Mercedes Ruiz Brunner, Gabriela Macagno, Mariana Laquis, Elisabeth Cieri, Mariel Gabe, Ana L Condinanzi, Carla Gil, Eduardo Cuestas
{"title":"Avoidant/restrictive food intake disorder in childhood autism: a narrative review.","authors":"Mercedes Ruiz Brunner, Gabriela Macagno, Mariana Laquis, Elisabeth Cieri, Mariel Gabe, Ana L Condinanzi, Carla Gil, Eduardo Cuestas","doi":"10.5546/aap.2025-10745.eng","DOIUrl":"https://doi.org/10.5546/aap.2025-10745.eng","url":null,"abstract":"<p><p>Avoidant/restrictive food intake disorder (ARFID), defined by the DSM-5, affects children's growth and development and is common in those with autism spectrum disorder (ASD). This update aims to describe the causes, consequences, detection strategies, and therapeutic approaches to ARFID in children diagnosed with ASD, based on published scientific articles. Original articles, reviews, meta-analyses, and clinical trials published between January 2016 and February 2025 in peer-reviewed journals were included in this review. The search was conducted in PubMed, Cochrane Library, and Google Scholar using the descriptors \"ARFID AND AUTISM.\" Only fulltext studies in English or Spanish focusing on the pediatric population were considered; we found 23 relevant publications. This study explores how ASD characteristics can influence ARFID symptoms. Considering the findings, recommendations, and treatments based on clinical trials and meta-analyses are analyzed.</p>","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202510745"},"PeriodicalIF":0.5,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145237806","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}
{"title":"Prenatal pediatric consultation in low-risk pregnancies.","authors":"Guadalupe Albornoz, Romina Valerio","doi":"10.5546/aap.2025-10873.eng","DOIUrl":"https://doi.org/10.5546/aap.2025-10873.eng","url":null,"abstract":"","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202510873"},"PeriodicalIF":0.5,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145237735","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}
{"title":"Parental health information seeking online: How cyberchondria and health literacy shape pediatric health decisions.","authors":"Zeynep G Ergün Özdel, Güven Özkaya, Şenay Türe","doi":"10.5546/aap.2025-10771.eng","DOIUrl":"https://doi.org/10.5546/aap.2025-10771.eng","url":null,"abstract":"<p><p>Background: This study aims to determine parents' cyberchondria and health literacy levels and examine how these levels affect parents' behaviors regarding their own and their children's health. Method: This descriptive cross-sectional study was conducted between January 1, 2023, and June 30, 2023. Survey forms were used, and the surveys were filled out face to face. Results: 619 parents participated in the study. The parents' Cyberchondria Severity Scale (CSS) score was 71.51±22.46 (medium-high), and the Turkish Health Literacy Scale (THLS-32) score was 21.37±6.60 (insufficient); 92.2% of the parents stated that they diagnosed themselves and 91.1% of their children via the Internet, 14.2% of parents and 12% of their children stopped taking their medication due to information they read on the Internet. Conclusion: Parental internet use for health purposes is very high. Inadequate health literacy and high levels of cyberchondria increase the risk of making wrong health decisions. Health professionals should prioritize efforts to increase parents' health literacy and reduce the severity of cyberchondria.</p>","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202510771"},"PeriodicalIF":0.5,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145237820","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}
Natalia Tumas, Graciela F Scruzzi, Virginia Peresini, Ana C Godoy, Ana P Willington, Gaetano Vaggione, M Eugenia Peisino, Gabriel E Acevedo
{"title":"Congenital syphilis in Argentina: temporal trends and association with income inequality, 2006-2021.","authors":"Natalia Tumas, Graciela F Scruzzi, Virginia Peresini, Ana C Godoy, Ana P Willington, Gaetano Vaggione, M Eugenia Peisino, Gabriel E Acevedo","doi":"10.5546/aap.2025-10710.eng","DOIUrl":"https://doi.org/10.5546/aap.2025-10710.eng","url":null,"abstract":"<p><p>Introduction. Congenital syphilis (CS) is a persistent public health problem, and Argentina has been experiencing an increase in its incidence in recent years. Various social factors influence the distribution of CS. The objective of this study is to describe the temporal trends in CS rates and evaluate their association with income inequality in Argentina in the period 2006-2021. Methods. An ecological study was conducted, considering the 24 Argentine jurisdictions (23 provinces plus the Autonomous City of Buenos Aires [CABA, by its Spanish acronym]) as units of analysis. CS rates were estimated by jurisdiction for each year of the study, and their temporal distribution was analyzed for the national total and by region. An exploratory analysis of the distribution of CS rates and the Gini coefficient was performed at the national level and by region. Next, mixed linear models were estimated to assess the association between the Gini coefficient and CS rates. Results. The CS rate showed an oscillating and upward trend at the national level and in most regions, with a sustained increase in the Northwest region (NOA) and recent marked increases in Cuyo. As the Gini coefficient increases, the CS rate in the provinces increases (95% CI: 0.11-0.42). Conclusion. CS rates generally showed an upward trend, with variations across different regions. Income inequality was associated with higher CS rates, highlighting the influence of structural social factors on this disease in Argentina. Income inequality was associated with higher CS rates at the provincial level, demonstrating the impact of structural factors on disparities in this disease in Argentina.</p>","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202510710"},"PeriodicalIF":0.5,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145190763","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}
Jimena Fraga, Cecilia E Zubiri, Juan Varón, Silvia Del C Intruvini, Vanesa E Zaslavsky, Judith Cohen Sabban, Ana M Rocca, Guillermo P Alarcón, Karina A Leta, Horacio Bignón, Pablo E Aubone, Hernán Gaviño, Florencia Vans Landschoot
{"title":"Consensus on gastrostomies in pediatrics: a multidisciplinary approach.","authors":"Jimena Fraga, Cecilia E Zubiri, Juan Varón, Silvia Del C Intruvini, Vanesa E Zaslavsky, Judith Cohen Sabban, Ana M Rocca, Guillermo P Alarcón, Karina A Leta, Horacio Bignón, Pablo E Aubone, Hernán Gaviño, Florencia Vans Landschoot","doi":"10.5546/aap.2025-10789","DOIUrl":"https://doi.org/10.5546/aap.2025-10789","url":null,"abstract":"<p><p>Gastrostomy (GTT) is a procedure that surgically or endoscopically connects the stomach to the outside of the abdomen, providing a long-term enteral feeding route. It is an essential nutritional alternative for children and adolescents with oral feeding difficulties, as it significantly improves their physical, psychological, and social quality of life, as well as that of their caregivers. This consensus has several key objectives: to identify children and adolescents who are candidates for this intervention, to describe the different types of procedures, to unify diagnostic criteria, to promote rational use of resources, to detail associated complications, to improve the quality of life of patients and their families and to foster interdisciplinary collaboration. To achieve this, a comprehensive review of the scientific literature was conducted, selecting the best available evidence to develop practical recommendations specific to pediatricians and adaptable to the local context.</p>","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202510789"},"PeriodicalIF":0.5,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145190771","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}
Federico Herranz, María B Cavagnaro, Gabriela Pérez Raffo
{"title":"Auditory and language performance of children with bilateral profound hearing loss following simultaneous bilateral cochlear implantation: An observational study.","authors":"Federico Herranz, María B Cavagnaro, Gabriela Pérez Raffo","doi":"10.5546/aap.2025-10778.eng","DOIUrl":"https://doi.org/10.5546/aap.2025-10778.eng","url":null,"abstract":"<p><p>Profound prelingual sensorineural hearing loss affects oral language development. Cochlear implants, especially at an early age, enable the acquisition of functional auditory and language skills. This observational, retrospective, longitudinal study evaluated the auditory-language performance of 15 children with profound bilateral prelingual hearing loss who underwent bilateral cochlear implantation before the age of 5 and were followed up at 2 and 5 years after activation. We used an ad hoc functional scale to classify performance. The median age at implantation was 1.8 years (0.7-3.7). At 2 years, three patients showed excellent performance; at 5 years, 10 achieved this. Eleven children showed improvement between the two assessments, with no deterioration in any case.</p>","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202510778"},"PeriodicalIF":0.5,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145190744","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}
{"title":"Autoimmune hemolytic anemia due to biphasic Donath-Landsteiner hemolysin: a diagnostic challenge.","authors":"Laura Castro, Carolina Davenport","doi":"10.5546/aap.2024-10575.eng","DOIUrl":"10.5546/aap.2024-10575.eng","url":null,"abstract":"<p><p>Autoimmune hemolytic anemia due to Donath-Landsteiner biphasic hemolysin represents a real diagnostic challenge due to its low frequency and the complex methodology involved in the test used to confirm it. It usually presents abruptly in previously healthy children, secondary to a viral infection. The symptoms derived from the intense intravascular hemolysis are often confused with sepsis. Although its evolution is self-limited and has a good prognosis, it usually causes prolonged hospitalization with potential morbidity due to the performance of complementary tests and unnecessary treatments. The case of a child diagnosed with autoimmune hemolytic anemia secondary to biphasic hemolysin is presented to highlight the importance of timely diagnosis for adequate treatment.</p>","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202410575"},"PeriodicalIF":0.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144109365","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}
Sofía Grinenco, Guadalupe Albornoz Crespo, María J Bosaleh, Pablo Brener, Horacio Aiello, Lucas Otaño, César Meller, Alejandra Villa
{"title":"[Consensus on early detection of congenital heart disease].","authors":"Sofía Grinenco, Guadalupe Albornoz Crespo, María J Bosaleh, Pablo Brener, Horacio Aiello, Lucas Otaño, César Meller, Alejandra Villa","doi":"10.5546/aap.2024-10580","DOIUrl":"10.5546/aap.2024-10580","url":null,"abstract":"<p><p>Congenital heart diseases are the most frequent birth defects, and one of the main causes of perinatal morbidity and death. Early diagnosis allows a timely treatment and improves the patients' prognosis. Early detection includes screening studies during the first and second trimesters of pregnancy, a neonatal complete clinical examination and the neonatal pulse oximetry test. The aim of this consensus is to present recommendations for early detection and diagnosis of congenital heart disease.</p>","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202410580"},"PeriodicalIF":0.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143381421","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}
Jimena Dri, Eugenia Dos Santos, Adriana Fernández, Florencia Galdeano, María J Guillamondegui, Cristina Gatica
{"title":"Trichothiodystrophy type 3 with a mutation in the GTF2H5 gene: A case report in Argentina.","authors":"Jimena Dri, Eugenia Dos Santos, Adriana Fernández, Florencia Galdeano, María J Guillamondegui, Cristina Gatica","doi":"10.5546/aap.2024-10522.eng","DOIUrl":"10.5546/aap.2024-10522.eng","url":null,"abstract":"<p><p>Trichothiodystrophy is a rare neuroectodermal defect characterized by sparse and brittle hair, photosensitivity, intellectual disability, and short stature. With an incidence of 1.2 per million in Western countries, half of the reported cases have clinical and cellular photosensitivity associated with mutations in three subunits of the general transcription factor IIH complex, which is involved in transcription and nucleotide excision repair. Six patients with GTF2H5 mutations have been reported; this is the first report in Argentina. The patient was diagnosed at 3 years of age by \"tiger tail banding\" on polarized light microscopy, and at 9 years of age, it was confirmed by molecular biology. She presented growth retardation with more severe stunting and underweight than reported. Given the low prevalence and high clinical heterogeneity, a high index of suspicion is required for early diagnosis, interdisciplinary management, and genetic counseling.</p>","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202410522"},"PeriodicalIF":0.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143762982","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}
Emilia B Cepeda Calero, María B Pallitto, Gustavo Boldrini
{"title":"Autoimmune liver disease in pediatrics: its association with extrahepatic autoimmune diseases.","authors":"Emilia B Cepeda Calero, María B Pallitto, Gustavo Boldrini","doi":"10.5546/aap.2025-10672.eng","DOIUrl":"10.5546/aap.2025-10672.eng","url":null,"abstract":"<p><p>ntroduction. Autoimmune liver disease is a chronic and progressive inflammatory pathology; it often requires organ transplantation. In pediatrics, although the incidence is low, a significant percentage of patients also present with associated extrahepatic autoimmune diseases. Diagnosis is based on elevated transaminases and immunoglobulins, the presence of autoantibodies, and specific histological findings, with the absence of other known liver pathologies. Objective. To determine the prevalence of extrahepatic autoimmune diseases in pediatric patients with autoimmune liver disease, to describe the relationship between these entities, and to evaluate possible clinical and laboratory differences at diagnosis between patients with and without associated extrahepatic autoimmune diseases. Population and methods. Retrospective study that analyzed pediatric patients diagnosed with autoimmune liver disease between 2000 and 2022 in a tertiary-level hospital. Results. A total of 139 patients were included, with 62.6% being women. The median age at diagnosis was 7.3 years. The most frequent type of autoimmune hepatitis was type 1 (74.8%). An associated extrahepatic disease was present in 41.7% of patients; ulcerative colitis was the most common (39.7%), followed by celiac disease (20.7%) and hypothyroidism (12.1%). Ulcerative colitis was present in 73.3% of patients with autoimmune sclerosing cholangitis. Patients without associated autoimmune extrahepatic disease required liver transplantation more frequently (18.5%) than those with associated extrahepatic disease (5.2%). Conclusion. The study shows a high prevalence of extrahepatic autoimmune diseases in children with autoimmune liver disease. Ulcerative colitis is the most frequent, especially in cases of autoimmune sclerosing cholangitis.</p>","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202510672"},"PeriodicalIF":0.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144537917","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}