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Incorporating Rare Disease Growth Monitoring Into Routine Practice to Improve Early Recognition and Diagnosis of Genetic Conditions. 将罕见病生长监测纳入常规实践以提高遗传条件的早期识别和诊断。
IF 1 4区 医学
Pediatric Annals Pub Date : 2025-09-01 DOI: 10.3928/19382359-20250707-05
Natasha Shur, Seth Berger, Andrew Dauber, Carrie Daymont
{"title":"Incorporating Rare Disease Growth Monitoring Into Routine Practice to Improve Early Recognition and Diagnosis of Genetic Conditions.","authors":"Natasha Shur, Seth Berger, Andrew Dauber, Carrie Daymont","doi":"10.3928/19382359-20250707-05","DOIUrl":"10.3928/19382359-20250707-05","url":null,"abstract":"<p><p>Routine growth monitoring includes plotting children on World Health Organization or Centers for Disease Control and Prevention charts that have primarily been developed on typical, healthy populations. However, it is advisable to plot children with known genetic conditions on specialized growth curves (SGCs) when they are available. In this review, we highlight the most common genetic conditions for which SGCs are available, clinical reasons to use SGCs based on specific rare diseases, and how these SGCs can be found. In addition, we raise awareness of the limitations of SGCs and future directions to improve rare disease growth curve accessibility and ease of use into general pediatric practice.</p>","PeriodicalId":54633,"journal":{"name":"Pediatric Annals","volume":"54 9","pages":"e330-e335"},"PeriodicalIF":1.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145024778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Deciding Together: Navigating the Complexities of Pediatric and Adolescent Gynecology. 共同决定：驾驭儿科和青少年妇科的复杂性。
IF 1 4区 医学
Pediatric Annals Pub Date : 2025-09-01 DOI: 10.3928/19382359-20250707-06
Jessica Long, Carrie Smith
{"title":"Deciding Together: Navigating the Complexities of Pediatric and Adolescent Gynecology.","authors":"Jessica Long, Carrie Smith","doi":"10.3928/19382359-20250707-06","DOIUrl":"https://doi.org/10.3928/19382359-20250707-06","url":null,"abstract":"","PeriodicalId":54633,"journal":{"name":"Pediatric Annals","volume":"54 9","pages":"e292-e293"},"PeriodicalIF":1.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145024768","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Abnormal Uterine Bleeding, Polycystic Ovary Syndrome, and Heavy Menstrual Bleeding in Adolescents. 异常子宫出血，多囊卵巢综合征，和大量月经出血的青少年。
IF 1 4区 医学
Pediatric Annals Pub Date : 2025-09-01 DOI: 10.3928/19382359-20250707-02
Carolyn D Brookhart, Swetha Naroji
{"title":"Abnormal Uterine Bleeding, Polycystic Ovary Syndrome, and Heavy Menstrual Bleeding in Adolescents.","authors":"Carolyn D Brookhart, Swetha Naroji","doi":"10.3928/19382359-20250707-02","DOIUrl":"https://doi.org/10.3928/19382359-20250707-02","url":null,"abstract":"<p><p>Abnormal uterine bleeding (AUB), a common gynecologic concern in adolescents, often leads to significant physical and emotional distress. This article provides a comprehensive overview of AUB in adolescence, including classification, common causes, diagnosis, and management. The physiology of the hypothalamic-pituitary-ovarian axis is reviewed, highlighting its role in menstrual regulation and the immaturity-related anovulation that commonly contributes to AUB in the first 2 to 3 years after menarche. The International Federation of Gynecology and Obstetrics PALM-COEIN (polyp; adenomyosis; leiomyoma; malignancy and hyperplasia; coagulopathy; ovulatory dysfunction; endometrial; iatrogenic; and not yet classified) classification system is discussed, with emphasis on the nonstructural causes most relevant to adolescents, such as coagulopathies, ovulatory dysfunction, and iatrogenic factors. Anovulatory conditions, including hypogonadotropic hypogonadism and polycystic ovary syndrome, are reviewed in detail, as is heavy menstrual bleeding. Lastly, we review the psychosocial implications of AUB and opportunities for education and advocacy.</p>","PeriodicalId":54633,"journal":{"name":"Pediatric Annals","volume":"54 9","pages":"e302-e307"},"PeriodicalIF":1.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145024804","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Career of Care, Curiosity, and Commitment: A Conversation with Joseph R. Hageman, MD. 关心、好奇和承诺的职业生涯：与医学博士约瑟夫·r·哈格曼的对话。
IF 1 4区 医学
Pediatric Annals Pub Date : 2025-09-01 DOI: 10.3928/19382359-20250724-01
Lolita Alcocer Alkureishi, Joseph R Hageman
{"title":"A Career of Care, Curiosity, and Commitment: A Conversation with Joseph R. Hageman, MD.","authors":"Lolita Alcocer Alkureishi, Joseph R Hageman","doi":"10.3928/19382359-20250724-01","DOIUrl":"https://doi.org/10.3928/19382359-20250724-01","url":null,"abstract":"","PeriodicalId":54633,"journal":{"name":"Pediatric Annals","volume":"54 9","pages":"e290-e291"},"PeriodicalIF":1.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145024780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Gender-Affirming Care and Gynecology: Best Practices for Supporting Youth Who Are Transgender and Gender Diverse. 性别确认护理和妇科：支持跨性别和性别多样化青年的最佳做法。
IF 1 4区 医学
Pediatric Annals Pub Date : 2025-09-01 DOI: 10.3928/19382359-20250707-01
Harris M Billings, Elizabeth R Boskey, Frances W Grimstad
{"title":"Gender-Affirming Care and Gynecology: Best Practices for Supporting Youth Who Are Transgender and Gender Diverse.","authors":"Harris M Billings, Elizabeth R Boskey, Frances W Grimstad","doi":"10.3928/19382359-20250707-01","DOIUrl":"10.3928/19382359-20250707-01","url":null,"abstract":"<p><p>Based on extensive evidence, gender-affirming care (GAC) is endorsed by numerous medical societies as the gold standard for supporting youth who are transgender and gender diverse (TGD). Unfortunately, there remain barriers to accessing GAC and an ongoing risk of gender identity-based mistreatment for youth who are TGD accessing all forms of health care. Gynecologic care is commonly accessed by youth who are TGD as part of medical gender affirmation, with needs ranging from hormone management, menstrual suppression, contraception counseling, and surgical consultation. It is imperative that clinicians understand the unique clinical concerns with which youth who are TGD may present. Additionally, as access to medical and surgical care faces legal threats, it is important that gynecologists, pediatricians, and others who may provide care to youth who are TGD understand the core competencies of GAC and how to create welcoming and inclusive clinical spaces to uphold patient dignity and optimize psychosocial outcomes.</p>","PeriodicalId":54633,"journal":{"name":"Pediatric Annals","volume":"54 9","pages":"e322-e329"},"PeriodicalIF":1.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145024764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Contraception in the Adolescent Population. 青少年人口中的避孕。
IF 1 4区 医学
Pediatric Annals Pub Date : 2025-09-01 DOI: 10.3928/19382359-20250707-04
Lucy Rose, Amber I Truehart
{"title":"Contraception in the Adolescent Population.","authors":"Lucy Rose, Amber I Truehart","doi":"10.3928/19382359-20250707-04","DOIUrl":"https://doi.org/10.3928/19382359-20250707-04","url":null,"abstract":"<p><p>Adolescence is the phase of life during which most people become sexually active for the first time. It is essential for health care providers to assess the need for pregnancy prevention and provide comprehensive information on contraception, as well as sexually transmitted infection (STI) prevention. All currently available contraceptive methods are safe and effective for most adolescents. Medical, menstrual, and sexual histories should be obtained during the office visit, and all eligible contraceptive methods should be offered. The right method is the one that best fits an adolescent's preferences for efficacy, duration of use, impact on menstrual bleeding, side-effect profile, noncontraceptive benefits, and ease of initiation and discontinuation. All methods can be initiated on the same day if it is reasonably certain that the adolescent is not pregnant. It is also crucial to review that barrier methods are the only contraceptive methods that protect against STI transmission.</p>","PeriodicalId":54633,"journal":{"name":"Pediatric Annals","volume":"54 9","pages":"e314-e321"},"PeriodicalIF":1.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145024740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Neurodiversity in Children From Historically Marginalized Communities. 历史边缘化社区儿童的神经多样性。
IF 1 4区 医学
Pediatric Annals Pub Date : 2025-08-01 DOI: 10.3928/19382359-20250612-05
Bako Orionzi
{"title":"Neurodiversity in Children From Historically Marginalized Communities.","authors":"Bako Orionzi","doi":"10.3928/19382359-20250612-05","DOIUrl":"10.3928/19382359-20250612-05","url":null,"abstract":"<p><p>Neurodiversity is a term that describes thinking and interacting with the world differently from \"typical\" thoughts and interactions as held by societal standards. Neurodiversity often highlights diagnoses, like autism spectrum disorder or attention-deficit/hyperactivity disorder, but may include several other developmental disorders. Primary care pediatricians are naturally tied to neurodiversity, as they are often on the forefront of identifying and evaluating for neurodivergent development. There are significant disparities that exist in diagnosing and managing developmental disorders for children from historically marginalized communities. A delay in diagnosis can hinder outcomes, as critical periods of intervention are best early on. When pediatricians use culturally responsive screening and intervention tools, alleviation of these disparities can occur. Combined with tools to improve early identification, as well as connecting health care to educational systems, pediatricians can contribute positively to the development of children with minoritized backgrounds and to the neurodiversity movement.</p>","PeriodicalId":54633,"journal":{"name":"Pediatric Annals","volume":"54 8","pages":"e257-e260"},"PeriodicalIF":1.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144796136","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Common Congenital Anomalies. 常见先天性异常。
IF 1 4区 医学
Pediatric Annals Pub Date : 2025-08-01 DOI: 10.3928/19382359-20250612-06
Stephanie Reeves, Deepak Kamat
{"title":"Common Congenital Anomalies.","authors":"Stephanie Reeves, Deepak Kamat","doi":"10.3928/19382359-20250612-06","DOIUrl":"https://doi.org/10.3928/19382359-20250612-06","url":null,"abstract":"<p><p>It is not unusual to detect congenital anomalies in the neonatal period. Fortunately, many of them are benign and inconsequential. These may include branchial cleft cysts, bifid uvula, oral inclusion cysts, and thyroglossal duct cysts. In the newborn period, it is vital for health care providers to be cognizant of the anomalies. The health care provider must differentiate those that are benign and need only reassurance from those that may require additional evaluation and referral. In this article, we discuss the etiologies, clinical presentations, and management of several of these anomalies.</p>","PeriodicalId":54633,"journal":{"name":"Pediatric Annals","volume":"54 8","pages":"e286-e289"},"PeriodicalIF":1.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144796132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Diet Therapy in Pediatric Eosinophilic Esophagitis: A Pathway to Histologic Remission. 儿童嗜酸性粒细胞性食管炎的饮食治疗：一条通往组织学缓解的途径。
IF 1 4区 医学
Pediatric Annals Pub Date : 2025-08-01 DOI: 10.3928/19382359-20250612-03
Andrew R Ebanks
{"title":"Diet Therapy in Pediatric Eosinophilic Esophagitis: A Pathway to Histologic Remission.","authors":"Andrew R Ebanks","doi":"10.3928/19382359-20250612-03","DOIUrl":"https://doi.org/10.3928/19382359-20250612-03","url":null,"abstract":"<p><p>Eosinophilic esophagitis (EoE) is a chronic, immune-mediated esophageal disorder triggered by food and environmental allergens. Over time, chronic esophageal inflammation can lead to stricturing disease. Current EoE therapies include proton pump inhibitors, swallowed corticosteroids, diet therapy, and biologics. Of these modalities, diet therapy aims to prevent and treat inflammation by removing food triggers from the diet. In this article, the author reviewed both elemental diets and the various types of empiric food elimination diets. Diet therapy may be an option for families seeking alternatives to medication, while offering comparable efficacy depending on the diet. A step-up strategy (ie, starting with 1- or 2-food elimination) is a common first step in diet therapy, helping to minimize dietary restriction and reduce the number of endoscopies required for disease monitoring. Unfortunately, no existing serum or tissue sampling test can accurately identify a food trigger prior to elimination therapy. As such, future advancements in efficacious, noninvasive methods could prove beneficial for individualizing diet therapies, improving adherence, and minimizing treatment risks.</p>","PeriodicalId":54633,"journal":{"name":"Pediatric Annals","volume":"54 8","pages":"e269-e273"},"PeriodicalIF":1.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144796133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Koplik, Comby, and Stimson: Three Observed Physical Signs in Measles. Koplik， Comby和Stimson：麻疹中观察到的三种体征。
IF 1 4区 医学
Pediatric Annals Pub Date : 2025-08-01 DOI: 10.3928/19382359-20250702-01
Steven H Yale, Halil Tekiner, Eileen S Yale
{"title":"Koplik, Comby, and Stimson: Three Observed Physical Signs in Measles.","authors":"Steven H Yale, Halil Tekiner, Eileen S Yale","doi":"10.3928/19382359-20250702-01","DOIUrl":"https://doi.org/10.3928/19382359-20250702-01","url":null,"abstract":"","PeriodicalId":54633,"journal":{"name":"Pediatric Annals","volume":"54 8","pages":"e256"},"PeriodicalIF":1.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144796135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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