response of the body, which may consequently lead to invasive mechanical ventilation. Previous studies on obesity in children have shown that a high inflammatory index increases the risk of long-term complications in severe acute respiratory syndrome coronavirus 2 infection and reduces the chances of a quick recovery. It is necessary to make the society aware of the extent of health complications of childhood obesity, introduce social education on the principles of nutrition, and facilitate access to holistic treatment for obesity. All tasks in the field of obesity prevention and treatment have been developed as part of the prevention programme.","PeriodicalId":42380,"journal":{"name":"Pediatria i Medycyna Rodzinna-Paediatrics and Family Medicine","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2022-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48010585","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

Cervical metastasis masquerading as Kimura disease in a patient with nasopharyngeal carcinoma 鼻咽癌患者宫颈转移伪装成木村病1例

IF 3.6

Pediatria i Medycyna Rodzinna-Paediatrics and Family Medicine Pub Date : 2022-09-16 DOI: 10.15557/pimr.2022.0030

Muhammad Fawwaz Meor Abdul Malik, J. Saniasiaya, I. Mohamad, N. Abdul Gani

{"title":"Cervical metastasis masquerading as Kimura disease in a patient with nasopharyngeal carcinoma","authors":"Muhammad Fawwaz Meor Abdul Malik, J. Saniasiaya, I. Mohamad, N. Abdul Gani","doi":"10.15557/pimr.2022.0030","DOIUrl":"https://doi.org/10.15557/pimr.2022.0030","url":null,"abstract":"Aim: To highlight the challenges involved in the diagnosis and management of synchronous tumours. A synchronous head and neck lesion brings the attending physician into a quandary, as there is no gold standard for managing such patients. Failure to respond to treatment should provoke physicians into considering other possible diagnoses, as often a secondary lesion may be the hidden culprit. Case report: Herein, we present a case of a synchronous cervical mass: Kimura disease and nasopharyngeal carcinoma in a 48-year-old woman. She was initially treated for Kimura disease based on fine-needle aspiration cytology evidence, and later found out to have a synchronous malignancy in the fossa of Rosenmüller. Failure of Kimura disease to respond to steroid treatment led to a repeated examination, which resulted in the diagnosis of nasopharyngeal carcinoma. The patient was treated with concurrent chemoradiotherapy. Conclusion: Kimura disease, a rare benign head and neck tumour, is treated successfully with steroids. Persistent swelling coupled with treatment failure should alert physicians to repeat patient assessment, as improper disease management leads to severe complications.","PeriodicalId":42380,"journal":{"name":"Pediatria i Medycyna Rodzinna-Paediatrics and Family Medicine","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2022-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45643565","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

Selected cardiac biomarkers in newborns with perinatal asphyxia symptoms 围产期窒息症状新生儿心脏生物标志物的选择

IF 3.6

Pediatria i Medycyna Rodzinna-Paediatrics and Family Medicine Pub Date : 2022-09-16 DOI: 10.15557/pimr.2022.0018

Olga Wojnarowicz, P. Surmiak, M. Baumert

引用次数: 0

10 years of myocarditis in children – a single-centre retrospective study 儿童心肌炎10年的单中心回顾性研究

IF 3.6

Pediatria i Medycyna Rodzinna-Paediatrics and Family Medicine Pub Date : 2022-09-16 DOI: 10.15557/pimr.2022.0022

M. Jarecka, H. Kamińska, B. Werner

{"title":"10 years of myocarditis in children – a single-centre retrospective study","authors":"M. Jarecka, H. Kamińska, B. Werner","doi":"10.15557/pimr.2022.0022","DOIUrl":"https://doi.org/10.15557/pimr.2022.0022","url":null,"abstract":"Introduction: Myocarditis in children still poses diagnostic difficulties. Aim of the paper: Assessment of the course of myocarditis in children. Materials and methods: Retrospective study (2009–2019) included 81 patients with myocarditis with analysis of the clinical course, biomarker levels, electrocardiogram, echocardiography and magnetic resonance imaging. Results: The most frequently reported symptom of myocarditis was chest pain in 73 (90%) patients. In 66 (81.5%) patients, the serum troponin I concentration was above the norm (the sensitivity 81.5%), the mean 12,539 ± 11,394 ng/L. In 24 out of 25, the concentration of N-terminal pro-brain natriuretic peptide was above the limit (mean of 866 ± 976 pg/mL). 71 patients had an abnormal electrocardiogram (sensitivity 88%). In echocardiography, 23 (28%) patients had left ventricular ejection fraction below normal limit, the mean 64.5 ± 7.1%. In the subgroup of patients treated with an angiotensin converting enzyme inhibitor, an improvement in left ventricular ejection fraction and end-diastolic dimension was observed. In the subgroup of overweight and obese subjects, 93.3% of patients showed abnormalities in control cardiac magnetic resonance after 6 months, including 33.3% with signs of active inflammation. 60% patients in the subgroup with a body mass index <20 kg/m2 had normal cardiac magnetic resonance imaging. Conclusion: Myocarditis course in adolescents is usually mild. In the overweight and obese patients the occurrence of the disease is more frequent and myocardial abnormalities last longer. The use of an angiotensin converting enzyme inhibitor improves the left ventricular systolic function and the end-diastolic dimension of the left ventricle in patients with myocarditis.","PeriodicalId":42380,"journal":{"name":"Pediatria i Medycyna Rodzinna-Paediatrics and Family Medicine","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2022-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41481662","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

Somatisation as a manifestation of emotional disturbance in children 躯体化是儿童情绪障碍的表现

IF 3.6

Pediatria i Medycyna Rodzinna-Paediatrics and Family Medicine Pub Date : 2022-05-31 DOI: 10.15557/pimr.2022.0006

Zdzisław Michał Zawilski

{"title":"Somatisation as a manifestation of emotional disturbance in children","authors":"Zdzisław Michał Zawilski","doi":"10.15557/pimr.2022.0006","DOIUrl":"https://doi.org/10.15557/pimr.2022.0006","url":null,"abstract":"Somatisation is a phenomenon consisting in signalling complaints originating “from the body” (pain, discomfort, disturbances of physiological functions), whose cause is not explained on the basis of physical examination and additional examinations, and whose basis is usually an unconscious emotional factor. The most common somatic manifestations of negative emotions include abdominal pain, headache, palpitations or stabbing sensation in the chest, dizziness, shortness of breath, cough, squeezing sensation in the throat, numbness of limbs, as well as diarrhoea, vomiting or fainting. Although the described type of disorder occurs particularly often in people burdened with other mental problems, such as anxiety, depression or personality disorders, nowadays it is observed more and more often in children not showing any psychogenic abnormalities so far. A significant influence on the development of such symptoms has the environment of upbringing, from which the developing person draws behavioural patterns. In addition, the entire general social context with all its conditions, both positive and negative, is important. In the case of children, due to the lack of possibility of regular and constructive self-observation, developed abstract thinking and conscious, consistent verbalisation of inner experiences by the patient, the process of diagnosis and therapy of such disorders often requires diagnostic hospitalisation, multi-specialist consultations, long-term treatment in the outpatient mode, as well as at least partial modification of environmental relations, including the educational process. The fundamental issue remains the protection of mental health in the form of preventive measures aimed at creating existential conditions that have a positive impact on the mental development of children, which is particularly true of relations between generations.","PeriodicalId":42380,"journal":{"name":"Pediatria i Medycyna Rodzinna-Paediatrics and Family Medicine","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2022-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48100012","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

Polymorphous light eruption in children – clinical presentation, differential diagnosis and treatment 儿童多形性光疹的临床表现、鉴别诊断和治疗

IF 3.6

Pediatria i Medycyna Rodzinna-Paediatrics and Family Medicine Pub Date : 2022-05-31 DOI: 10.15557/pimr.2022.0003

M. Sankowska, Justyna Janicka, M. Misiak-Gałązka, L. Rudnicka

{"title":"Polymorphous light eruption in children – clinical presentation, differential diagnosis and treatment","authors":"M. Sankowska, Justyna Janicka, M. Misiak-Gałązka, L. Rudnicka","doi":"10.15557/pimr.2022.0003","DOIUrl":"https://doi.org/10.15557/pimr.2022.0003","url":null,"abstract":"Polymorphous light eruption is classified as an immune-mediated photodermatosis. It is the most common cause of photosensitivity in children between 6 and 14 years old. It is characterised by pruritic or tingling erythematous papular or plaque lesions of sunlight-exposed skin which occur in spring or early summer. The first signs of polymorphous light eruption typically appear several hours to days after the first exposure to intense sunlight and take the form of an irritable rash persisting for a few days, and subsiding within a week or two with minimal or no scarring. Its recurrences may have a detrimental impact on the quality of life. Due to the significant heterogeneity of clinical manifestations of polymorphous light eruption, the disorder is relatively challenging to diagnose. The differential diagnoses include photosensitivity associated with lupus erythematosus, solar urticaria, actinic prurigo, erythema multiforme, photocontact allergic dermatitis, and genetic dermatoses. UVA and UVB phototesting followed by histological examination is an important diagnostic tool to objectify light-related symptoms. Once the diagnosis is established, the patient should be monitored and educated on prevention. The management of polymorphous light eruption is based on prevention such as sun protection and sunscreens. The first-line treatment includes glucocorticoids and antihistamines.","PeriodicalId":42380,"journal":{"name":"Pediatria i Medycyna Rodzinna-Paediatrics and Family Medicine","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2022-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42906217","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

Abdominal pain and appendicitis in children during the COVID-19 pandemic – do we need to be especially careful? COVID-19大流行期间儿童的腹痛和阑尾炎——我们需要特别小心吗?

IF 3.6

Pediatria i Medycyna Rodzinna-Paediatrics and Family Medicine Pub Date : 2022-05-31 DOI: 10.15557/pimr.2022.0001

M. Bašković

{"title":"Abdominal pain and appendicitis in children during the COVID-19 pandemic – do we need to be especially careful?","authors":"M. Bašković","doi":"10.15557/pimr.2022.0001","DOIUrl":"https://doi.org/10.15557/pimr.2022.0001","url":null,"abstract":"COVID-19 (coronavirus disease 2019) in children is relatively mild, so it is easy to make a misdiagnosis in the early stages if it presents only with respiratory symptoms. At the time of the pandemic, testing for SARS-CoV-2 is important in all paediatric patients who have fever and acute abdominal pain with diarrhoea or vomiting, to differentiate acute COVID-19 or possible multisystem inflammatory syndrome in children (MIS-C) from acute appendicitis, and thus avoiding unnecessary surgery. On the other hand, early accurate diagnosis and consequent appropriate surgical and antibiotic treatment of appendicitis are important because they can prevent complications such as abscess formation and other postoperative complications. Delayed diagnosis can lead to significant morbidity that can outweigh the damage caused by COVID-19 alone. The fact that at the time of the COVID-19 pandemic radiological examination also has its limitations and can very often show a false-positive finding in children with MIS-C must also be taken into account. It is very important that paediatric surgeons are aware of the gastrointestinal manifestations of acute COVID-19 or MIS-C, and are able to distinguish this new entity from the surgical pathologies it often mimics.","PeriodicalId":42380,"journal":{"name":"Pediatria i Medycyna Rodzinna-Paediatrics and Family Medicine","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2022-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45928075","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

Giant intramuscular sternocleidomastoid lipoma 巨大肌内胸锁乳突脂肪瘤

IF 3.6

Pediatria i Medycyna Rodzinna-Paediatrics and Family Medicine Pub Date : 2022-05-31 DOI: 10.15557/pimr.2022.0012

L. Ghazali, A. Haron, I. Mohamad, Aniza Hassan

引用次数: 0

Compensatory epidemic of RSV infections during the COVID-19 pandemic. An analysis of infections in children hospitalised in the Department of Paediatrics, Paediatric Nephrology and Allergology of the Military Medical Institute in Warsaw in 2020–2021 COVID-19大流行期间RSV感染的代偿性流行。2020-2021年华沙军事医学研究所儿科、儿科肾病学和过敏症科住院儿童感染分析

IF 3.6

Pediatria i Medycyna Rodzinna-Paediatrics and Family Medicine Pub Date : 2022-05-31 DOI: 10.15557/pimr.2022.0007

Milena Pogonowska, A. Guzek, Agnieszka Gościńska, A. Rustecka, B. Kalicki

{"title":"Compensatory epidemic of RSV infections during the COVID-19 pandemic. An analysis of infections in children hospitalised in the Department of Paediatrics, Paediatric Nephrology and Allergology of the Military Medical Institute in Warsaw in 2020–2021","authors":"Milena Pogonowska, A. Guzek, Agnieszka Gościńska, A. Rustecka, B. Kalicki","doi":"10.15557/pimr.2022.0007","DOIUrl":"https://doi.org/10.15557/pimr.2022.0007","url":null,"abstract":"Seasonal outbreaks of respiratory syncytial virus are common among young children and represent an important clinical problem. The infection can affect all floors of the respiratory system. Respiratory syncytial virus is highly infectious and is the most common aetiological agent of bronchiolitis. It is estimated that 90% of children develop respiratory syncytial virus infection by the age of 2 years. In Poland and other countries of the northern hemisphere, these infections usually occur between October and May, with a peak in January–February. During the global COVID-19 pandemic, a significant change was observed in the epidemiology of respiratory syncytial virus infections in Europe and worldwide. The massive use of nonpharmacological interventions, such as closing nurseries, kindergartens, limited interpersonal contact, social distancing, strict hygiene rules and the use of protective masks, resulted in the absence or episodic occurrence of many seasonal infections, including those of respiratory syncytial virus aetiology, in 2020. In 2021, a so-called compensatory epidemic of syncytial virus aetiology was observed, i.e. a significant increase in the incidence associated with the extinction of collective immunity and an increasing proportion of susceptible individuals. The aim of the present study was to retrospectively analyse the incidence of respiratory syncytial virus infections in children hospitalised in the Department of Paediatrics, Paediatric Nephrology and Allergology of the Military Institute of Medicine in Warsaw in the years 2020–2021. We also discussed the prevention and treatment of infections, as well as the association of bronchiolitis with the development of asthma in children.","PeriodicalId":42380,"journal":{"name":"Pediatria i Medycyna Rodzinna-Paediatrics and Family Medicine","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2022-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46724511","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: 3