Anales de pediatria最新文献

{"title":"Aplicación racional de las recomendaciones ESPGHAN 2022 de seguimiento del paciente celíaco pediátrico: documento de consenso de sociedades científicas (SEGHNP, AEPap, SEPEAP, SEEC, AEG, SEPD, SEMFYC, SEMG y SEMERGEN)","authors":"Enriqueta Román ,&nbsp;Josefa Barrio ,&nbsp;María Luz Cilleruelo ,&nbsp;Ricardo Torres ,&nbsp;Vega Almazán ,&nbsp;Cristobal Coronel ,&nbsp;Beatriz Espín ,&nbsp;Eva Martínez-Ojinaga ,&nbsp;David Pérez Solís ,&nbsp;María Antonia Moreno ,&nbsp;Joaquín Reyes ,&nbsp;Luis Fernández Salazar ,&nbsp;Sergio Farrais ,&nbsp;Gemma Castillejo ,&nbsp;Noelia Fontanillas ,&nbsp;Mar Noguerol ,&nbsp;Alicia Prieto ,&nbsp;Ester Donat ,&nbsp;en representación de la Sociedad de Gastroenterología, Hepatología y Nutrición Pediátrica (SEGHNP),&nbsp;Sociedades de Pediatría de Atención Primaria (AEPap y SEPEAP),&nbsp;Isabel Polanco","doi":"10.1016/j.anpedi.2024.09.001","DOIUrl":"10.1016/j.anpedi.2024.09.001","url":null,"abstract":"<div><div>Coeliac disease is a common condition for which the only current treatment is a gluten-free diet. Adherence to this diet is not always easy and is associated with a reduction in quality of life for the patient and their family. Non-adherence is associated with complications of varying severity. The lack of control at the outpatient care level in a high percentage of these patients evinces the need to improve follow-up protocols and the approach to care delivery with coordination of paediatric gastroenterology units (and primary care paediatricians. With this aim in mind, the present document was developed by consensus to offer a set of recommendations adapted to our region, based on the recent recommendations published by the European Society of Paediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN), and with participation of the pertinent scientific societies, including those concerning the adult population, for the management and followup of adolescents and the transition to adult care.</div></div>","PeriodicalId":7783,"journal":{"name":"Anales de pediatria","volume":"101 4","pages":"Pages 267-277"},"PeriodicalIF":1.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142418882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Traumatismo torácico penetrante por lápiz: un accidente escolar inusual","authors":"Hugo Urrutia Soto,&nbsp;Juan Marcos Peraza,&nbsp;Oscar Ariscain","doi":"10.1016/j.anpedi.2024.06.008","DOIUrl":"10.1016/j.anpedi.2024.06.008","url":null,"abstract":"","PeriodicalId":7783,"journal":{"name":"Anales de pediatria","volume":"101 4","pages":"Pages 293-295"},"PeriodicalIF":1.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141854010","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Anomalías vasculares en la infancia. Revisión y actualización","authors":"Juan Carlos López Gutiérrez ,&nbsp;Jesús del Pozo Losada ,&nbsp;Manuel Gómez Tellado","doi":"10.1016/j.anpedi.2024.07.009","DOIUrl":"10.1016/j.anpedi.2024.07.009","url":null,"abstract":"<div><div>Vascular anomalies are changes in vascularization that usually appear in the foetal stage, at birth or in early childhood. They can cause chronic pain, motor impairment, cosmetic changes or coagulopathy and may be fatal in some cases, but in every case they have a negative impact on the quality of life of the child and the family. Up to 150 different subtypes have been described. They can involve arteries, capillaries, veins, lymphatic vessels or a combination thereof. They may be associated with additional malformations and frequently cause musculoskeletal and soft tissue hypertrophy or hypotrophy. They can develop anywhere in the body, invade any tissue and affect the function of various organs. The prevalence of the different subtypes varies greatly, from 1/20 to 1/1 000 000. Subtypes considered rare diseases (incidence &lt;<!--> <!-->1/2000) continue to affect more than 500 000 people in the European Union.</div><div>Differentiating between vascular tumours and vascular malformations is critical, especially in paediatric patients. They are completely different diseases, although they are often grouped under the umbrella term of vascular anomalies.</div><div>The diagnostic algorithm used in the clinical evaluation of vascular anomalies should be based on a thorough history-taking and detailed physical examination.</div><div>Future knowledge in this field will be based above all on genetic findings and therapeutic innovations. New molecules and their indications are being explored with the aim of reducing the aggressiveness of previous treatments and increasing the life expectancy and quality of life of patients who do not respond to conventional treatments.</div></div>","PeriodicalId":7783,"journal":{"name":"Anales de pediatria","volume":"101 4","pages":"Pages 278-285"},"PeriodicalIF":1.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142418883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experiencia de la cohorte nacional de mujeres embarazadas que viven con VIH y sus hijos en España: evolución de la transmisión materno-infantil de VIH e infecciones asociadas","authors":"Marta Illán Ramos ,&nbsp;Arantxa Berzosa Sánchez ,&nbsp;Itziar Carrasco García ,&nbsp;Asunción Diaz Franco ,&nbsp;Inmaculada Jarrín Vera ,&nbsp;Luis Prieto Tato ,&nbsp;Rosa Polo Rodríguez ,&nbsp;Ma Luisa Navarro Gómez ,&nbsp;José Tomás Ramos Amador ,&nbsp;en nombre del Grupo de Trabajo de la Cohorte Nacional de mujeres embarazadas que viven con VIH y sus hijos en España","doi":"10.1016/j.anpedi.2024.07.006","DOIUrl":"10.1016/j.anpedi.2024.07.006","url":null,"abstract":"<div><h3>Introduction</h3><div>The vertical transmission rate (VTR) of HIV has decreased to less than 2% in high-income countries., in spite of which perinatal infections continue to occur. We present data from the national cohort of pregnant women living with HIV and their children in Spain. The objectives were to describe the characteristics of this population, evaluate the VTR of HIV, the safety of antiretroviral therapy (ART) and the prevalence of coinfection.</div></div><div><h3>Patients and methods</h3><div>Multicentre prospective, observational and descriptive study with participation of 62 hospitals. The sample included pegnant women living with HIV whose children were born between January 2020 and December 2022. We collected prospective data on the characteristics of mothers and children using an online questionnaire (REDCap web application).</div></div><div><h3>Results</h3><div>The study included 414 mother-child dyads. Most mothers were immigrants (227/349; 65.1%). The main route of HIV infection was heterosexual transmission (160/402; 39.8%), followed by vertical transmission (44/402; 10.9%). The diagnosis was made before conception in313/389 women (80.4%), 394/402 (98%) received ART during pregnancy and 356/402 (89.3%) had an undetectable viral load at the time of delivery. The delivery was vaginal in 230/388 children (59.3%). The proportion of preterm birth was 11.1%. The most frequent neonatal prophylaxis approach was monotherapy with zidovudine (358/414; 86.5%). There were 3 cases of vertical transmission of HIV (95% CI, 0%-1.54%). Only one newborn was breastfed.</div></div><div><h3>Conclusions</h3><div>At present, most women living with HIV in Spain receive the diagnosis before conception, are of foreign ancestry and achieve good control of the infection. Although the VTR is very low in Spain, there are still infections that could be prevented with early diagnosis and treatment.</div></div>","PeriodicalId":7783,"journal":{"name":"Anales de pediatria","volume":"101 4","pages":"Pages 249-257"},"PeriodicalIF":1.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142418881","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Utilidad de la fracción espirada de óxido nítrico en pacientes con enfermedad de células falciformes","authors":"Agustín Muñoz-Cutillas ,&nbsp;Sara Bellón-Alonso ,&nbsp;Eduardo Bardón-Cancho ,&nbsp;Santiago Rodríguez-Tubío-Dapena ,&nbsp;Lucía Díez-Llamazares ,&nbsp;Rosa Rodríguez-Fernández ,&nbsp;Juan Luis Rodríguez-Cimadevilla","doi":"10.1016/j.anpedi.2024.06.010","DOIUrl":"10.1016/j.anpedi.2024.06.010","url":null,"abstract":"<div><h3>Introduction</h3><div>Patients with sickle cell disease exhibit different patterns in pulmonary function tests. In particular, there is little evidence on the fractional exhaled nitric oxide (FeNO) test, and its value ranges and its interpretation in these patients have been under debate in recent years.</div></div><div><h3>Methods</h3><div>We conduced a cross-sectional, observational and descriptive study between November 2021 and January 2023 including patients aged 6 to 18 years with sickle cell disease able to perform the FeNO test. We applied the GLI-2012 reference values and the ERS/ATS standards. We defined statistical significance as <em>P</em> <!-->&lt;<!--> <!-->.05.</div></div><div><h3>Results</h3><div>The sample included 43 patients with a median age of 12 years (IQR, 10-15). We did not find an association between significantly elevated FeNO (≥ 25 ppb) and the diagnosis of asthma (<em>P</em> <em>=</em> <!-->.37), an obstructive pattern in spirometry (<em>P</em> <em>=</em> <!-->.67), a positive bronchodilator test (<em>P</em> <em>=</em> <!-->.53), clinical bronchial hyperreactivity in the context of cold or flu-like symptoms (<em>P</em> <em>=</em> <!-->.48), cough with exercise (<em>P</em> <em>=</em> <!-->.42) or nocturnal cough (<em>P</em> <em>=</em> <!-->1.0), but found an association with peripheral eosinophilia (<em>P</em> <em>&lt;</em> <!-->.01).</div></div><div><h3>Conclusions</h3><div>We found no association between FeNO values and the classic features of asthma (clinical or spirometric) in patients with sickle cell disease. Therefore, airway inflammation mechanisms are probably different in these patients.</div></div>","PeriodicalId":7783,"journal":{"name":"Anales de pediatria","volume":"101 4","pages":"Pages 258-266"},"PeriodicalIF":1.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141846126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Caracterización y manejo del vértigo en la población pediátrica: estudio integral sobre la etiología, manifestaciones audiovestibulares y psicosomáticas más frecuentes","authors":"Joan Lorente-Piera ,&nbsp;Eduardo Arnaus Martín ,&nbsp;Christian Espinoza-Vinces ,&nbsp;Beatriz Remon-González ,&nbsp;Carla Rodríguez-Zanetti ,&nbsp;Raquel Manrique-Huarte","doi":"10.1016/j.anpedi.2024.07.008","DOIUrl":"10.1016/j.anpedi.2024.07.008","url":null,"abstract":"","PeriodicalId":7783,"journal":{"name":"Anales de pediatria","volume":"101 4","pages":"Pages 288-291"},"PeriodicalIF":1.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142418885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Teleasistencia domiciliaria mediante gafas de realidad aumentada: una prueba de concepto","authors":"Carmen Agra-Tuñas ,&nbsp;Silvia Aranda-García ,&nbsp;Graciela Gómez-Silva ,&nbsp;Verónica Izquierdo ,&nbsp;Antonio Rodríguez-Núñez","doi":"10.1016/j.anpedi.2024.07.007","DOIUrl":"10.1016/j.anpedi.2024.07.007","url":null,"abstract":"","PeriodicalId":7783,"journal":{"name":"Anales de pediatria","volume":"101 4","pages":"Pages 286-288"},"PeriodicalIF":1.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142418884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enfermedad por retención de quilomicrones: entidad a considerar","authors":"Diego Mauricio Peñafiel-Freire ,&nbsp;Neus Saloni Gomez ,&nbsp;Bertha Ortigosa Pezonaga ,&nbsp;Elena Aznal Sáinz","doi":"10.1016/j.anpedi.2024.06.002","DOIUrl":"10.1016/j.anpedi.2024.06.002","url":null,"abstract":"","PeriodicalId":7783,"journal":{"name":"Anales de pediatria","volume":"101 4","pages":"Pages 296-297"},"PeriodicalIF":1.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141709720","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gráficas de normalidad del test de la marcha de seis minutos en escolares sanos de la ciudad de Zaragoza, España","authors":"Ana Villamañán Montero ,&nbsp;Carlos Martín de Vicente ,&nbsp;Juan Pablo García Íñiguez ,&nbsp;Feliciano Ramos Fuentes","doi":"10.1016/j.anpedi.2024.06.007","DOIUrl":"10.1016/j.anpedi.2024.06.007","url":null,"abstract":"<div><h3>Introduction</h3><div>The six-minute walk test is a stress test that provides information about exercise tolerance in chronic diseases. The aim of the study was to develop reference equations with normal values for the test in healthy children aged 6 to 12 years in our paediatric reference population.</div></div><div><h3>Patients and methods</h3><div>The six-minute walk test was carried out in a sample of 236 healthy children, analyzing pre- and post-test variables, and we developed reference equations selecting variables that turned out to be significant (<em>P</em> <!-->&lt;<!--> <!-->.05).</div></div><div><h3>Results</h3><div>The pre- and post-test values, respectively, were 97.82% (SD, 0.64) vs 97.82% (SD, 0.59) for oxygen saturation; 96.59 bpm (SD, 16.11) vs 131.89 bmp (SD, 22.64) for the heart rate; 0.52 (SD, 0.83) vs 3.01 (SD, 2.42) for the degree of dyspnea (Borg scale) and 0.68 (SD, 0.98) vs 2.95 (SD, 2.26) for the degree of lower extremities fatigue (Borg scale). The average distance walked was 668.03 meters (SD, 87.36) (671.42 m in boys [SD, 92.2] vs 664.22 m in girls [SD, 81.81]). We fitted predictive equations that included the variables age, height and difference between baseline and final heart rate. We also generated percentile charts of the distance walked for height.</div></div><div><h3>Conclusions</h3><div>Age, height, regular physical activity and obesity had an impact on test results. Obtaining reference values for the 6-minute walk test in healthy children is necessary for its application in clinical practice.</div></div>","PeriodicalId":7783,"journal":{"name":"Anales de pediatria","volume":"101 4","pages":"Pages 230-237"},"PeriodicalIF":1.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142418878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mielitis transversa y síndrome cauda equino por Streptococcus pyogenes","authors":"Lourdes Artacho González,&nbsp;Nora Andrea Donisanu Peñaranda,&nbsp;Jose Miguel Ramos Fernández,&nbsp;Jose M. Camacho Alonso","doi":"10.1016/j.anpedi.2024.06.006","DOIUrl":"10.1016/j.anpedi.2024.06.006","url":null,"abstract":"","PeriodicalId":7783,"journal":{"name":"Anales de pediatria","volume":"101 3","pages":"Pages 224-225"},"PeriodicalIF":1.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1695403324001371/pdfft?md5=28d559430daceb30dd01b921c97ee8c4&pid=1-s2.0-S1695403324001371-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141693477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}