Pub Date : 2021-09-30DOI: 10.25753/BIRTHGROWTHMJ.V30.I3.20222
Ana Rita Curval, Gracinda Nogueira Oliveira
A full-term newborn infant born by vaginal delivery presented with an oval skin defect on the parietal scalp measuring 0.5x0.5 cm. The scalp lesion was conservatively managed, with complete epithelization after several weeks. This skin lesion is consistent with the typical appearance of aplasia cutis congenita (ACC) on the scalp.ACC is a rare malformation (present in 1 to 3 in 10,000 live births) characterized by localized absence of certain skin layers, mostly on the scalp, but potentially in any part of the body. ACC etiology remains unclear. Diagnosis is mainly clinical and treatment depends on the presence of complications and the child’s condition. A conservative approach is traditionally used for small defects that heal uneventfully with gradual epithelization, as in the present case.
{"title":"Lesão no couro cabeludo de um recém-nascido","authors":"Ana Rita Curval, Gracinda Nogueira Oliveira","doi":"10.25753/BIRTHGROWTHMJ.V30.I3.20222","DOIUrl":"https://doi.org/10.25753/BIRTHGROWTHMJ.V30.I3.20222","url":null,"abstract":"A full-term newborn infant born by vaginal delivery presented with an oval skin defect on the parietal scalp measuring 0.5x0.5 cm. The scalp lesion was conservatively managed, with complete epithelization after several weeks. This skin lesion is consistent with the typical appearance of aplasia cutis congenita (ACC) on the scalp.ACC is a rare malformation (present in 1 to 3 in 10,000 live births) characterized by localized absence of certain skin layers, mostly on the scalp, but potentially in any part of the body. ACC etiology remains unclear. Diagnosis is mainly clinical and treatment depends on the presence of complications and the child’s condition. A conservative approach is traditionally used for small defects that heal uneventfully with gradual epithelization, as in the present case.","PeriodicalId":31313,"journal":{"name":"Nascer e Crescer","volume":"18 1","pages":"183-185"},"PeriodicalIF":0.0,"publicationDate":"2021-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82501562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-09-30DOI: 10.25753/BIRTHGROWTHMJ.V30.I3.20971
T. C. Pessoa, Rita Parente, Márcia São-Pedro, M. Simões, Gonçalo Vale, C. Lacerda, S. Santos, S. Correia, C. Didelet
Introduction: The COVID-19 pandemic led to the adoption of a state of emergency in Portugal, during which hospital emergency admissions declined. The aim of this study was to analyze the differences in Pediatric Emergency Room admissions during the state of emergency compared to the pre-pandemic setting. Material and methods: Retrospective analytical observational study of patients admitted to the Pediatric Emergency Room of a group I hospital from March 19 to May 2 of 2020 and homologous 2019 period. Data regarding age, gender, admission origin and cause, recurrences, diagnosis, and discharge destination were collected. Results: During the state of emergency, a 78.7% reduction in Pediatric Emergency Room admissions occurred compared to the pre-pandemic state (956 in 2020 vs 4481 in 2019). The main differences between both periods were an increase in admission of patients with <1 year old; a decrease in admissions by own initiative together with an increase of external referrals; less infectious diseases diagnoses; a higher number of accidental intoxications or ingestions, foreign bodies, and burns; a decrease in recurrences; a relative increase of hospital transfers; and higher hospitalization rates despite their shorter duration. No increase was found in Observation Room admissions, referrals for hospital consultations, or deaths. Discussion: Most study findings may be due to a reduction in common reasons for attending the Pediatric Emergency Room, due to social distancing/quarantine and transport/circulation limitations imposed by the pandemic. Conclusions: There was no significant increase in patients’ disease severity and those with criteria for visiting the Pediatric Emergency Room continued to do so. Compliance with isolation measures and recommendations of the Directorate-General of Health (DGS) seem to have been met.
{"title":"Covid-19 - What changed in the pediatric emergency room of a district hospital during the state of emergency?","authors":"T. C. Pessoa, Rita Parente, Márcia São-Pedro, M. Simões, Gonçalo Vale, C. Lacerda, S. Santos, S. Correia, C. Didelet","doi":"10.25753/BIRTHGROWTHMJ.V30.I3.20971","DOIUrl":"https://doi.org/10.25753/BIRTHGROWTHMJ.V30.I3.20971","url":null,"abstract":"Introduction: The COVID-19 pandemic led to the adoption of a state of emergency in Portugal, during which hospital emergency admissions declined. The aim of this study was to analyze the differences in Pediatric Emergency Room admissions during the state of emergency compared to the pre-pandemic setting.\u0000Material and methods: Retrospective analytical observational study of patients admitted to the Pediatric Emergency Room of a group I hospital from March 19 to May 2 of 2020 and homologous 2019 period. Data regarding age, gender, admission origin and cause, recurrences, diagnosis, and discharge destination were collected.\u0000Results: During the state of emergency, a 78.7% reduction in Pediatric Emergency Room admissions occurred compared to the pre-pandemic state (956 in 2020 vs 4481 in 2019). The main differences between both periods were an increase in admission of patients with <1 year old; a decrease in admissions by own initiative together with an increase of external referrals; less infectious diseases diagnoses; a higher number of accidental intoxications or ingestions, foreign bodies, and burns; a decrease in recurrences; a relative increase of hospital transfers; and higher hospitalization rates despite their shorter duration. No increase was found in Observation Room admissions, referrals for hospital consultations, or deaths.\u0000Discussion: Most study findings may be due to a reduction in common reasons for attending the Pediatric Emergency Room, due to social distancing/quarantine and transport/circulation limitations imposed by the pandemic.\u0000Conclusions: There was no significant increase in patients’ disease severity and those with criteria for visiting the Pediatric Emergency Room continued to do so. Compliance with isolation measures and recommendations of the Directorate-General of Health (DGS) seem to have been met.","PeriodicalId":31313,"journal":{"name":"Nascer e Crescer","volume":"4 1","pages":"159-165"},"PeriodicalIF":0.0,"publicationDate":"2021-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88773366","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-09-30DOI: 10.25753/BIRTHGROWTHMJ.V30.I3.20048
S. Pires, D. Vieira, M. Castello-Branco
Childhood and adolescence are periods of rapid growth when several structural and behavioral transformations take place. It is important to identify positive environmental exposures during these years and establish behavioral patterns that may have a positive effect on the development of these populations. There is an increasing body of evidence showing that regular exercise has unquestionable physical, social, and psychological benefits, contributing to general health and wellbeing.The aim of this study was to review the available literature regarding the impact of regular physical activity on the mental health of children and adolescents and to highlight possible mechanisms involved in this association. Study findings suggest that there is a global positive impact of physical activity on mental health, with the strongest effect related to the decrease of depressive symptoms. Other benefits include improvement in self-esteem, cognitive function, and sleep quality and a reduction of externalizing behaviors and anxiety symptoms. Competitive and esthetical sports were an exception.Overall, the current evidence allows recommending regular physical activity in children and adolescents, not only for its organic but also mental health benefits.
{"title":"Children and teens moving towards mental health","authors":"S. Pires, D. Vieira, M. Castello-Branco","doi":"10.25753/BIRTHGROWTHMJ.V30.I3.20048","DOIUrl":"https://doi.org/10.25753/BIRTHGROWTHMJ.V30.I3.20048","url":null,"abstract":"Childhood and adolescence are periods of rapid growth when several structural and behavioral transformations take place. It is important to identify positive environmental exposures during these years and establish behavioral patterns that may have a positive effect on the development of these populations. There is an increasing body of evidence showing that regular exercise has unquestionable physical, social, and psychological benefits, contributing to general health and wellbeing.The aim of this study was to review the available literature regarding the impact of regular physical activity on the mental health of children and adolescents and to highlight possible mechanisms involved in this association. Study findings suggest that there is a global positive impact of physical activity on mental health, with the strongest effect related to the decrease of depressive symptoms. Other benefits include improvement in self-esteem, cognitive function, and sleep quality and a reduction of externalizing behaviors and anxiety symptoms. Competitive and esthetical sports were an exception.Overall, the current evidence allows recommending regular physical activity in children and adolescents, not only for its organic but also mental health benefits.","PeriodicalId":31313,"journal":{"name":"Nascer e Crescer","volume":"33 1","pages":"166-170"},"PeriodicalIF":0.0,"publicationDate":"2021-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75189337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-09-30DOI: 10.25753/BIRTHGROWTHMJ.V30.I3.20302
M. Martins, Constança Santos, A. L. Teixeira, R. Costa, J. Pon, Carlos Frederico de Carvalho Rodrigues
Tuberculosis remains the most common cause of death from infectious diseases worldwide. Extrapulmonary tuberculosis with musculoskeletal involvement occurs in about 10-15% of cases, mainly affecting joints and bones. Of these, only 1-5% are reported as synovitis of the hand. However, prompt diagnosis and treatment are often delayed and, if left untreated, bone and tendon destruction soon ensue and may lead to chronic synovitis. A 15-year-old girl presented with recurrent pain of the hand following trauma. Imaging showed tenosynovitis and tendon rupture. Surgical treatment was performed. Pathological assessment revealed necrotic caseous granulomas. Chest radiography showed no abnormal findings, but both Tuberculin Skin Test and Interferon Gamma-Release Assay were positive. Tuberculous tenosynovitis was diagnosed, and 12-month anti-tuberculous chemotherapy was instated. Five years after surgery, the patient maintained chronic pain and functional hand limitation.Tuberculous tenosynovitis of the hand is a rare and insidious condition that should be considered in the differential diagnosis of chronic hand pain. Delayed diagnosis and treatment can lead to residual functional limitation, making disease recognition critical.
{"title":"Chronic tenosynovitis of the hand – an unusual presentation of tuberculosis in children","authors":"M. Martins, Constança Santos, A. L. Teixeira, R. Costa, J. Pon, Carlos Frederico de Carvalho Rodrigues","doi":"10.25753/BIRTHGROWTHMJ.V30.I3.20302","DOIUrl":"https://doi.org/10.25753/BIRTHGROWTHMJ.V30.I3.20302","url":null,"abstract":"Tuberculosis remains the most common cause of death from infectious diseases worldwide. Extrapulmonary tuberculosis with musculoskeletal involvement occurs in about 10-15% of cases, mainly affecting joints and bones. Of these, only 1-5% are reported as synovitis of the hand. However, prompt diagnosis and treatment are often delayed and, if left untreated, bone and tendon destruction soon ensue and may lead to chronic synovitis. A 15-year-old girl presented with recurrent pain of the hand following trauma. Imaging showed tenosynovitis and tendon rupture. Surgical treatment was performed. Pathological assessment revealed necrotic caseous granulomas. Chest radiography showed no abnormal findings, but both Tuberculin Skin Test and Interferon Gamma-Release Assay were positive. Tuberculous tenosynovitis was diagnosed, and 12-month anti-tuberculous chemotherapy was instated. Five years after surgery, the patient maintained chronic pain and functional hand limitation.Tuberculous tenosynovitis of the hand is a rare and insidious condition that should be considered in the differential diagnosis of chronic hand pain. Delayed diagnosis and treatment can lead to residual functional limitation, making disease recognition critical.","PeriodicalId":31313,"journal":{"name":"Nascer e Crescer","volume":"5 1","pages":"175-178"},"PeriodicalIF":0.0,"publicationDate":"2021-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85482803","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-09-30DOI: 10.25753/BIRTHGROWTHMJ.V30.I3.19192
P. Vera-Cruz, António Larroudé, N. Gouveia, J. Mendes, P. Coelho
Introduction and objective: Otitis media with effusion (OME) is an important public health problem. Several clinical practice guidelines for diagnosis and treatment of OME are in place, including from the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS). This study aimed to evaluate the clinical practice of OME diagnosis and treatment among the Otolaryngology medical community working in Portugal. Material and methods: A questionnaire was developed based on AAO-HNS guidelines regarding placement of tympanostomy tubes in children. Each directive was transformed into a question, and further questions were added to improve the characterization of the population and its practices. Results: Answers provided agreed with “recommendations” and “recommendations against” enunciated in the guidelines. The exceptions were recommendations regarding the adoption of measures to prevent water from entering the external ear canal of children with tympanostomy tubes and the use of drugs. Questions asked outside guidelines scope revealed that 96.7% of doctors consider children’s age and 49.1% wait for the end of summer when deciding about surgery for tube placement, 68% recommend bathing in beaches, and 21.9% recommend mineral water treatment. Conclusion: These results suggest that Portuguese otolaryngologists act according to the latest international guidelines and consider factors like season, bathing in beaches, and mineral water treatment in surgical or treatment decisions.
{"title":"Watchful waiting? Portuguese approach to otitis media with effusion","authors":"P. Vera-Cruz, António Larroudé, N. Gouveia, J. Mendes, P. Coelho","doi":"10.25753/BIRTHGROWTHMJ.V30.I3.19192","DOIUrl":"https://doi.org/10.25753/BIRTHGROWTHMJ.V30.I3.19192","url":null,"abstract":"Introduction and objective: Otitis media with effusion (OME) is an important public health problem. Several clinical practice guidelines for diagnosis and treatment of OME are in place, including from the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS). This study aimed to evaluate the clinical practice of OME diagnosis and treatment among the Otolaryngology medical community working in Portugal.\u0000Material and methods: A questionnaire was developed based on AAO-HNS guidelines regarding placement of tympanostomy tubes in children. Each directive was transformed into a question, and further questions were added to improve the characterization of the population and its practices.\u0000Results: Answers provided agreed with “recommendations” and “recommendations against” enunciated in the guidelines. The exceptions were recommendations regarding the adoption of measures to prevent water from entering the external ear canal of children with tympanostomy tubes and the use of drugs. Questions asked outside guidelines scope revealed that 96.7% of doctors consider children’s age and 49.1% wait for the end of summer when deciding about surgery for tube placement, 68% recommend bathing in beaches, and 21.9% recommend mineral water treatment.\u0000Conclusion: These results suggest that Portuguese otolaryngologists act according to the latest international guidelines and consider factors like season, bathing in beaches, and mineral water treatment in surgical or treatment decisions.","PeriodicalId":31313,"journal":{"name":"Nascer e Crescer","volume":"36 1","pages":"143-151"},"PeriodicalIF":0.0,"publicationDate":"2021-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85569023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-09-30DOI: 10.25753/BIRTHGROWTHMJ.V30.I3.17949
I. Jorge, L. Vouga, J. Castro, R. Amorim, L. Palhau
Introduction: Although rare, pediatric stroke is more common than one may think. Deficits may not be evident in the short term but emerge months or years later, when psychomotor development, educational, and social requirements increase. Aims: To characterize the pediatric population with stroke followed at the Physical and Rehabilitation Medicine (PRM) consultation in a tertiary center and compare it with data in the literature and review the evidence on pediatric stroke rehabilitation care. Material and Methods: This was a retrospective study focusing on the first observation of stroke patients followed at a pediatric PRM consultation over 12 months. Gender, age, type of stroke, vascular territory, risk factors, functionality, event recurrence, and mortality were assessed. A bibliographic search was conducted on PubMed and Medline using the keywords ‘stroke’, ‘pediatric’, ‘perinatal’, ‘neuroplasticity’, ‘functionality’, and ‘rehabilitation’. Inclusion criteria comprised meta-analysis, systematic review, and review type of studies, written in Portuguese and English languages, and focusing human studies. Results: The study included 42 patients, 25 of whom were male (60%). Perinatal stroke was reported in 33 patients (13 in the prenatal period and 20 up to 28 days of life). Ischemic stroke was reported in 35 cases (83%), with the middle cerebral artery being the most affected vascular territory in 29 cases (69%). Fifty percent of patients had known risk factors, specifically prematurity in 21%. Fifty to 75% of patients had high functionality levels. No stroke recurrence or deaths were reported during the study period. Rehabilitation care should be implemented as soon as possible. Evidence-based guidance is still lacking for this population. Conclusions: Stroke, although uncommon in the pediatric population, is a major cause of morbidity and mortality. Diagnosis is challenging, as symptoms are often subtle and mimic other more frequent diseases in this age group. Timely referral to the physiatrist allows integration of the child into a rehabilitation program, optimizing neuroplasticity and improving participation in several activities.
{"title":"After pediatric stroke, it’s time to enable!","authors":"I. Jorge, L. Vouga, J. Castro, R. Amorim, L. Palhau","doi":"10.25753/BIRTHGROWTHMJ.V30.I3.17949","DOIUrl":"https://doi.org/10.25753/BIRTHGROWTHMJ.V30.I3.17949","url":null,"abstract":"Introduction: Although rare, pediatric stroke is more common than one may think. Deficits may not be evident in the short term but emerge months or years later, when psychomotor development, educational, and social requirements increase.\u0000Aims: To characterize the pediatric population with stroke followed at the Physical and Rehabilitation Medicine (PRM) consultation in a tertiary center and compare it with data in the literature and review the evidence on pediatric stroke rehabilitation care.\u0000Material and Methods: This was a retrospective study focusing on the first observation of stroke patients followed at a pediatric PRM consultation over 12 months. Gender, age, type of stroke, vascular territory, risk factors, functionality, event recurrence, and mortality were assessed. A bibliographic search was conducted on PubMed and Medline using the keywords ‘stroke’, ‘pediatric’, ‘perinatal’, ‘neuroplasticity’, ‘functionality’, and ‘rehabilitation’. Inclusion criteria comprised meta-analysis, systematic review, and review type of studies, written in Portuguese and English languages, and focusing human studies.\u0000Results: The study included 42 patients, 25 of whom were male (60%). Perinatal stroke was reported in 33 patients (13 in the prenatal period and 20 up to 28 days of life). Ischemic stroke was reported in 35 cases (83%), with the middle cerebral artery being the most affected vascular territory in 29 cases (69%). Fifty percent of patients had known risk factors, specifically prematurity in 21%. Fifty to 75% of patients had high functionality levels. No stroke recurrence or deaths were reported during the study period.\u0000Rehabilitation care should be implemented as soon as possible. Evidence-based guidance is still lacking for this population.\u0000Conclusions: Stroke, although uncommon in the pediatric population, is a major cause of morbidity and mortality. Diagnosis is challenging, as symptoms are often subtle and mimic other more frequent diseases in this age group. Timely referral to the physiatrist allows integration of the child into a rehabilitation program, optimizing neuroplasticity and improving participation in several activities.","PeriodicalId":31313,"journal":{"name":"Nascer e Crescer","volume":"30 1","pages":"152-158"},"PeriodicalIF":0.0,"publicationDate":"2021-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78222766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-09-30DOI: 10.25753/BIRTHGROWTHMJ.V30.I3.25532
A. C. Afonso
{"title":"Science as a Guarantee of Civilizational Development: Vaccines as the safest and most effective way to prevent disease and save lives","authors":"A. C. Afonso","doi":"10.25753/BIRTHGROWTHMJ.V30.I3.25532","DOIUrl":"https://doi.org/10.25753/BIRTHGROWTHMJ.V30.I3.25532","url":null,"abstract":"","PeriodicalId":31313,"journal":{"name":"Nascer e Crescer","volume":"1 1","pages":"141-142"},"PeriodicalIF":0.0,"publicationDate":"2021-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74647048","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-09-30DOI: 10.25753/BIRTHGROWTHMJ.V30.I3.18823
V. Martins, A. Cruz
Introduction and objective: Superior mesenteric artery syndrome (SMAS) is a rare condition in pediatric age, often presenting with non-specific gastrointestinal symptoms. The aim of this report was to highlight the importance of considering/excluding this diagnosis.Case description: A 17-year-old female presented with slowly progressing epigastralgia, heartburn, early satiety, nausea and sporadic vomiting with one and a half years of evolution. She had lost 13% of her weight in the previous six months. On physical examination, the girl complained of pain on epigastrium palpation, with no further changes. Laboratory tests were normal. Esophageal, gastric and duodenal transit (EGDT) revealed a vertically elongated stomach, with the greater curvature projecting towards the pelvic cavity and a slight delay in gastric emptying. Abdominal computed tomography scan confirmed the diagnosis of SMAS and a conservative approach with a hypercaloric fractionated diet was initiated. The girl maintained multidisciplinary follow-up (Nutrition, Pediatrics and Pedopsychiatry), with marked improvement and without requiring surgical intervention. Comments: Although rare, SMAS should be considered after exclusion of the most frequent underlying causes of persistent non-specific gastrointestinal symptoms.
{"title":"Weight loss as a cause of superior mesenteric artery syndrome","authors":"V. Martins, A. Cruz","doi":"10.25753/BIRTHGROWTHMJ.V30.I3.18823","DOIUrl":"https://doi.org/10.25753/BIRTHGROWTHMJ.V30.I3.18823","url":null,"abstract":"Introduction and objective: Superior mesenteric artery syndrome (SMAS) is a rare condition in pediatric age, often presenting with non-specific gastrointestinal symptoms. The aim of this report was to highlight the importance of considering/excluding this diagnosis.Case description: A 17-year-old female presented with slowly progressing epigastralgia, heartburn, early satiety, nausea and sporadic vomiting with one and a half years of evolution. She had lost 13% of her weight in the previous six months. On physical examination, the girl complained of pain on epigastrium palpation, with no further changes. Laboratory tests were normal. Esophageal, gastric and duodenal transit (EGDT) revealed a vertically elongated stomach, with the greater curvature projecting towards the pelvic cavity and a slight delay in gastric emptying. Abdominal computed tomography scan confirmed the diagnosis of SMAS and a conservative approach with a hypercaloric fractionated diet was initiated. The girl maintained multidisciplinary follow-up (Nutrition, Pediatrics and Pedopsychiatry), with marked improvement and without requiring surgical intervention. Comments: Although rare, SMAS should be considered after exclusion of the most frequent underlying causes of persistent non-specific gastrointestinal symptoms.","PeriodicalId":31313,"journal":{"name":"Nascer e Crescer","volume":"22 1","pages":"171-174"},"PeriodicalIF":0.0,"publicationDate":"2021-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80518169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-06-30DOI: 10.25753/BIRTHGROWTHMJ.V30.I2.17501
Joana Ferreira, S. Lopes, J. Lopes, Cristina Ferreira, C. Magalhães
Introduction: Childhood epileptic encephalopathies are age-dependent brain disorders in which ictal and interictal epileptogenic activity is the apparent cause of progressive cognitive and neuro-psychological impairment. Case report: A previously healthy four-year-old boy presented to the Emergency Department with a history of receptive and expressive language regression with four days of evolution, associated with seizure onset. Clinical features and electroencephalographic findings led to diagnosis of Landau-Kleffner syndrome. The boy was treated with valproate, clobazam, and prednisolone, with language improvement. Discussion/Conclusion: Landau-Kleffner syndrome is a rare epileptic encephalopathy with pathognomonic sudden aphasia, epilepsy, and paroxysmal electroencephalographic abnormalities. The condition should be suspected in children with normal development who show a deterioration of established language skills. Early diagnosis and treatment are important to improve outcome.
{"title":"Language regression as a manifestation of epilepsy","authors":"Joana Ferreira, S. Lopes, J. Lopes, Cristina Ferreira, C. Magalhães","doi":"10.25753/BIRTHGROWTHMJ.V30.I2.17501","DOIUrl":"https://doi.org/10.25753/BIRTHGROWTHMJ.V30.I2.17501","url":null,"abstract":"Introduction: Childhood epileptic encephalopathies are age-dependent brain disorders in which ictal and interictal epileptogenic activity is the apparent cause of progressive cognitive and neuro-psychological impairment.\u0000Case report: A previously healthy four-year-old boy presented to the Emergency Department with a history of receptive and expressive language regression with four days of evolution, associated with seizure onset. Clinical features and electroencephalographic findings led to diagnosis of Landau-Kleffner syndrome. The boy was treated with valproate, clobazam, and prednisolone, with language improvement.\u0000Discussion/Conclusion: Landau-Kleffner syndrome is a rare epileptic encephalopathy with pathognomonic sudden aphasia, epilepsy, and paroxysmal electroencephalographic abnormalities. The condition should be suspected in children with normal development who show a deterioration of established language skills. Early diagnosis and treatment are important to improve outcome.","PeriodicalId":31313,"journal":{"name":"Nascer e Crescer","volume":"161 1","pages":"99-104"},"PeriodicalIF":0.0,"publicationDate":"2021-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80839823","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-06-30DOI: 10.25753/BIRTHGROWTHMJ.V27.I4.12764
P. Brandão, Inês Falcão-Reis, Cátia Rodrigues, V. Ferreira, I. Sá
Lyme disease is a spirochaetal infection caused by Borrelia Burgdorferi sensu lato, which is transmitted by infected ticks of the genus Ixodes. It has a broad spectrum of clinical manifestations which, associated with its low incidence in Portugal, requires a high level of clinical suspicion for diagnosis. However, it is considered endemic in certain geographic areas, like Central Europe. The authors report the case of a child, living in Switzerland, who developed multiple erythema migrans lesions. Although parents did not recall a history of tick bite, Lyme disease diagnosis was established on clinical grounds, based on erythema and epidemiologic findings. When properly treated with oral antibiotic therapy, Lyme disease has an excellent prognosis. This case highlights the importance of epidemiologic history as a diagnostic clue.
{"title":"Dermatology clinical case","authors":"P. Brandão, Inês Falcão-Reis, Cátia Rodrigues, V. Ferreira, I. Sá","doi":"10.25753/BIRTHGROWTHMJ.V27.I4.12764","DOIUrl":"https://doi.org/10.25753/BIRTHGROWTHMJ.V27.I4.12764","url":null,"abstract":"Lyme disease is a spirochaetal infection caused by Borrelia Burgdorferi sensu lato, which is transmitted by infected ticks of the genus Ixodes. It has a broad spectrum of clinical manifestations which, associated with its low incidence in Portugal, requires a high level of clinical suspicion for diagnosis. However, it is considered endemic in certain geographic areas, like Central Europe. The authors report the case of a child, living in Switzerland, who developed multiple erythema migrans lesions. Although parents did not recall a history of tick bite, Lyme disease diagnosis was established on clinical grounds, based on erythema and epidemiologic findings. When properly treated with oral antibiotic therapy, Lyme disease has an excellent prognosis. This case highlights the importance of epidemiologic history as a diagnostic clue.","PeriodicalId":31313,"journal":{"name":"Nascer e Crescer","volume":"15 1","pages":"258-260"},"PeriodicalIF":0.0,"publicationDate":"2021-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81513240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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