Anales de pediatria最新文献_第3页

Erythema multiforme major/Stevens-Johnson syndrome: a diagnostic challenge 重度多形红斑/史蒂文斯-约翰逊综合征：诊断难题。

Anales de pediatria Pub Date : 2024-11-01 DOI: 10.1016/j.anpede.2024.10.005

Rita Lages Pereira , Mariana Oliveira Pereira , Carmo Ferreira , Ivo Neves

引用次数: 0

Coping with death: bereavement support for paediatricians 应对死亡：为儿科医生提供丧亲支持。

Anales de pediatria Pub Date : 2024-11-01 DOI: 10.1016/j.anpede.2024.07.019

Manuel Gijón Mediavilla , Pablo Rojo Conejo , Eduardo López Fernández , Sara Losantos Ucha , Sylvia Belda Hofheinz

引用次数: 0

Recommendations of the Spanish Society of Neonatology for the prevention of severe respiratory syncytial virus infections with nirsevimab, for the 2024–2025 season 西班牙新生儿学会关于使用 nirsevimab 预防严重呼吸道合胞病毒感染的建议（2024-2025 年）。

Anales de pediatria Pub Date : 2024-11-01 DOI: 10.1016/j.anpede.2024.09.010

Manuel Sánchez Luna , M. Luz Couce Pico , Belén Fernández Colomer , en representación de la Junta Directiva de la Sociedad Española de Neonatología (SENEO) Comisión de Estándares de SENEO y Comisión de Infecciones de SENEO

引用次数: 0

Primary adrenal insufficiency: case study IN 5 tertiary hospitals 原发性肾上腺功能不全：5 家三级医院的病例研究。

Anales de pediatria Pub Date : 2024-11-01 DOI: 10.1016/j.anpede.2024.10.008

María Teresa Ovejero García , Blanca Sáez Gallego , Ana Coral Barreda Bonís , Jesús Domínguez Riscart , María Beatriz Garnier Rodríguez , Ruth Molina Suárez , Antonio De Arriba Muñoz

{"title":"Primary adrenal insufficiency: case study IN 5 tertiary hospitals","authors":"María Teresa Ovejero García , Blanca Sáez Gallego , Ana Coral Barreda Bonís , Jesús Domínguez Riscart , María Beatriz Garnier Rodríguez , Ruth Molina Suárez , Antonio De Arriba Muñoz","doi":"10.1016/j.anpede.2024.10.008","DOIUrl":"10.1016/j.anpede.2024.10.008","url":null,"abstract":"<div><h3>Introduction</h3><div>Primary adrenal insufficiency (PAI) in children is a rare condition characterized by deficient production of glucocorticoids and/or mineralocorticoids. The clinical manifestations are nonspecific and insidious. Providers need to know about this disorder to be able to make an early diagnosis, as appropriate management can be life-saving.</div></div><div><h3>Methods</h3><div>We conducted a multicentre retrospective study including every patient aged less than 18 years given a diagnosis of PAI in the last 30 years at 5 Spanish hospitals.</div></div><div><h3>Objectives</h3><div>The objective was to determine the aetiologies, signs, symptoms and laboratory findings of PAI in the paediatric age group.</div></div><div><h3>Results</h3><div>Twenty nine patients received a diagnosis of PAI at a median age of 5.6 years. An aetiological diagnosis was established in 23 patients (79.3%): X-linked adrenoleukodystrophy in 8 (27.6%), autoimmune adrenalitis in 6 (20.7%), X-linked adrenal hypoplasia congenita in 4 (13.8%), adrenocorticotropic hormone (ACTH) resistance syndrome in 2 (6.9%), Pearson syndrome in 2 (6.9%) and Allgrove syndrome in 1 (3.4%). In the remaining 6 patients, no clear aetiology was identified. Sixteen patients (55.2%) had onset with an adrenal crisis. Twenty patients (69%) needed combination therapy (hydrocortisone and fludrocortisone).</div></div><div><h3>Conclusions</h3><div>Asthenia, hyperpigmentation and hyponatraemia were the most prevalent sign, symptom and electrolyte abnormality at onset of PAI, although their absence does not rule out this disease. The elevation of ACTH persists despite adequate glucocorticoid replacement therapy.</div></div>","PeriodicalId":93868,"journal":{"name":"Anales de pediatria","volume":"101 5","pages":"Pages 303-309"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142606311","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Trichothiodystrophy, playing with optical microscope 毛细血管营养不良症，玩光学显微镜。

Anales de pediatria Pub Date : 2024-11-01 DOI: 10.1016/j.anpede.2024.10.009

Elisabeth Gómez Moyano, Jose Antonio Llamas Carmona, Irene López Riquelme, Leandro Martínez Pilar

引用次数: 0

Risk factors and profiles of reattempted suicide in children aged less than 12 years 12 岁以下儿童再次企图自杀的风险因素和特征。

Anales de pediatria Pub Date : 2024-11-01 DOI: 10.1016/j.anpede.2024.10.002

César D. González , Carlos Fabian Martínez-Cárdenas

{"title":"Risk factors and profiles of reattempted suicide in children aged less than 12 years","authors":"César D. González , Carlos Fabian Martínez-Cárdenas","doi":"10.1016/j.anpede.2024.10.002","DOIUrl":"10.1016/j.anpede.2024.10.002","url":null,"abstract":"<div><h3>Objective</h3><div>Suicide attempt (SA) repetition is considered one of the main risk factors for completed suicide. In spite of this, there is no previous research on this variable in children. The objective was to determine the factors and profiles associated with reattempted suicide in children aged less than 12 years.</div></div><div><h3>Methods</h3><div>Cross-sectional study that included 120 reports (event code INS.356) of SA in children aged less than 12 years between 2018 and 2023 in the SIVIGILA surveillance system of Colombia. We carried out a bivariate logistic regression analysis to generate the best fitting risk factor model and a multiple correspondence analysis (MCA) to establish the possible SA recurrence profiles using the SPSS software, version 26.</div></div><div><h3>Results</h3><div>Of the 120 cases analysed, 43 (35.8%) were reports of reattempted suicide. The best model for predicting risk factors for repeated SA included child maltreatment (OR, 6.22; <em>P</em> < .05), persistent suicidal ideation (PSI) (OR, 30.91; <em>P</em> < .001), a history of violence or sexual abuse (OR, 13.10; <em>P</em> < .05) and the use of sharp objects (OR, 46.45; <em>P</em> < .001). The MCA identified 3 profiles: “first SA” with poisoning as the attempt method and in absence of PSI, violence and abuse; “one previous SA” with the use of sharp objects and presence of PSI ; “two or more previous SAs” with a history of violence or sexual abuse, child maltreatment and hanging as the method.</div></div><div><h3>Conclusion</h3><div>Our findings demonstrate the impact of early life adversity (ELA) on children's mental health, so it is necessary to detect and prevent these types of abuse in order to reduce childhood suicide.</div></div>","PeriodicalId":93868,"journal":{"name":"Anales de pediatria","volume":"101 5","pages":"Pages 310-318"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142514478","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A holistic perspective of the comorbidities in childhood obesity 从整体角度看儿童肥胖症的并发症。

Anales de pediatria Pub Date : 2024-11-01 DOI: 10.1016/j.anpede.2024.10.001

Rosa Herrera , Empar Lurbe

{"title":"A holistic perspective of the comorbidities in childhood obesity","authors":"Rosa Herrera , Empar Lurbe","doi":"10.1016/j.anpede.2024.10.001","DOIUrl":"10.1016/j.anpede.2024.10.001","url":null,"abstract":"<div><div>Childhood obesity is associated with comorbidities that affect almost all body systems, including, among others, the endocrine, gastrointestinal, pulmonary, cardiovascular and musculoskeletal systems, as well as medical and surgical procedures that may be required due to different clinical situations. The objective of this article is to describe the classic and emerging comorbidities associated with obesity and the complications of procedures that involve invasive manoeuvres. Although some of the problems associated with obesity during childhood are widely known, such as musculoskeletal and cutaneous disorders or apnoea–hypopnoea syndrome, others, such as changes in kidney function, non-alcoholic fatty liver and cardiometabolic risk, have received less attention due to their insidious development, as they may not manifest until adulthood. In contrast, there is another group of comorbidities that may have a greater impact due to their frequency and consequences, which are psychosocial problems. Finally, in the context of invasive medico-surgical interventions, obesity can complicate airway management. The recognition of these pathologies in association with childhood obesity is of vital importance not only in childhood but also due to their ramifications in adulthood.</div></div>","PeriodicalId":93868,"journal":{"name":"Anales de pediatria","volume":"101 5","pages":"Pages 344-350"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142559693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Vascular anomalies in childhood. Review and update 儿童血管异常。回顾与更新。

Anales de pediatria Pub Date : 2024-10-01 DOI: 10.1016/j.anpede.2024.09.009

Juan Carlos López Gutiérrez , Jesús Pozo Losada , Manuel Gómez Tellado

{"title":"Vascular anomalies in childhood. Review and update","authors":"Juan Carlos López Gutiérrez , Jesús Pozo Losada , Manuel Gómez Tellado","doi":"10.1016/j.anpede.2024.09.009","DOIUrl":"10.1016/j.anpede.2024.09.009","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 <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":93868,"journal":{"name":"Anales de pediatria","volume":"101 4","pages":"Pages 278-285"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142482806","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Role of fractional exhaled nitric oxide in patients with sickle cell disease 镰状细胞病患者呼出一氧化氮分数的作用。

Anales de pediatria Pub Date : 2024-10-01 DOI: 10.1016/j.anpede.2024.09.003

Agustín Muñoz-Cutillas , Sara Bellón-Alonso , Eduardo Bardón-Cancho , Santiago Rodríguez-Tubío-Dapena , Lucía Díez-Llamazares , Rosa Rodríguez-Fernández , Juan Luis Rodríguez-Cimadevilla

{"title":"Role of fractional exhaled nitric oxide in patients with sickle cell disease","authors":"Agustín Muñoz-Cutillas , Sara Bellón-Alonso , Eduardo Bardón-Cancho , Santiago Rodríguez-Tubío-Dapena , Lucía Díez-Llamazares , Rosa Rodríguez-Fernández , Juan Luis Rodríguez-Cimadevilla","doi":"10.1016/j.anpede.2024.09.003","DOIUrl":"10.1016/j.anpede.2024.09.003","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 6–18 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> < 0.05.</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> 0.37), an obstructive pattern in spirometry (<em>P =</em> 0.67), a positive bronchodilator test (<em>P =</em> 0.53), clinical bronchial hyperreactivity in the context of cold or flu-like symptoms (<em>P =</em> 0.48), cough with exercise (<em>P =</em> 0.42) or nocturnal cough (<em>P =</em> 1.0), but found an association with peripheral eosinophilia (<em>P <</em> 0.01).</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":93868,"journal":{"name":"Anales de pediatria","volume":"101 4","pages":"Pages 258-266"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142334175","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Home teleassistance using augmented reality glasses: A proof of concept 使用增强现实眼镜的家庭远程协助：概念验证

Anales de pediatria Pub Date : 2024-10-01 DOI: 10.1016/j.anpede.2024.09.006

Carmen Agra-Tuñas , Silvia Aranda-García , Graciela Gómez-Silva , Verónica Izquierdo , Antonio Rodríguez-Núñez

引用次数: 0