1,720,962 research outputs found
Review of postpartum depression: a pathology also for pediatricians?
No full textMood disorders during the postnatal period deserve a clinical
attention for the pain they can cause as well as for the risk
they imply for both mother and child. They represent a considerable
risk factor for the child’s cognitive and emotional development(
1). As he regularly meets the mothers during the child’s
first year of life, the pediatrician is the medical caregiver who
has the best instruments to identify the depressed mother or
those who risk to become depressed. Afterwards, the pediatrician
will be able to coordinate any intervention (simply by supporting
or, in more serious cases, by appealing to a specialist),
as he always remains the point of reference for the mother. The
training of the pediatrician is therefore essential: counseling at
first, and the supervision of operators who support women suffering
from postpartum depression, so that these caregivers can
count on professionals properly trained and gifted for team
work
Piccola ma bella. Un caso di sindrome di Shwachman-Diamond.
No full textI problemi di accrescimento sono molto frequenti ma spesso sottovalutati. Frequentemente infatti, di fronte a un bambino che cresce poco, non è sufficiente modificare semplicemente
la dieta, ma sarebbe importante prendere in considerazione la possibilità di patologie sottostanti che possono portare a malassorbimento e per la cui diagnosi non sempre sono necessarie indagini complesse. Di seguito riportiamo il caso di una bambina con basso peso alla nascita, neutropenia e scarso accrescimento staturo-ponderale: partendo dai dati anamnestici e da una semplice analisi delle feci è stata poi posta la diagnosi di sindrome di Shwachman-Diamond. Questa è una rara malattia
ereditaria autosomica recessiva, caratterizzata principalmente da insufficienza pancreatica esocrina e disfunzione del midollo osseo con prevalente neutropenia
INSIDIE DIAGNOSTICHE NELLA MALATTIA DI KAWASAKI DEL LATTANTE: DESCRIZIONE DI DUE CASI E REVISIONE DELLA LETTERATURA.
No full textLa Malattia di Kawasaki (MK) è una vasculite multisistemica acuta febbrile con un picco d’incidenza tra i 9 e gli 11 mesi. Talvolta però è colpito il lattante di età inferiore ai 6 mesi: in questo caso il ritardo diagnostico è frequente, per il più basso indice di sospetto e la frequente presentazione incompleta o atipica, come sottolineato in questo lavoro. Descriviamo quindi due casi clinici di lattanti di età inferiore ai 3 mesi, condotti presso il nostro Ospedale. In entrambi la diagnosi è stata ritardata da elementi confondenti; uno dei due pazienti ha presentato inoltre una forma di MK atipica. Riportiamo una revisione della letteratura
Cellulite orbitaria: una diagnosi a colpo d'occhio
No full textA one-year-old girl presents with left orbital swelling during a fever after having been treated with antibiotic therapy for rhinitis and cough. The examination shows left eyelid oedema, a nearly closed eyelid fissure and mild facial asymmetry. The diagnosis is postseptal orbital cellulitis. Orbital cellulitis in children is rare but can be severe, with risks of complications such as blindness
Atypical lymphadenitis presenting with positive mantoux and quantiferon: Description of a case
No full textAtypical mycobacterial infections are a common cause of chronic cervicofacial lymphadenitis especially in 1-5 year-old children. Although tuberculous mycobacterial adenitis are less frequent among this age group, it is important to consider them in the differential diagnosis, because of the increasing incidence of tuberculosis even in Developed Countries. Considering the high sensitivity and specificity of Tuberculin skin test and Quantiferon, these tests are normally performed to exclude Tuberculosis. The Authors report and discuss the case of a patient with Atypical Mycobacterial Adenitis of parotid gland, positive Tuberculin skin test and Quantiferon but with definitive diagnosis of Mycobacterium avium lymphadenitis
Adrenal Incidentaloma in Thalassemia: A Case Report and Literature Review
No full textIn the last 30 years the development and widespread
use of modern imaging techniques has caused a 20-time
increase in the diagnosis of adrenal incidentaloma (AI).
Among AIs myelolipoma (ML) is reported with a frequency
up to 10%. In the literature 8 patients with adrenal masses
in thalassaemia or chronic haemolytic anaemia have been
reported: five cases were shown to have extramedullary
haematopoiesis (EH) and 3 ML. We describe here a case
of an adult male affected by beta thalassaemia intermedia
and large bilateral lipomatous adrenal masses. The patient
was referred to our ward at the age of 55 and underwent
hormonal testing, MRI, and SPECT/CT scans. Adrenal
masses were hormonally inactive, and fat-containing on
MRI and CT scans. SPECT/CT examination with 99mTccolloid
demonstrated the presence of marrow tissue. ML
and EH are the only two tumours with marrow tissue among
lipomatous adrenal masses. In our patient a brown nodular
mass was resected and histologically classified as ML. In
benign adrenal masses, radiological follow-up is indicated;
in case of large bilateral masses adrenal function tests are
suggested periodically in order to detect possible adrenal
hypofunction
Otomastoidite, trombosi venosa cerebrale e ipertensione endocranica: alcune condivisioni sulla gestione
No full textTrombosi venosa cerebrale associata a otomastoidite con segni di ipertensione endocranica
No full textCerebral venous thrombosis, Otomastoiditis, Diplopia, Papilledema, Endocranial hypertension, Anticoagulant therapy
Venous thrombosis of the cerebral sinuses can complicate acute otitis media (AOM) due to the close anatomical relationship between these structures. This condition presents a diag-nostic challenge for clinicians, as it often manifests with nonspecific symptoms like head-aches and carries the risk of quickly developing into intracranial hypertension. The paper presents the case of a 10-year-old child with a history of AOM who developed headache, later diagnosed as otomastoiditis complicated by thrombosis of the sigmoid sinus and jugu-lar-sigmoid junction. The patient required surgical intervention, along with antibiotic and anticoagulant therapy, leading to a full resolution of the thrombos
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