Pub Date : 2022-03-01DOI: 10.25060/residpediatr-2022.v12n3-417
Bianca Silva, F. Schmitz, Rafaela Pulice, A. Bedin
This paper represents a 2-year-old patient case report, which started with gait difficulties and ataxia. Brain magnetic resonance was performed, which confirmed the clinic diagnosis of supratentorial neoplasm. The patient was undergone a left frontotemporoparietal craniotomy procedure. The immunohistochemical evaluation result was suggestive of ependymoma (OMS grade II). The patient was discharged with no observed neurological deficit.
{"title":"Left supratentorial ependymoma in a pediatric patient: a case report","authors":"Bianca Silva, F. Schmitz, Rafaela Pulice, A. Bedin","doi":"10.25060/residpediatr-2022.v12n3-417","DOIUrl":"https://doi.org/10.25060/residpediatr-2022.v12n3-417","url":null,"abstract":"This paper represents a 2-year-old patient case report, which started with gait difficulties and ataxia. Brain magnetic resonance was performed, which confirmed the clinic diagnosis of supratentorial neoplasm. The patient was undergone a left frontotemporoparietal craniotomy procedure. The immunohistochemical evaluation result was suggestive of ependymoma (OMS grade II). The patient was discharged with no observed neurological deficit.","PeriodicalId":338092,"journal":{"name":"Residência Pediátrica","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128423602","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 : 2022-03-01DOI: 10.25060/residpediatr-2022.v12n3-422
R. Pereira, Alessandra Cavalcante, Nancy Linhares, Milena Sousa, L. Aragão, A. Carvalho, A. Montenegro
INTRODUCTION: Insulinoma is a neuroendocrine tumor that originates in pancreatic beta cells, resulting in severe and frequent preprandial hypoglycemia. The diagnosis should be considered in the presence of the Whipple triad (present in 75% of cases) and confirmed through the demonstration of high insulin levels associated with low serum glucose levels. Treatment is surgical and, in most cases, curative. CASE REPORT: Girl, 10-years-old, hospitalized for the investigation of possible refractory epilepsy with predominant morning seizures, which started 6 months prior to her admission. A pediatric endocrinology evaluation was requested, as hypoglycemia was evidenced during the occurrence of seizures, which improved after intravenous glucose infusion. During the tests of the critical sample, hyperinsulinism associated with hypoglycemia was revealed. The diagnosis of insulinoma was therefore considered and then confirmed, after an intrapancreatic lesion showed up on the imaging tests. She was referred for surgical excision and had good evolution after tumor enucleation. COMMENTS: Insulinoma is a rare neuroendocrine tumor in the pediatric group. It may initially present itself as a hard-to-control convulsive condition, accompanied by behavioral changes and developmental delay, which often leads to misdiagnosis. Thus, early diagnosis and intervention are important since they reduce the morbidity and mortality of affected individuals. The patient did not present neurological sequelae and had a favorable post-surgical evolution, without recurrence of symptoms or further episodes of hyperglycemia.
{"title":"Insulinoma as a rare cause of hypoglycemia in childhood: case report","authors":"R. Pereira, Alessandra Cavalcante, Nancy Linhares, Milena Sousa, L. Aragão, A. Carvalho, A. Montenegro","doi":"10.25060/residpediatr-2022.v12n3-422","DOIUrl":"https://doi.org/10.25060/residpediatr-2022.v12n3-422","url":null,"abstract":"INTRODUCTION: Insulinoma is a neuroendocrine tumor that originates in pancreatic beta cells, resulting in severe and frequent preprandial hypoglycemia. The diagnosis should be considered in the presence of the Whipple triad (present in 75% of cases) and confirmed through the demonstration of high insulin levels associated with low serum glucose levels. Treatment is surgical and, in most cases, curative. CASE REPORT: Girl, 10-years-old, hospitalized for the investigation of possible refractory epilepsy with predominant morning seizures, which started 6 months prior to her admission. A pediatric endocrinology evaluation was requested, as hypoglycemia was evidenced during the occurrence of seizures, which improved after intravenous glucose infusion. During the tests of the critical sample, hyperinsulinism associated with hypoglycemia was revealed. The diagnosis of insulinoma was therefore considered and then confirmed, after an intrapancreatic lesion showed up on the imaging tests. She was referred for surgical excision and had good evolution after tumor enucleation. COMMENTS: Insulinoma is a rare neuroendocrine tumor in the pediatric group. It may initially present itself as a hard-to-control convulsive condition, accompanied by behavioral changes and developmental delay, which often leads to misdiagnosis. Thus, early diagnosis and intervention are important since they reduce the morbidity and mortality of affected individuals. The patient did not present neurological sequelae and had a favorable post-surgical evolution, without recurrence of symptoms or further episodes of hyperglycemia.","PeriodicalId":338092,"journal":{"name":"Residência Pediátrica","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132808931","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 : 2022-03-01DOI: 10.25060/residpediatr-2022.v12n3-432
F. Santana, Taiza Diamantino, P. Silva, Luís Rodrigues, T. Diamantino
Acute genital ulcer, also known as Lipschütz ulcer, is an uncommon, non-sexually transmitted condition characterized by the rapid onset of a necrotic and painful ulcer in the vulvar region. It occurs in adolescents and young women, with or without sexual activity. It may be preceded by influenza-like or mononucleosis-like symptoms. Acute genital ulcers have been associated with Epstein-Barr virus (EBV) infection or other viral or bacterial infections. However, in most cases, the cause is not determined. We report the clinical case of an 11-year-old girl without previous vaginal or oral ulceration without sexual contact who sought medical assistance with a rapidly progressive vulvar ulcer wich had started six days before, preceded by episodic low fever. The exclusion of infectious causes, the spontaneous healing of the lesion and the indeterminate serology for Epstein-Barr led to the diagnosis of ulcer of Lipschütz.
{"title":"Acute genital ulcer in adolescent: clinical case","authors":"F. Santana, Taiza Diamantino, P. Silva, Luís Rodrigues, T. Diamantino","doi":"10.25060/residpediatr-2022.v12n3-432","DOIUrl":"https://doi.org/10.25060/residpediatr-2022.v12n3-432","url":null,"abstract":"Acute genital ulcer, also known as Lipschütz ulcer, is an uncommon, non-sexually transmitted condition characterized by the rapid onset of a necrotic and painful ulcer in the vulvar region. It occurs in adolescents and young women, with or without sexual activity. It may be preceded by influenza-like or mononucleosis-like symptoms. Acute genital ulcers have been associated with Epstein-Barr virus (EBV) infection or other viral or bacterial infections. However, in most cases, the cause is not determined. We report the clinical case of an 11-year-old girl without previous vaginal or oral ulceration without sexual contact who sought medical assistance with a rapidly progressive vulvar ulcer wich had started six days before, preceded by episodic low fever. The exclusion of infectious causes, the spontaneous healing of the lesion and the indeterminate serology for Epstein-Barr led to the diagnosis of ulcer of Lipschütz.","PeriodicalId":338092,"journal":{"name":"Residência Pediátrica","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115097822","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 : 2022-03-01DOI: 10.25060/residpediatr-2022.v12n3-365
Julia VESCOVi, C. Doria, H. Malfussi
The persistence of the urachus, a tubular structure that connects the bladder to the navel, is an anomaly that consists in its permanence after birth. It can have four different forms and one of the rarest is the urachal sinus. It was reported a 41-day-old female patient with an umbilical scar secretion. Initially, omphalitis was suspected; however, after a diagnostic investigation, it was evidenced, by examining the image, a persistent urachus. Treatment includes surgical correction that can be performed electively.
{"title":"Urachal sinus in an infant: a case report","authors":"Julia VESCOVi, C. Doria, H. Malfussi","doi":"10.25060/residpediatr-2022.v12n3-365","DOIUrl":"https://doi.org/10.25060/residpediatr-2022.v12n3-365","url":null,"abstract":"The persistence of the urachus, a tubular structure that connects the bladder to the navel, is an anomaly that consists in its permanence after birth. It can have four different forms and one of the rarest is the urachal sinus. It was reported a 41-day-old female patient with an umbilical scar secretion. Initially, omphalitis was suspected; however, after a diagnostic investigation, it was evidenced, by examining the image, a persistent urachus. Treatment includes surgical correction that can be performed electively.","PeriodicalId":338092,"journal":{"name":"Residência Pediátrica","volume":"332 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115458470","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 : 2022-03-01DOI: 10.25060/residpediatr-2022.v12n3-426
Laís Gabriel, R. Aurilio, C. Sant’Anna
Most children have 4 to 6 acute respiratory infections (IRA) per year. Of these, only 2-3% progress to pneumonia. Community-acquired pneumonia (PAC) is one of the respiratory tract infections. PAC in children remains a global public health problem due to its high morbidity and mortality, being the disease that most kills children between 0 and 5 years of age in the world. Complicated PAC is defined as fever permanence or clinical instability after 48-72 h of PAC admission. The objective of this work is to describe complicated PACs, hospitalized at a pediatric hospital, between April 2006 and April 2018. This is a retrospective, observational and descriptive study with children and adolescents aged 0 to 13 years, hospitalized with complicated PAC in a pediatric hospital, from April 2006 to April 2018. Patients data were collected and a data collection form was completed. The following variables will be studied: age, gender, type of pulmonary/extrapulmonary complication, vaccination status (pneumococcal vaccine), treatment time, daycare regulars or not. Descriptive analysis of categorical variables in frequency form and numerical variables in the form of percentage, mean and median were performed. It was concluded with this study that the clinical and radiological profile of pneumonia in one pediatric hospital is similar to that found in the world literature today.
{"title":"Clinical and radiological profile of children hospitalized with complicated pneumonias","authors":"Laís Gabriel, R. Aurilio, C. Sant’Anna","doi":"10.25060/residpediatr-2022.v12n3-426","DOIUrl":"https://doi.org/10.25060/residpediatr-2022.v12n3-426","url":null,"abstract":"Most children have 4 to 6 acute respiratory infections (IRA) per year. Of these, only 2-3% progress to pneumonia. Community-acquired pneumonia (PAC) is one of the respiratory tract infections. PAC in children remains a global public health problem due to its high morbidity and mortality, being the disease that most kills children between 0 and 5 years of age in the world. Complicated PAC is defined as fever permanence or clinical instability after 48-72 h of PAC admission. The objective of this work is to describe complicated PACs, hospitalized at a pediatric hospital, between April 2006 and April 2018. This is a retrospective, observational and descriptive study with children and adolescents aged 0 to 13 years, hospitalized with complicated PAC in a pediatric hospital, from April 2006 to April 2018. Patients data were collected and a data collection form was completed. The following variables will be studied: age, gender, type of pulmonary/extrapulmonary complication, vaccination status (pneumococcal vaccine), treatment time, daycare regulars or not. Descriptive analysis of categorical variables in frequency form and numerical variables in the form of percentage, mean and median were performed. It was concluded with this study that the clinical and radiological profile of pneumonia in one pediatric hospital is similar to that found in the world literature today.","PeriodicalId":338092,"journal":{"name":"Residência Pediátrica","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116515508","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 : 2022-03-01DOI: 10.25060/residpediatr-2022.v12n3-398
M. Giusti, C. Benites, A. Andrade, Renan Vignardi, Anna Carolina Feitosa, G. Canicoba, C. Miziara, I. Miziara
The caregivers fabrication, induction, or exacerbation of disease has been known as Munchausen syndrome by proxy since the last century, although this name is currently considered inappropriate. For this study, we will adopt this second designation. Child abuse is not a recent problem, nor is it easy to identify. The perpetrator can practice multiple forms of aggression, but one of them assumes importance not only because of the immediate or late consequences but also because the aggressor, in most cases, is the mother. This study aimed to broadly address the syndrome with information about the diagnosis and medical and legal conduct, according to literature data.
{"title":"Illness fabricated or induced in a child by a caregiver: what the doctor needs to know","authors":"M. Giusti, C. Benites, A. Andrade, Renan Vignardi, Anna Carolina Feitosa, G. Canicoba, C. Miziara, I. Miziara","doi":"10.25060/residpediatr-2022.v12n3-398","DOIUrl":"https://doi.org/10.25060/residpediatr-2022.v12n3-398","url":null,"abstract":"The caregivers fabrication, induction, or exacerbation of disease has been known as Munchausen syndrome by proxy since the last century, although this name is currently considered inappropriate. For this study, we will adopt this second designation. Child abuse is not a recent problem, nor is it easy to identify. The perpetrator can practice multiple forms of aggression, but one of them assumes importance not only because of the immediate or late consequences but also because the aggressor, in most cases, is the mother. This study aimed to broadly address the syndrome with information about the diagnosis and medical and legal conduct, according to literature data.","PeriodicalId":338092,"journal":{"name":"Residência Pediátrica","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129471222","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 : 2022-03-01DOI: 10.25060/residpediatr-2022.v12n3-427
T. Assis, Bárbara Rodrigues, P. Vieira, Ricardo Watanabe
Acute osteomyelitis (OM) is an inflammatory process of bone accompanied by bone destruction, usually of infectious bacterial etiology and hematogenous spread. Among the different forms of osteomyelitis in children, only 1 to 2% affect the spine. We present the case of a previously healthy 12-year-old patient with vertebral OM with an initial clinical presentation of pain, fever and claudication without associated gastrointestinal symptoms. The diagnosis was made by vertebral body biopsy culture with improvement after prolonged and adequate antibiotic therapy.
{"title":"Osteomyelitis of the spine due to Salmonella infection: a case report","authors":"T. Assis, Bárbara Rodrigues, P. Vieira, Ricardo Watanabe","doi":"10.25060/residpediatr-2022.v12n3-427","DOIUrl":"https://doi.org/10.25060/residpediatr-2022.v12n3-427","url":null,"abstract":"Acute osteomyelitis (OM) is an inflammatory process of bone accompanied by bone destruction, usually of infectious bacterial etiology and hematogenous spread. Among the different forms of osteomyelitis in children, only 1 to 2% affect the spine. We present the case of a previously healthy 12-year-old patient with vertebral OM with an initial clinical presentation of pain, fever and claudication without associated gastrointestinal symptoms. The diagnosis was made by vertebral body biopsy culture with improvement after prolonged and adequate antibiotic therapy.","PeriodicalId":338092,"journal":{"name":"Residência Pediátrica","volume":"75 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128736983","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 : 2022-03-01DOI: 10.25060/residpediatr-2022.v12n3-378
L. Borrero, D. Gilio
Enteroviral infections are a common condition in childhood that may compromise the central nervous system. The primary concern is the absence of specific treatment for severe cases. Data report uses immunotherapy to reduce neurological sequelae, with limited studies evaluating its efficacy and safety. This case describes enteroviral encephalitis with neurological sequelae, treated successfully with corticosteroids.
{"title":"Enteroviral encephalitis with neurological sequelae treated successfully with corticoids","authors":"L. Borrero, D. Gilio","doi":"10.25060/residpediatr-2022.v12n3-378","DOIUrl":"https://doi.org/10.25060/residpediatr-2022.v12n3-378","url":null,"abstract":"Enteroviral infections are a common condition in childhood that may compromise the central nervous system. The primary concern is the absence of specific treatment for severe cases. Data report uses immunotherapy to reduce neurological sequelae, with limited studies evaluating its efficacy and safety. This case describes enteroviral encephalitis with neurological sequelae, treated successfully with corticosteroids.","PeriodicalId":338092,"journal":{"name":"Residência Pediátrica","volume":"96 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134161654","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 : 2022-03-01DOI: 10.25060/residpediatr-2022.v12n3-336
Camila Gonçalves, M. Sales, Alessandra Cavalcante, R. Pereira, Milena Sousa, L. Aragão, A. Carvalho, A. Montenegro
INTRODUCTION: The X-linked hypophosphatemic rickets is considered the most common cause of rickets. It is an X-linked dominant disease, caused by a PHEX gene mutation. It is believed that the biochemical and bone mineralization changes because of the increase of phosphaturic factor, resulting from the PHEX genes inability to inactivate its substrate. CASE REPORT: A seven-year and eleven-month-old girl has been followed by an orthopedist since she was 1 year old, due to lower limb deformity. She was referred to a pediatric endocrinologist for further evaluation. At clinical examination, the patient presented genu varum and Z score of stature/age = 4.8. Laboratory tests: serum phosphorus = 2.3mg/dl (4.5-6.6), ionic calcium = 1,8mmol/l (1.17-1.32), parathyroid hormone = 42pg/ml (12-88), alkaline phosphatase = 600U/L (<300). The patient has always shown low adherence to treatment. Currently, at age 12 and 2 months old, endures with genu varum and short stature, besides the persistence of laboratory alterations. The PHEX gene sequencing, that evidenced a heterozygous mutation on that gene, confirming the X-linked hypophosphatemic rickets diagnosis. COMMENTS: The X-linked hypophosphatemic rickets is a rare disease with clinical manifestations observed since the early years of life. Diagnosis and intervention are important to decrease these patients morbimortality. The patient started follow-up at our service belatedly, with bone deformity and short stature, resulting in low treatment adherence. For these reasons, there wasnt any clinical or laboratory improvement during that time.
{"title":"X-linked hypophosphatemic rickets: case report","authors":"Camila Gonçalves, M. Sales, Alessandra Cavalcante, R. Pereira, Milena Sousa, L. Aragão, A. Carvalho, A. Montenegro","doi":"10.25060/residpediatr-2022.v12n3-336","DOIUrl":"https://doi.org/10.25060/residpediatr-2022.v12n3-336","url":null,"abstract":"INTRODUCTION: The X-linked hypophosphatemic rickets is considered the most common cause of rickets. It is an X-linked dominant disease, caused by a PHEX gene mutation. It is believed that the biochemical and bone mineralization changes because of the increase of phosphaturic factor, resulting from the PHEX genes inability to inactivate its substrate. CASE REPORT: A seven-year and eleven-month-old girl has been followed by an orthopedist since she was 1 year old, due to lower limb deformity. She was referred to a pediatric endocrinologist for further evaluation. At clinical examination, the patient presented genu varum and Z score of stature/age = 4.8. Laboratory tests: serum phosphorus = 2.3mg/dl (4.5-6.6), ionic calcium = 1,8mmol/l (1.17-1.32), parathyroid hormone = 42pg/ml (12-88), alkaline phosphatase = 600U/L (<300). The patient has always shown low adherence to treatment. Currently, at age 12 and 2 months old, endures with genu varum and short stature, besides the persistence of laboratory alterations. The PHEX gene sequencing, that evidenced a heterozygous mutation on that gene, confirming the X-linked hypophosphatemic rickets diagnosis. COMMENTS: The X-linked hypophosphatemic rickets is a rare disease with clinical manifestations observed since the early years of life. Diagnosis and intervention are important to decrease these patients morbimortality. The patient started follow-up at our service belatedly, with bone deformity and short stature, resulting in low treatment adherence. For these reasons, there wasnt any clinical or laboratory improvement during that time.","PeriodicalId":338092,"journal":{"name":"Residência Pediátrica","volume":"110 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115845548","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 : 2022-03-01DOI: 10.25060/residpediatr-2022.v12n3-510
Melissa Gershon, Lucca Amorim, Romero Duque, Alegna Sobrinho, R. Garcia, Luciano Costa
It is known that the period of life between pregnancy and the childs two years of age is critical for the promotion of growth and development, which makes adequate nutrition essential for the complete potential development of each human being. In this sense, the present study aims to discuss the peculiarities of exclusive breastfeeding up to 6 months of life of the infant by vegetarian mothers and its possible implications for the child. This is a narrative review based on the evaluation of protocols by the Brazilian Vegetarian Society, Brazilian Society of Pediatrics and Society of Pediatrics of São Paulo, as well as articles comprised between 1982 and 2020, available in online databases. Human milk contains lipids, vitamins, minerals, proteins, carbohydrates, immunoglobulin A, interferon, enzymes, and growth modulators. This composition is generally similar when comparing vegetarian and non-vegetarian breast milk, however it differs quantitatively. In view of this, in the case of exclusive breastfeeding by vegetarian mothers, medical evaluation is necessary to determine whether there is a need for nutritional supplementation, especially vitamin B12, iron and omega-3. In cases where breastfeeding is not possible, an alternative is infant formulas based on soy or rice. Recent studies show that the growth and development of children fed through soy or rice-based formulas may be similar to that of infants who received exclusive breastfeeding or formula based on cows milk.
{"title":"Exclusive breastfeeding by vegetarian mothers and their possible implications for children","authors":"Melissa Gershon, Lucca Amorim, Romero Duque, Alegna Sobrinho, R. Garcia, Luciano Costa","doi":"10.25060/residpediatr-2022.v12n3-510","DOIUrl":"https://doi.org/10.25060/residpediatr-2022.v12n3-510","url":null,"abstract":"It is known that the period of life between pregnancy and the childs two years of age is critical for the promotion of growth and development, which makes adequate nutrition essential for the complete potential development of each human being. In this sense, the present study aims to discuss the peculiarities of exclusive breastfeeding up to 6 months of life of the infant by vegetarian mothers and its possible implications for the child. This is a narrative review based on the evaluation of protocols by the Brazilian Vegetarian Society, Brazilian Society of Pediatrics and Society of Pediatrics of São Paulo, as well as articles comprised between 1982 and 2020, available in online databases. Human milk contains lipids, vitamins, minerals, proteins, carbohydrates, immunoglobulin A, interferon, enzymes, and growth modulators. This composition is generally similar when comparing vegetarian and non-vegetarian breast milk, however it differs quantitatively. In view of this, in the case of exclusive breastfeeding by vegetarian mothers, medical evaluation is necessary to determine whether there is a need for nutritional supplementation, especially vitamin B12, iron and omega-3. In cases where breastfeeding is not possible, an alternative is infant formulas based on soy or rice. Recent studies show that the growth and development of children fed through soy or rice-based formulas may be similar to that of infants who received exclusive breastfeeding or formula based on cows milk.","PeriodicalId":338092,"journal":{"name":"Residência Pediátrica","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114167728","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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