Zeliha Guzelkucuk, Ramazan Erkin Unlu, Eray Akay, Furkan Yildirim, Dilek Gurlek Gokcebay, Husniye Nese Yarali, Namik Yasar Ozbek
{"title":"Successful Management of Bilateral Gynecomastia with Liposuction in a Case of Severe Hemophilia A: A Case Report.","authors":"Zeliha Guzelkucuk, Ramazan Erkin Unlu, Eray Akay, Furkan Yildirim, Dilek Gurlek Gokcebay, Husniye Nese Yarali, Namik Yasar Ozbek","doi":"10.65717/TurkArchPediatr.2026.25289","DOIUrl":"https://doi.org/10.65717/TurkArchPediatr.2026.25289","url":null,"abstract":"","PeriodicalId":75267,"journal":{"name":"Turkish archives of pediatrics","volume":"61 8","pages":"744-747"},"PeriodicalIF":2.3,"publicationDate":"2026-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148655283","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 Single-Center Study on Childhood Rare Vasculitides: Clinical and Outcome Analysis.","authors":"Şeyma Türkmen, Taner Coşkuner, Betül Sözeri","doi":"10.65717/TurkArchPediatr.2025.25316","DOIUrl":"https://doi.org/10.65717/TurkArchPediatr.2025.25316","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate rare childhood vasculitides using standardized clinical, laboratory, imaging, and outcome data.</p><p><strong>Methods: </strong>A retrospective cohort of 74 children with 8 rare vasculitides was assessed at a single center. Demographics, imaging, and disease activity (Pediatric Vasculitis Activity Score (PVAS)) and damage (Pediatric Vasculitis Damage Index) scores were recorded at diagnosis, 12 months, and last visit.</p><p><strong>Results: </strong>Among 74 patients, 39 (52.7%) were girls. Median diagnosis age was 13.5 years. Subtype distribution was vascular Behçet syndrome 22 (29.7%), Takayasu arteritis (TA) 16 (21.6%), deficiency of adenosine deaminase 2 (DADA2) 14 (18.9%), polyarteritis nodosa 11 (14.9%), granulomatosis with polyangiitis (GPA) 6 (8.1%), primary angiitis of the central nervous system (PACNS) 3 (4.1%), eosinophilic GPA 1 (1.4%), and Cogan syndrome 1 (1.4%). The DADA2 had the longest diagnostic delay (median [IQR]: 20 [6-99.75] months), while PACNS had the youngest median age at onset (4.6 [3.07-7.95] years). Overall, 13.5% (n=10) were diagnosed before age 5, showing recurrent fever (60%, n=6) and anemia (50%, n=5), less skin/mucosal (40%, n=4), musculoskeletal (30%, n=3), cardiovascular (20%, n=2), and pulmonary involvement (20%, n=2), and higher PVAS (median 2.0, IQR 1.25-2.75). At 12 months, all had low disease activity. The TA had the longest corticosteroid use, highest damage, and slower remission. Overall remission was 91.9% (n=68/74), while GPA patients had more flares in the first year (median 1.0, IQR 0.25-1.75).</p><p><strong>Conclusion: </strong>Prognosis was favorable, but TA and monogenic vasculitides showed greater damage. In children <5 years, higher activity but good early response emphasize timely, individualized management.</p>","PeriodicalId":75267,"journal":{"name":"Turkish archives of pediatrics","volume":"61 5","pages":"388-398"},"PeriodicalIF":1.7,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147847353","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}
Onur Çağdaş Arıkan, Özlem Bekem, Hilal Tıpırdamaz Sipahi
{"title":"Effect of Nutrition Friendly School Initiative on Eating Habits and Anthropometry in School-Aged Children.","authors":"Onur Çağdaş Arıkan, Özlem Bekem, Hilal Tıpırdamaz Sipahi","doi":"10.65717/TurkArchPediatr.2026.25344","DOIUrl":"https://doi.org/10.65717/TurkArchPediatr.2026.25344","url":null,"abstract":"<p><strong>Objective: </strong>\"Nutrition Friendly School Initiative\" (NFSI) project intends to improve school health by increasing sensitivity about healthy feeding and active life and supporting good practices on this topic. The study aimed to evaluate the effect of this project on eating habits and anthropometric values in school-aged children.</p><p><strong>Materials and methods: </strong>A total of 516 children from 2 nutrition friendly schools and 4 nonnutrition friendly schools are included. Eating habits and behaviors are evaluated by questionnaires. Weight and height z scores, weight for height and body mass index percentages were calculated. Eating habits and anthropometric values were compared between schools that are and are not nutrition friendly.</p><p><strong>Results: </strong>Students from nutrition-friendly schools were consuming fruits more frequently. Their families also preferred homemade foods. Most of the children had a tendency to consume vegetables, vegetable meals, and fruits. Malnutrition was present in 102 (19.8%) of the children, whereas 328 (63.5%) were normal and 86 (16.7%) were overweight and obese. Overweight and obesity were higher in control group (n=48, 19.0% vs. n=38, 14.4%, P=.342), but this was not statistically significant.</p><p><strong>Conclusion: </strong>The \"Nutrition Friendly School\" project had a positive effect on eating behaviors, but no relation was present with obesity. Besides supporting the NFSI, the importance of the family and environment should be remembered, and the education of the people responsible for feeding the child should be taken in consideration.</p>","PeriodicalId":75267,"journal":{"name":"Turkish archives of pediatrics","volume":"61 5","pages":"406-413"},"PeriodicalIF":1.7,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147847384","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}
Pelin Esmeray Şenol, Batuhan Küçükali, Çisem Yildiz, Nihal Karaçayir, Emine Nur Sunar Yayla, Merve Kutlar Tanidir, Nuran Belder, Deniz Gezgin Yildirim, Sevcan A Bakkaloğlu
{"title":"The Significance of Skin Manifestations in the Practice of Pediatric Rheumatology: Real-Life Data.","authors":"Pelin Esmeray Şenol, Batuhan Küçükali, Çisem Yildiz, Nihal Karaçayir, Emine Nur Sunar Yayla, Merve Kutlar Tanidir, Nuran Belder, Deniz Gezgin Yildirim, Sevcan A Bakkaloğlu","doi":"10.65717/TurkArchPediatr.2026.25245","DOIUrl":"https://doi.org/10.65717/TurkArchPediatr.2026.25245","url":null,"abstract":"<p><strong>Objective: </strong>Cutaneous manifestations can indicate various systemic diseases, including rheumatological, metabolic, endocrinological, infectious, gastrointestinal, and oncological disorders. The study aimed to examine the demographic, clinical, and laboratory characteristics as well as the final diagnoses of pediatric patients who presented with a rash complaint at a rheumatology clinic.</p><p><strong>Materials and methods: </strong>This was a retrospective, cross-sectional, and descriptive study conducted at the pediatric rheumatology department of the center. The medical records of patients aged 0-18 years who presented with a rash as one of the initial complaints at the pediatric rheumatology clinic between January 2017 and December 2023 were reviewed. Data on demographics, clinical presentation, laboratory results, and final diagnosis were analyzed.</p><p><strong>Results: </strong>A total of 307 patients were included, including 166 women (54%). Of these, 255 (83%) were diagnosed with rheumatic disease. The most common rash type was petechiae/purpura (63.5%), followed by maculopapular rash (10%), urticarial rash (10.7%), and others. The most frequent rheumatic diagnosis was immunoglobulin A vasculitis. Other diagnoses include juvenile dermatomyositis, systemic lupus erythematosus, Kawasaki disease, and multisystem inflammatory syndrome in children.</p><p><strong>Conclusion: </strong>Skin manifestations often present as the initial complaint in pediatric rheumatic diseases. A thorough cutaneous examination is crucial for identifying the underlying systemic conditions and guiding appropriate management.</p>","PeriodicalId":75267,"journal":{"name":"Turkish archives of pediatrics","volume":"61 5","pages":"431-437"},"PeriodicalIF":1.7,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147847411","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}
Dimas Tri Anantyo, Monica Oktaviana, Kinanti Maura Sandradewi
{"title":"Patterns of Endogenous Nasal Colonization and Bloodstream Isolates in Pediatric Leukemia with Healthcare-Associated Infections in Indonesia.","authors":"Dimas Tri Anantyo, Monica Oktaviana, Kinanti Maura Sandradewi","doi":"10.65717/TurkArchPediatr.2026.25410","DOIUrl":"https://doi.org/10.65717/TurkArchPediatr.2026.25410","url":null,"abstract":"<p><strong>Objective: </strong>Children with leukemia are highly susceptible to healthcare-associated infections (HAIs) due to immunosuppression, mucosal barrier injury, and frequent hospital exposures. Nasal colonization may predict invasive infections, but evidence from low- and middle-income countries (LMIC) is limited. To describe patterns of nasal colonization and bloodstream isolates in pediatric leukemia with HAIs.</p><p><strong>Materials and methods: </strong>This descriptive study was conducted in the pediatric hemato-oncology ward of Dr. Kariadi General Hospital, Indonesia, from May 2024 to May 2025. Children aged 1 month-18 years with leukemia and developed HAIs were included. Blood and nasal swab cultures were obtained, while microbiological examinations were performed. Data were summarized descriptively to characterize microbiological patterns.</p><p><strong>Results: </strong>Among 22 children, nasal colonization with Gram-positive bacteria was nearly universal (90.9%), while bloodstream infections were mainly Gram-negative (22.7%), including Klebsiella pneumoniae, Escherichia coli, Pantoea sp., and Serratia marcescens. Based on observations, no patient harbored identical organisms in both sites.</p><p><strong>Conclusion: </strong>This study described distinct microbiological patterns between nasal colonization and bloodstream isolates in pediatric leukemia with HAIs in LMIC settings. Gram-negative bacteria remained the main invasive threat. The results support the need for strengthened infection surveillance, empiric gram-negative coverage, and integrated nutritional support in pediatric oncology care.</p>","PeriodicalId":75267,"journal":{"name":"Turkish archives of pediatrics","volume":"61 5","pages":"414-419"},"PeriodicalIF":1.7,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147847374","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":"Ongoing Challenges in Pediatric Care in the Balkan Region: An Example of Northern Macedonia.","authors":"Nikolina Zdraveska, Aspazija Sofijanova, Ertugrul Kiykim, Amra Adrovic, Ozgur Kasapcopur","doi":"10.65717/TurkArchPediatr.2026.5001","DOIUrl":"https://doi.org/10.65717/TurkArchPediatr.2026.5001","url":null,"abstract":"","PeriodicalId":75267,"journal":{"name":"Turkish archives of pediatrics","volume":"61 5","pages":"368-371"},"PeriodicalIF":1.7,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147847358","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":"Beyond Juvenile Idiopathic Arthritis: Recognizing Genetic Arthropathies in Children.","authors":"Sulaiman M Al-Mayouf, Lujayn Akbar","doi":"10.65717/TurkArchPediatr.2026.26118","DOIUrl":"https://doi.org/10.65717/TurkArchPediatr.2026.26118","url":null,"abstract":"<p><strong>Unlabelled: </strong>Childhood arthropathies are a diverse group of conditions affecting the joints and periarticular structures. While inflammatory arthritis is driven by immune dysregulation, non-inflammatory arthropathy results from structural or metabolic abnormalities. A substantial proportion of these disorders is secondary to genetic defects. Recent advances in molecular genetics have expanded the understanding of these conditions, making accurate nomenclature and classification increasingly important. Early recognition and precise genetic diagnosis are essential for providing appropriate genetic counseling, guiding management, minimizing long-term complications, and improving outcomes. This review summarizes the distinguishing features of genetic inflammatory and non-inflammatory arthropathies and proposes a practical framework for their classification.</p>","PeriodicalId":75267,"journal":{"name":"Turkish archives of pediatrics","volume":"61 5","pages":"381-387"},"PeriodicalIF":1.7,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147847369","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":"An Overview of Robotic Surgery in Pediatric Urology: Techniques, Outcomes, and Future Prospects.","authors":"Elif Altınay Kırlı, Bülent Önal","doi":"10.5152/TurkArchPediatr.2025.25218","DOIUrl":"https://doi.org/10.5152/TurkArchPediatr.2025.25218","url":null,"abstract":"<p><strong>Unlabelled: </strong>Robotic surgery has changed pediatric urology more and more by giving pediatric urologists less invasive options for complicated reconstructive surgeries. Thanks to advances in technology, pediatric urologists can now execute procedures with better dexterity, 3-dimensional visibility, and accuracy. These are especially important for congenital malformations that need precise dissection. Robotic-assisted laparoscopic pyeloplasty is now the most prevalent technique. It boasts success rates that are similar to those of open surgery and benefits including less pain, shorter hospital stays, and better appearance. Robotic ureteral reimplantation is also a safe and successful alternative to open repair for vesicoureteral reflux and primary obstructive megaureter, although it takes longer to learn how to do it. More and more often, complex surgeries like heminephrectomy, augmentation ileocystoplasty, Mitrofanoff appendicovesicostomy, and bladder neck reconstruction are being done with robots, and the results are looking excellent. Robotic methods in pediatric uro-oncology are changing, but it's important to choose patients carefully because of worries about tumor spilling. Robotic surgery is a useful technique in pediatric urology because it is more precise, comfortable, and quick to recover from, even if it costs more and takes longer to do. As robotic surgery becomes more common and its technology improves, it is likely to become a major part of both simple and complicated pediatric urology treatments in the future.</p>","PeriodicalId":75267,"journal":{"name":"Turkish archives of pediatrics","volume":"61 5","pages":"372-380"},"PeriodicalIF":1.7,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147847439","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}