Pediatric Reports

569 KiB

Open AccessCase Report

The Godoy & Godoy Cervical Stimulation Technique in The Treatment of Primary Congenital Lymphedema

by Jose Maria Pereira de Godoy, Ana Carolina Pereira de Godoy, Tania Dias Guimarães and Maria de Fatima Guerreiro Godoy

Pediatr. Rep. 2012, 4(3), e31; https://doi.org/10.4081/pr.2012.e31 - 02 Oct 2012

Cited by 8 | Viewed by 3

Abstract

The aim of the current study is to report on the treatment of primary lymphedema using a new form of therapy: cervical stimulation. In a prospective cohort study, 9 boys and 5 girls with primary congenital lymphedema were evaluated over two years. Age [...] Read more.

The aim of the current study is to report on the treatment of primary lymphedema using a new form of therapy: cervical stimulation. In a prospective cohort study, 9 boys and 5 girls with primary congenital lymphedema were evaluated over two years. Age ranged from two months to 8.5 years. After diagnosis, all mothers were trained in the new technique. The Godoy & Godoy cervical stimulation technique consists of between 20 to 30 stimuli per minute using light movements in the cervical region. All the children were submitted to perimetric evaluations of the feet and legs; however, in this study only two points, 3 and 6 cm from the base of the big toe nail, were used. The two-tailed t-test was used for statistical analysis with an alpha error of 5% (P<0.05) considered acceptable. The size of the lymphedematous feet was reduced and even normalized (P<0.0001) for all treated children. Cervical stimulation is a new option in the treatment of primary congenital lymphedema; its association with compression stockings has a synergistic effect in reducing the volume of lymphedema. Full article

643 KiB

Open AccessCase Report

Optimal Position of A Long-Term Central Venous Catheter Tip in A Pediatric Patient with Congenital Diseases

by Marco Caruselli, Dario Galante, Anna Ficcadenti, Laura Carboni, Federica Franco, Benedetta Fabrizzi, Lucia Amici, Roberto Giretti, Giovanni Rocchi and Giampaolo Rinaldelli

Pediatr. Rep. 2012, 4(3), e32; https://doi.org/10.4081/pr.2012.e32 - 28 Sep 2012

Cited by 5 | Viewed by 4

Abstract

Progress in medical and scientific research has increased the chances of survival for young patients with congenital diseases, children who, in the past, would not have had any chance of survival. Nowadays, congenital diseases can be treated with appropriate replacement therapies. These treatments [...] Read more.

Progress in medical and scientific research has increased the chances of survival for young patients with congenital diseases, children who, in the past, would not have had any chance of survival. Nowadays, congenital diseases can be treated with appropriate replacement therapies. These treatments can be difficult to administer in young patients because of the high frequency of administration (sometimes more than a dose per week), the use of intravenous infusion and the long-term or life-term requirement. Full article

633 KiB

Open AccessArticle

Intrauterine Growth Standards: A Cross-Sectional Study in A Population of Nigerian Newborns

by Olugbenga A. Mokuolu, Omotayo O. Adesiyun, Mohammed B. Suleiman and Mustapha Bello

Pediatr. Rep. 2012, 4(3), e29; https://doi.org/10.4081/pr.2012.e29 - 28 Sep 2012

Cited by 2 | Viewed by 3

Abstract

The aim of the study was to define an intrauterine growth curve for a population of Nigerian newborn babies. A cross-sectional observational study design was adopted. Weight, length and head circumference were all measured in consecutive singleton deliveries at the University of Ilorin [...] Read more.

The aim of the study was to define an intrauterine growth curve for a population of Nigerian newborn babies. A cross-sectional observational study design was adopted. Weight, length and head circumference were all measured in consecutive singleton deliveries at the University of Ilorin Teaching Hospital over a 3-year period. Gestational age (GA) of the babies was estimated from the last menstrual period or first trimester ultrasound. The estimates obtained were clinically validated using the Ballard score. Mean birth weights and percentiles of the weight, length and head circumferences for the respective GA were estimated using the SPSS 15 software package. A total of 5273 babies were recruited for the study with GA ranging from 25-44 weeks. Comparison of the mean birth weights of the various GA with the data from Denver, Colorado, showed that Nigerian babes tended to weigh less at the early GA, although these differences were not statistically significant. Between 26-36 weeks, the average weights of both sexes were similar; however, beyond this time point there was a consistent increase in the average weight of the males over the female babies. Growth curves for Nigerian newborn babies were generated and showed that the mean birth weight of Nigerian preterm babies was lighter than that of babies in Colorado. The impact of these differences on the classification of newborns will require further evaluation. Full article

641 KiB

Open AccessCase Report

A Case of Shwachman-Diamond Syndrome Distinguished from Celiac Disease

by Shin-ichiro Hagiwara and Arata Watanabe

Pediatr. Rep. 2012, 4(3), e30; https://doi.org/10.4081/pr.2012.e30 - 26 Sep 2012

Cited by 4 | Viewed by 2

Abstract

Shwachman-Diamond syndrome (SDS) is a rare, inherited, autosomal recessive disease characterized by exocrine pancreatic dysfunction, skeletal problems and varying degrees of cytopenias resulting in bone marrow dysfunction. We report the first case of SDS that was difficult to distinguish from celiac disease because [...] Read more.

Shwachman-Diamond syndrome (SDS) is a rare, inherited, autosomal recessive disease characterized by exocrine pancreatic dysfunction, skeletal problems and varying degrees of cytopenias resulting in bone marrow dysfunction. We report the first case of SDS that was difficult to distinguish from celiac disease because this is a valuable example of the variety in SDS presentation. Full article

556 KiB

Open AccessReview

Extravasation of Antineoplastic Agents: Prevention And Treatments

by Rita Boschi and Elena Rostagno

Pediatr. Rep. 2012, 4(3), e28; https://doi.org/10.4081/pr.2012.e28 - 01 Aug 2012

Cited by 18 | Viewed by 3

Abstract

The extravasation of antineoplastic agents is an unwanted and distressing situation that can easily occur. It may cause severe and irreversible local injuries. Left untreated, vesicant chemotherapy extravasation can potentially cause tissue necrosis, functional impairment and permanent disfigurement. This article provides a review [...] Read more.

The extravasation of antineoplastic agents is an unwanted and distressing situation that can easily occur. It may cause severe and irreversible local injuries. Left untreated, vesicant chemotherapy extravasation can potentially cause tissue necrosis, functional impairment and permanent disfigurement. This article provides a review of current literature regarding recommendations on the prevention and treatment of extravasation of antineoplastic agents. Full article

503 KiB

Open AccessLetter

Treatment of Foodborne Botulism in Current Clinical Toxicology: Authors’ Reply

by Davide Lonati, Carlo Alessandro Locatelli, Lucia Fenicia, Fabrizio Anniballi, Paolo Landri, Andrea Giampreti, Valeria Margherita Petrolini, Sarah Vecchio and Luigi Manzo

Pediatr. Rep. 2012, 4(3), e27; https://doi.org/10.4081/pr.2012.e27 - 31 Jul 2012

Viewed by 2

Abstract

Dr. Zamani pointed out the role of the wholebowel irrigation (WBI) with polyethylene gly-col as an appropriate adjunctive option of gas-trointestinal decontamination in severe botu-lism poisoning. Secondly, the author underlinethe early administration of trivalent antitoxinas soon as clinical suspicion of botulism poi-soning is [...] Read more.

Dr. Zamani pointed out the role of the wholebowel irrigation (WBI) with polyethylene gly-col as an appropriate adjunctive option of gas-trointestinal decontamination in severe botu-lism poisoning. Secondly, the author underlinethe early administration of trivalent antitoxinas soon as clinical suspicion of botulism poi-soning is made.[...] Full article

543 KiB

Open AccessCase Report

Successful Use of Antihistamines in Severe Hypereosinophilia

by Stefano Vallero, Anna Mondino, Loredana Farinasso, Giulia Ansaldi, Mirella Davitto and Ugo Ramenghi

Pediatr. Rep. 2012, 4(3), e26; https://doi.org/10.4081/pr.2012.e26 - 22 Jun 2012

Cited by 2 | Viewed by 1

Abstract

Eosinophilia is common in childhood, and in most cases it is mild and of limited clinical relevance, being often secondary to allergy or infections. In rare cases, eosinophilia may be idiopathic or related to neoplastic aetiology. When severe and protracted, it can cause [...] Read more.

Eosinophilia is common in childhood, and in most cases it is mild and of limited clinical relevance, being often secondary to allergy or infections. In rare cases, eosinophilia may be idiopathic or related to neoplastic aetiology. When severe and protracted, it can cause potentially irreversible organ or system damage, whose prevention is the first priority in the clinical management of hypereosinophilia. We describe the case of a patient with very severe eosinophilia, in whom antihistamines proved to be effective and safe in contributing to the eosinophil count normalization, thus avoiding the use of steroids until the hypothesis of an underlying neoplastic disorder was reasonably excluded. Full article

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Pediatr. Rep., Volume 4, Issue 3 (June 2012) – 7 articles

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