Pub Date : 2019-07-18DOI: 10.25753/BIRTHGROWTHMJ.V28.I2.15862
S. Pires, Flávia Belinha
The case of a newborn with a gingival mass corresponding to a natal tooth is reported. In this rare and idiopathic disorder, teeth are present at birth. When they show increased mobility and/or complications are present (feeding difficulties, laceration of the mother`s nipples), teeth should be extracted.
{"title":"Stomatological clinical case","authors":"S. Pires, Flávia Belinha","doi":"10.25753/BIRTHGROWTHMJ.V28.I2.15862","DOIUrl":"https://doi.org/10.25753/BIRTHGROWTHMJ.V28.I2.15862","url":null,"abstract":"The case of a newborn with a gingival mass corresponding to a natal tooth is reported. In this rare and idiopathic disorder, teeth are present at birth. When they show increased mobility and/or complications are present (feeding difficulties, laceration of the mother`s nipples), teeth should be extracted.","PeriodicalId":31313,"journal":{"name":"Nascer e Crescer","volume":"28 1","pages":"102-104"},"PeriodicalIF":0.0,"publicationDate":"2019-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41631865","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 : 2019-07-18DOI: 10.25753/BIRTHGROWTHMJ.V28.I2.14993
F. Gil, J. Aranha, M. J. Silva, Isabel Andrade
The case of a child with terra firma-forme dermatosis lesions is reported. This is an idiopathic and uncommon condition characterized by asymptomatic dirt-like lesions, which cannot be removed by routine cleaning. Lesions completely disappear after swabbing with 70% isopropyl alcohol. The condition is more frequent in children and often occurs on the neck, trunk, and ankles.
{"title":"Dermatology clinical case","authors":"F. Gil, J. Aranha, M. J. Silva, Isabel Andrade","doi":"10.25753/BIRTHGROWTHMJ.V28.I2.14993","DOIUrl":"https://doi.org/10.25753/BIRTHGROWTHMJ.V28.I2.14993","url":null,"abstract":"The case of a child with terra firma-forme dermatosis lesions is reported. This is an idiopathic and uncommon condition characterized by asymptomatic dirt-like lesions, which cannot be removed by routine cleaning. Lesions completely disappear after swabbing with 70% isopropyl alcohol. The condition is more frequent in children and often occurs on the neck, trunk, and ankles.","PeriodicalId":31313,"journal":{"name":"Nascer e Crescer","volume":"33 1","pages":"162-163"},"PeriodicalIF":0.0,"publicationDate":"2019-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76564966","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 : 2019-07-18DOI: 10.25753/BIRTHGROWTHMJ.V28.I2.14853
João Rio Martins, João Fonseca Neves, Teresa Silva, Miguel Félix
{"title":"Rinossinusite crónica com destruição óssea numa adolescente com fibrose quística","authors":"João Rio Martins, João Fonseca Neves, Teresa Silva, Miguel Félix","doi":"10.25753/BIRTHGROWTHMJ.V28.I2.14853","DOIUrl":"https://doi.org/10.25753/BIRTHGROWTHMJ.V28.I2.14853","url":null,"abstract":"","PeriodicalId":31313,"journal":{"name":"Nascer e Crescer","volume":"28 1","pages":"87-89"},"PeriodicalIF":0.0,"publicationDate":"2019-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49368691","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 : 2019-07-18DOI: 10.25753/BIRTHGROWTHMJ.V28.I2.14322
Mariana Branco, Luísa Sousa, C. Garrido, I. Carrilho, Manuela M. Santos, T. Temudo, Ana Martins da Silva, S. Figueiroa
Introduction: Anti-N-methyl-D-aspartate receptor (NMDAR) encephalitis is an immune-mediated syndrome characterized by psychiatric symptoms, movement disorders, insomnia, seizures, altered level of consciousness and autonomic dysfunction. The aim of this study was described the cases of anti-NMDAR encephalitis admitted to a Neuropediatrics Department, in order to alert for the importance of early recognition of this clinical entity due to its implications in prognosis. Material and Methods: A retrospective review of the clinical processes of patients with anti-NMDAR encephalitis admitted to the Neuropediatrics Department of a University Hospital in the period between May 2009 and May 2016 was conducted. Results: Diagnosis of anti-NMDAR encephalitis was established in nine patients. Mean age at diagnosis was 9.4 years and five patients were male. Most cases (88.9%) presented with neuropsychiatric symptomatology. Movement disorders were another frequent finding (88.9%) and include chorea, dystonia and dyskinesias. Altered level of consciousness occurred in 77.8% of cases, insomnia and speech disturbance in 66.7%, seizures in 55.6% and autonomic dysfunction in 22.2%. Anti-NMDAR antibodies were identified in the cerebrospinal fluid of all patients. One patient had an underlying neoplasm. All patients underwent immunosuppressive therapy and seven patients fully recovered. In the remaining patients, sequelae included refractory epilepsy and cognitive impairment. Discussion: The diagnosis of anti-NMDAR encephalitis should be considered in children and adolescents presenting with psychiatric symptoms associated and movement disorders. In this sample, although most patients responded very favorably to treatment, severe sequelae were also observed. This highlights the importance of an early diagnosis to initiate treatment as soon as possible.
抗n -甲基- d -天冬氨酸受体(NMDAR)脑炎是一种以精神症状、运动障碍、失眠、癫痫发作、意识水平改变和自主神经功能障碍为特征的免疫介导综合征。本研究的目的是描述神经儿科收治的抗nmdar脑炎病例，以提醒早期识别这种临床实体的重要性，因为它对预后有影响。材料与方法:回顾性分析2009年5月至2016年5月在某大学附属医院神经儿科收治的抗nmdar脑炎患者的临床过程。结果:9例患者诊断为抗nmdar脑炎。平均诊断年龄为9.4岁，男性5例。大多数病例(88.9%)表现为神经精神症状。运动障碍是另一个常见的发现(88.9%)，包括舞蹈病、肌张力障碍和运动障碍。意识水平改变占77.8%，失眠和语言障碍占66.7%，癫痫发作占55.6%，自主神经功能障碍占22.2%。所有患者脑脊液均检测到抗nmdar抗体。一名患者有潜在的肿瘤。所有患者均接受免疫抑制治疗，7例患者完全康复。其余患者的后遗症包括难治性癫痫和认知障碍。讨论:在出现精神症状和运动障碍的儿童和青少年中，应考虑抗nmdar脑炎的诊断。在这个样本中，虽然大多数患者对治疗反应非常好，但也观察到严重的后遗症。这突出了早期诊断对尽早开始治疗的重要性。
{"title":"Anti-N-Methy-D-Aspartate receptor encephalitis in pediatric age","authors":"Mariana Branco, Luísa Sousa, C. Garrido, I. Carrilho, Manuela M. Santos, T. Temudo, Ana Martins da Silva, S. Figueiroa","doi":"10.25753/BIRTHGROWTHMJ.V28.I2.14322","DOIUrl":"https://doi.org/10.25753/BIRTHGROWTHMJ.V28.I2.14322","url":null,"abstract":"Introduction: Anti-N-methyl-D-aspartate receptor (NMDAR) encephalitis is an immune-mediated syndrome characterized by psychiatric symptoms, movement disorders, insomnia, seizures, altered level of consciousness and autonomic dysfunction. The aim of this study was described the cases of anti-NMDAR encephalitis admitted to a Neuropediatrics Department, in order to alert for the importance of early recognition of this clinical entity due to its implications in prognosis. Material and Methods: A retrospective review of the clinical processes of patients with anti-NMDAR encephalitis admitted to the Neuropediatrics Department of a University Hospital in the period between May 2009 and May 2016 was conducted. Results: Diagnosis of anti-NMDAR encephalitis was established in nine patients. Mean age at diagnosis was 9.4 years and five patients were male. Most cases (88.9%) presented with neuropsychiatric symptomatology. Movement disorders were another frequent finding (88.9%) and include chorea, dystonia and dyskinesias. Altered level of consciousness occurred in 77.8% of cases, insomnia and speech disturbance in 66.7%, seizures in 55.6% and autonomic dysfunction in 22.2%. Anti-NMDAR antibodies were identified in the cerebrospinal fluid of all patients. One patient had an underlying neoplasm. All patients underwent immunosuppressive therapy and seven patients fully recovered. In the remaining patients, sequelae included refractory epilepsy and cognitive impairment. Discussion: The diagnosis of anti-NMDAR encephalitis should be considered in children and adolescents presenting with psychiatric symptoms associated and movement disorders. In this sample, although most patients responded very favorably to treatment, severe sequelae were also observed. This highlights the importance of an early diagnosis to initiate treatment as soon as possible.","PeriodicalId":31313,"journal":{"name":"Nascer e Crescer","volume":"28 1","pages":"63-69"},"PeriodicalIF":0.0,"publicationDate":"2019-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47323077","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 : 2019-07-18DOI: 10.25753/BIRTHGROWTHMJ.V28.I2.15974
Carla Moreira, Rita Baptista, Pedro Maneira Sousa, Juliana Maciel, L. Costa, Ana Teixeira, Teresa Costa, P. Matos, Liliana Rocha, Maria do Sameiro Faria, C. Mota
{"title":"Uso de rituximab em crianças com sindroma nefrótica idiopática complicada","authors":"Carla Moreira, Rita Baptista, Pedro Maneira Sousa, Juliana Maciel, L. Costa, Ana Teixeira, Teresa Costa, P. Matos, Liliana Rocha, Maria do Sameiro Faria, C. Mota","doi":"10.25753/BIRTHGROWTHMJ.V28.I2.15974","DOIUrl":"https://doi.org/10.25753/BIRTHGROWTHMJ.V28.I2.15974","url":null,"abstract":"","PeriodicalId":31313,"journal":{"name":"Nascer e Crescer","volume":"28 1","pages":"70-76"},"PeriodicalIF":0.0,"publicationDate":"2019-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49479739","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 : 2019-07-18DOI: 10.25753/BIRTHGROWTHMJ.V28.I2.14213
K. R. Chrisostomo, J. K. Júnior, A. Urbanetz, E. R. Chrisostomo, R. Nisihara
Hypovitaminosis D is a global health problem that affects all age groups. Pregnant women are considered a high-risk group and the condition has potentially associated maternal and fetal complications. The goal of the present review is to analyze the magnitude and consequences of hypovitaminosis D in pregnant women and the safety of vitamin D supplementation. Prevalence of hypovitaminosis D during pregnancy is very high, even in sunny countries. Maternal vitamin D deficiency has been associated with increased risk of specific hypertensive disease of pregnancy, bacterial vaginosis, prematurity, gestational diabetes mellitus, osteomalacia, and muscle weakness. It has also been linked to prematurity, low birth weight, and fetal infectious complications. Due to potential maternal and fetal complications, it is extremely important to achieve adequate vitamin D levels prior to pregnancy. During pregnancy, it would be prudent to monitor serum vitamin D levels and implement preventive measures to reduce maternal and fetal morbidity. No consensus exists in the medical literature regarding vitamin D supplementation in pregnant women.
{"title":"Current view of vitamin D in pregnant women: a review","authors":"K. R. Chrisostomo, J. K. Júnior, A. Urbanetz, E. R. Chrisostomo, R. Nisihara","doi":"10.25753/BIRTHGROWTHMJ.V28.I2.14213","DOIUrl":"https://doi.org/10.25753/BIRTHGROWTHMJ.V28.I2.14213","url":null,"abstract":"Hypovitaminosis D is a global health problem that affects all age groups. Pregnant women are considered a high-risk group and the condition has potentially associated maternal and fetal complications. The goal of the present review is to analyze the magnitude and consequences of hypovitaminosis D in pregnant women and the safety of vitamin D supplementation. Prevalence of hypovitaminosis D during pregnancy is very high, even in sunny countries. Maternal vitamin D deficiency has been associated with increased risk of specific hypertensive disease of pregnancy, bacterial vaginosis, prematurity, gestational diabetes mellitus, osteomalacia, and muscle weakness. It has also been linked to prematurity, low birth weight, and fetal infectious complications. Due to potential maternal and fetal complications, it is extremely important to achieve adequate vitamin D levels prior to pregnancy. During pregnancy, it would be prudent to monitor serum vitamin D levels and implement preventive measures to reduce maternal and fetal morbidity. No consensus exists in the medical literature regarding vitamin D supplementation in pregnant women.","PeriodicalId":31313,"journal":{"name":"Nascer e Crescer","volume":"117 1","pages":"77-83"},"PeriodicalIF":0.0,"publicationDate":"2019-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86189554","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 : 2019-07-18DOI: 10.25753/BIRTHGROWTHMJ.V28.I2.14927
C. Liz, S. Lira, S. Teixeira
3000 children. They are mostly of congenital origin and the left hemithorax is most commonly affected. Acquired diaphragmatic hernias are rare and mainly traumatic or iatrogenic. The case of a 16-year-old adolescent with cerebral palsy submitted to scoliosis surgical correction five months earlier is presented. The girl was brought to the emergency department due to dyspnea and vomiting of acute onset. At physical examination, she was agitated and presented with skin pallor, polypnea, and suprasternal and subcostal retraction. Pulmonary breath sounds in the left hemithorax were absent. The girl maintained blood oxygen saturation levels of 90% with 2 L/ min of O2 and was hemodynamically stable. The x-ray showed the gastric bubble in the left hemithorax, leading to the diagnosis. This case shows the clinical challenge posed by children with children with cerebral palsy, who are unable to define their symptoms and make clinical state difficult to access. Repair of neuromuscular scoliosis has higher complication rates than congenital or idiopathic scoliosis. Diaphragmatic hernia is an uncommon complication, with only few cases described in the literature.
{"title":"Imaging clinical case","authors":"C. Liz, S. Lira, S. Teixeira","doi":"10.25753/BIRTHGROWTHMJ.V28.I2.14927","DOIUrl":"https://doi.org/10.25753/BIRTHGROWTHMJ.V28.I2.14927","url":null,"abstract":"3000 children. They are mostly of congenital origin and the left hemithorax is most commonly affected. Acquired diaphragmatic hernias are rare and mainly traumatic or iatrogenic. The case of a 16-year-old adolescent with cerebral palsy submitted to scoliosis surgical correction five months earlier is presented. The girl was brought to the emergency department due to dyspnea and vomiting of acute onset. At physical examination, she was agitated and presented with skin pallor, polypnea, and suprasternal and subcostal retraction. Pulmonary breath sounds in the left hemithorax were absent. The girl maintained blood oxygen saturation levels of 90% with 2 L/ min of O2 and was hemodynamically stable. The x-ray showed the gastric bubble in the left hemithorax, leading to the diagnosis. This case shows the clinical challenge posed by children with children with cerebral palsy, who are unable to define their symptoms and make clinical state difficult to access. Repair of neuromuscular scoliosis has higher complication rates than congenital or idiopathic scoliosis. Diaphragmatic hernia is an uncommon complication, with only few cases described in the literature.","PeriodicalId":31313,"journal":{"name":"Nascer e Crescer","volume":"2 1","pages":"99-101"},"PeriodicalIF":0.0,"publicationDate":"2019-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88838764","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 : 2019-07-18DOI: 10.25753/BIRTHGROWTHMJ.V28.I2.13505
Sofia Peças, V. Viegas
Celiac disease is an immune-mediated enteropathy caused by gluten exposure, occurring in genetically susceptible individuals. Although its typical presentation mainly includes gastrointestinal symptoms, non-classical forms are becoming increasingly frequent. In this report, a case of non-classical celiac disease in a seven-year-old child presenting with severe oligoarthralgia is described. With this report, the authors aim to increase awareness of celiac disease and the variability of its presentation as a way to enable a timely diagnosis and treatment, reduce the burden of disease, and improve health-related quality of life.
{"title":"Um caso de doença celíaca não clássica","authors":"Sofia Peças, V. Viegas","doi":"10.25753/BIRTHGROWTHMJ.V28.I2.13505","DOIUrl":"https://doi.org/10.25753/BIRTHGROWTHMJ.V28.I2.13505","url":null,"abstract":"Celiac disease is an immune-mediated enteropathy caused by gluten exposure, occurring in genetically susceptible individuals. Although its typical presentation mainly includes gastrointestinal symptoms, non-classical forms are becoming increasingly frequent. In this report, a case of non-classical celiac disease in a seven-year-old child presenting with severe oligoarthralgia is described. With this report, the authors aim to increase awareness of celiac disease and the variability of its presentation as a way to enable a timely diagnosis and treatment, reduce the burden of disease, and improve health-related quality of life.","PeriodicalId":31313,"journal":{"name":"Nascer e Crescer","volume":"28 1","pages":"84-86"},"PeriodicalIF":0.0,"publicationDate":"2019-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47592521","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 : 2019-06-01DOI: 10.25753/BIRTHGROWTHMJ.V28.I2.14909
Inês Maio, Carla Teixeira, Catarina Prior, S. Machado, M. Selores, Laura Marques
Although endemic in some regions, as the Douro river valley, cutaneous leishmaniasis is a rare zoonosis in Portugal. Children are the most affected age group. Treatment remains controversial, given the lack of scientific evidence. The goal of cutaneous leishmaniasis treatment is to avoid dissemination and progression to disfiguring lesions. The option between no, systemic, or intralesional treatment should be carefully assessed.
{"title":"Leishmaníase cutânea - dois casos, duas perspetivas","authors":"Inês Maio, Carla Teixeira, Catarina Prior, S. Machado, M. Selores, Laura Marques","doi":"10.25753/BIRTHGROWTHMJ.V28.I2.14909","DOIUrl":"https://doi.org/10.25753/BIRTHGROWTHMJ.V28.I2.14909","url":null,"abstract":"Although endemic in some regions, as the Douro river valley, cutaneous leishmaniasis is a rare zoonosis in Portugal. Children are the most affected age group. Treatment remains controversial, given the lack of scientific evidence. The goal of cutaneous leishmaniasis treatment is to avoid dissemination and progression to disfiguring lesions. The option between no, systemic, or intralesional treatment should be carefully assessed.","PeriodicalId":31313,"journal":{"name":"Nascer e Crescer","volume":"31 1","pages":"90-92"},"PeriodicalIF":0.0,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78065000","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 : 2019-04-11DOI: 10.25753/BIRTHGROWTHMJ.V28.I1.14558
Ana Maria Revoredo da Silva Ventura, C. Rúbio, Diogo Rodrigues, I. Silva, A. Peres, Florbela Cunha
{"title":"Sépsis neonatal tardia a streptococcus do Grupo A: um agente improvável","authors":"Ana Maria Revoredo da Silva Ventura, C. Rúbio, Diogo Rodrigues, I. Silva, A. Peres, Florbela Cunha","doi":"10.25753/BIRTHGROWTHMJ.V28.I1.14558","DOIUrl":"https://doi.org/10.25753/BIRTHGROWTHMJ.V28.I1.14558","url":null,"abstract":"","PeriodicalId":31313,"journal":{"name":"Nascer e Crescer","volume":"28 1","pages":"26-29"},"PeriodicalIF":0.0,"publicationDate":"2019-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42758831","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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