Introduction: Sepsis is one of the major causes of neonatal morbidity and mortality. Early recognition and diagnosis of early onset neonatal sepsis (EONS) is difficult. Hence, there is a need for early predictive screening method for EONS, for which Haematological Scoring System (HSS) is used. It comprises of total leucocyte count, immature / total neutrophil ratio, total PMN count, immature PMN count, degenerative changes in PMN and platelet count.
Methods: 100 inborn neonates with two or more risk factors for EONS, chosen by sequential sampling method were included in this prospective analytical study. Blood samples were collected from umbilical cord and peripheral vein and analysed for haematological parameters. Blood cultures were performed as gold standard for diagnosing neonatal sepsis and sepsis screen was done to corroborate the diagnosis of EONS.
Results: Out of 100 neonates, 21 had sepsis, 14 had probable sepsis and 65 had no sepsis. Among the variables of HSS it was observed that elevated I:T ratio, thrombocytopenia, elevated I:M ratio and elevated immature neutrophil count have shown significant correlation with EONS with statistically significant p values (p value < 0.05), with raised I:T ratio being highly sensitive in identifying neonatal sepsis and degenerative changes in neutrophils being highly specific.
Conclusions: The HSS was found to be satisfactory in identifying EONS. It can be used as a simple, quick, cost effective and readily available screening test with decent sensitivity and high specificity, for detection of EONS.
{"title":"Diagnostic Accuracy of Haematological Scoring System in Paired cord Blood and Peripheral Venous Blood for early Detection of Neonatal Sepsis – A Prospective Analytical Study","authors":"Gagandeep Shukla, Prachi Goyal, Sunil Arya","doi":"10.60086/jnps483","DOIUrl":"https://doi.org/10.60086/jnps483","url":null,"abstract":"Introduction: Sepsis is one of the major causes of neonatal morbidity and mortality. Early recognition and diagnosis of early onset neonatal sepsis (EONS) is difficult. Hence, there is a need for early predictive screening method for EONS, for which Haematological Scoring System (HSS) is used. It comprises of total leucocyte count, immature / total neutrophil ratio, total PMN count, immature PMN count, degenerative changes in PMN and platelet count.
 Methods: 100 inborn neonates with two or more risk factors for EONS, chosen by sequential sampling method were included in this prospective analytical study. Blood samples were collected from umbilical cord and peripheral vein and analysed for haematological parameters. Blood cultures were performed as gold standard for diagnosing neonatal sepsis and sepsis screen was done to corroborate the diagnosis of EONS.
 Results: Out of 100 neonates, 21 had sepsis, 14 had probable sepsis and 65 had no sepsis. Among the variables of HSS it was observed that elevated I:T ratio, thrombocytopenia, elevated I:M ratio and elevated immature neutrophil count have shown significant correlation with EONS with statistically significant p values (p value < 0.05), with raised I:T ratio being highly sensitive in identifying neonatal sepsis and degenerative changes in neutrophils being highly specific.
 Conclusions: The HSS was found to be satisfactory in identifying EONS. It can be used as a simple, quick, cost effective and readily available screening test with decent sensitivity and high specificity, for detection of EONS.","PeriodicalId":39140,"journal":{"name":"Journal of Nepal Paediatric Society","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136071385","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}
Introduction: Vein puncture is an invasive but common procedure for children, often accompanied by pain, fear and anxiety and refuse to cooperate. Distraction technique is one of the non-pharmacological methods of controlling pain. The objective of this study was to find the effectiveness of video assisted distraction technique in reduction of pain among preschooler children.
Methods: Quasi experimental study was conducted in Bharatpur Hospital, Chitwan, Nepal. 108 preschooler children consisting of 54 children in each experimental and control group selected by non-probability purposive sampling technique were enrolled in the study. Structured pain scale was used to collect data in both groups. Animated cartoon video was shown only to experimental group five minutes prior to until the vein puncture was over. Data analysis was done using descriptive statistics and inferential statistical tests.
Results: In experimental group, 59.2% had moderate pain whereas 68.5% in control group had severe pain. The pain score of experimental group was significantly lower than that of control group at p = 0.05 with the mean value of experimental and control group 6.85 ± 0.79 and 7.25 ± 0.87 respectively.
Conclusions: Distraction is an effective technique for children undergoing vein puncture in order to alleviate pain level during vein puncture
{"title":"Effectiveness of Video-Assisted Distraction Technique in Reduction of Pain Among Preschool Children Undergoing Vein Puncture","authors":"Tulashi Adhikari Mishra, Aastha Subedi","doi":"10.60086/jnps484","DOIUrl":"https://doi.org/10.60086/jnps484","url":null,"abstract":"Introduction: Vein puncture is an invasive but common procedure for children, often accompanied by pain, fear and anxiety and refuse to cooperate. Distraction technique is one of the non-pharmacological methods of controlling pain. The objective of this study was to find the effectiveness of video assisted distraction technique in reduction of pain among preschooler children.
 Methods: Quasi experimental study was conducted in Bharatpur Hospital, Chitwan, Nepal. 108 preschooler children consisting of 54 children in each experimental and control group selected by non-probability purposive sampling technique were enrolled in the study. Structured pain scale was used to collect data in both groups. Animated cartoon video was shown only to experimental group five minutes prior to until the vein puncture was over. Data analysis was done using descriptive statistics and inferential statistical tests.
 Results: In experimental group, 59.2% had moderate pain whereas 68.5% in control group had severe pain. The pain score of experimental group was significantly lower than that of control group at p = 0.05 with the mean value of experimental and control group 6.85 ± 0.79 and 7.25 ± 0.87 respectively.
 Conclusions: Distraction is an effective technique for children undergoing vein puncture in order to alleviate pain level during vein puncture","PeriodicalId":39140,"journal":{"name":"Journal of Nepal Paediatric Society","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136071660","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}
Children who have cerebral venous sinus thrombosis (CVST) are at risk for both emergency and long-term neurological effects. Non-specific symptoms like fever, altered mental status, and localized neurological abnormalities define it. Infection, trauma, prothrombotic diseases and, most critically, iron deficiency anaemia (IDA) are etiologic factors. IDA, which is frequently brought on by excessive cow milk consumption in newborns and toddlers, is a preventable risk factor for CVST. We discuss the case of a 32-month-old female who presented with lethargy and hemiparesis, and was diagnosed with CVST in the context of IDA.
{"title":"Cerebral Venous Sinus Thrombosis in a Child with Iron Deficiency Anaemia","authors":"Ly Cong Tran, Chuong Nguyen-Dinh-Nguyen, Phuong Minh Nguyen","doi":"10.60086/jnps496","DOIUrl":"https://doi.org/10.60086/jnps496","url":null,"abstract":"Children who have cerebral venous sinus thrombosis (CVST) are at risk for both emergency and long-term neurological effects. Non-specific symptoms like fever, altered mental status, and localized neurological abnormalities define it. Infection, trauma, prothrombotic diseases and, most critically, iron deficiency anaemia (IDA) are etiologic factors. IDA, which is frequently brought on by excessive cow milk consumption in newborns and toddlers, is a preventable risk factor for CVST. We discuss the case of a 32-month-old female who presented with lethargy and hemiparesis, and was diagnosed with CVST in the context of IDA.","PeriodicalId":39140,"journal":{"name":"Journal of Nepal Paediatric Society","volume":"384 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136072551","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}
Ravi Bhatia, Shivani Bhardwaj, Sarat Anandh, Dinesh Rajwaniya
Introduction: Dermatoses in children puts a huge burden on the parents as well as their development. Severity of these dermatoses vary from location to location. Environment plays an important role, especially in children and presentation of these dermatoses maybe quite different than those in adults.
Methods: This is a six months prospective study. All children who presented to the Paediatrics / Dermatology OPD with any skin ailment were included. Diagnosis was done clinically, investigations if required were done. Based on age, cases were divided into six groups. Skin disorders were categorized into 17 groups. The demographic data and other clinical details were recorded on a pre-designed performa.
Results: 206 children were included in our study. Males were 136 (66.01%) and females were 70 (33.98%) with M:F ratio 1.94:1. The spectrum of skin diseases were infections and exanthems (40.29%), eczematous diseases (19.41%), disorders of sebaceous and sweat glands (13.10%), papulosquamous diseases (6.31%), hypersensitivity syndromes (5.82%), disorders of pigmentation (5.33%), disorders of hair and nail (3.39%), cutaneous tumor and tumor syndromes (1.94%), vascular disorders (1.45%), disorders of cornification (0.97%), photo-dermatoses(0.97%), histiocytosis and malignant skin tumors (0.48%), and miscellaneous (0.48%). Dermatoses according to age were neonatal (0.97%), infant (4.36%), toddlers (9.70%), preschool (18.44%), school-age-children (30.58%), and adolescents (35.92%).
Conclusions: Skin infections and infestations being the majority explains the status of developing countries like India. This study can help identify (or diagnosing) and treating common dermatological conditions in children and this would also sensitize our fellow paediatricians to this common but often neglected aspect of childcare.
{"title":"Spectrum of Paediatric Dermatoses in a Private Medical College","authors":"Ravi Bhatia, Shivani Bhardwaj, Sarat Anandh, Dinesh Rajwaniya","doi":"10.60086/jnps493","DOIUrl":"https://doi.org/10.60086/jnps493","url":null,"abstract":"Introduction: Dermatoses in children puts a huge burden on the parents as well as their development. Severity of these dermatoses vary from location to location. Environment plays an important role, especially in children and presentation of these dermatoses maybe quite different than those in adults.
 Methods: This is a six months prospective study. All children who presented to the Paediatrics / Dermatology OPD with any skin ailment were included. Diagnosis was done clinically, investigations if required were done. Based on age, cases were divided into six groups. Skin disorders were categorized into 17 groups. The demographic data and other clinical details were recorded on a pre-designed performa.
 Results: 206 children were included in our study. Males were 136 (66.01%) and females were 70 (33.98%) with M:F ratio 1.94:1. The spectrum of skin diseases were infections and exanthems (40.29%), eczematous diseases (19.41%), disorders of sebaceous and sweat glands (13.10%), papulosquamous diseases (6.31%), hypersensitivity syndromes (5.82%), disorders of pigmentation (5.33%), disorders of hair and nail (3.39%), cutaneous tumor and tumor syndromes (1.94%), vascular disorders (1.45%), disorders of cornification (0.97%), photo-dermatoses(0.97%), histiocytosis and malignant skin tumors (0.48%), and miscellaneous (0.48%). Dermatoses according to age were neonatal (0.97%), infant (4.36%), toddlers (9.70%), preschool (18.44%), school-age-children (30.58%), and adolescents (35.92%).
 Conclusions: Skin infections and infestations being the majority explains the status of developing countries like India. This study can help identify (or diagnosing) and treating common dermatological conditions in children and this would also sensitize our fellow paediatricians to this common but often neglected aspect of childcare.","PeriodicalId":39140,"journal":{"name":"Journal of Nepal Paediatric Society","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136071663","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}
Md Habibullah SK, Bijan Saha, Ashadur Zamal, Sayantan Saha
Fracture of umbilical venous catheters is a serious uncommon complication. We are reporting a 31+4 week male neonate weighing 1390 gm with a broken umbilical venous catheter and successful retrieval of the catheter by an open surgical technique.
{"title":"Retrieval of Broken Umbilical Venous Catheter Fragment in a VLBW Neonate","authors":"Md Habibullah SK, Bijan Saha, Ashadur Zamal, Sayantan Saha","doi":"10.60086/jnps500","DOIUrl":"https://doi.org/10.60086/jnps500","url":null,"abstract":"Fracture of umbilical venous catheters is a serious uncommon complication. We are reporting a 31+4 week male neonate weighing 1390 gm with a broken umbilical venous catheter and successful retrieval of the catheter by an open surgical technique.","PeriodicalId":39140,"journal":{"name":"Journal of Nepal Paediatric Society","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136072016","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}
None Anvesha, B M Vashisht, Arup Saha, None Jyotsana, None Pratibha
Introduction: Hand washing with soap (HWWS) is one of the single most cost-effective public health interventions. HWWS is effective in reducing diarrhea and can reduce its risk up to 48% and acute respiratory infections by more than 20%. Government of India launched Swachh Bharat Swachh Vidyalaya program, which also provided guidelines for hand washing i.e., availability of soap at hand washing stations, hand washing to be done before mid-day meal and also after use of toilet or urinal. The objective of the study was to assess knowledge and practices of hand washing among school children along with adequacy of available hand washing facilities and contributors responsible for it.
Methods: A descriptive cross-sectional study was carried out in all Government schools of Lakhan Majra block, Rohtak, Haryana, India. Thirty-Eight schools for provision of facilities and 613 students for assessing knowledge, practice and behavior change were included in the study employing stratified random sampling technique. Semi-structured interview schedule was used for data collection.
Results: All schools had hand washing facilities. Soap was available in 63.2% and 97.2% students knew benefits of hand washing while 88.9% of them were promoting it also. Less than one fifth of the students could demonstrate the correct steps of hand washing.
Conclusions: Majority of students were aware of washing hands before and after critical times. Soap availability in schools was inadequate
{"title":"Hand Washing – its Awareness and Practices Among School Children and Facilities Available in Rural Government Schools of District Rohtak, Haryana","authors":"None Anvesha, B M Vashisht, Arup Saha, None Jyotsana, None Pratibha","doi":"10.60086/jnps487","DOIUrl":"https://doi.org/10.60086/jnps487","url":null,"abstract":"Introduction: Hand washing with soap (HWWS) is one of the single most cost-effective public health interventions. HWWS is effective in reducing diarrhea and can reduce its risk up to 48% and acute respiratory infections by more than 20%. Government of India launched Swachh Bharat Swachh Vidyalaya program, which also provided guidelines for hand washing i.e., availability of soap at hand washing stations, hand washing to be done before mid-day meal and also after use of toilet or urinal. The objective of the study was to assess knowledge and practices of hand washing among school children along with adequacy of available hand washing facilities and contributors responsible for it.
 Methods: A descriptive cross-sectional study was carried out in all Government schools of Lakhan Majra block, Rohtak, Haryana, India. Thirty-Eight schools for provision of facilities and 613 students for assessing knowledge, practice and behavior change were included in the study employing stratified random sampling technique. Semi-structured interview schedule was used for data collection.
 Results: All schools had hand washing facilities. Soap was available in 63.2% and 97.2% students knew benefits of hand washing while 88.9% of them were promoting it also. Less than one fifth of the students could demonstrate the correct steps of hand washing.
 Conclusions: Majority of students were aware of washing hands before and after critical times. Soap availability in schools was inadequate","PeriodicalId":39140,"journal":{"name":"Journal of Nepal Paediatric Society","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136072028","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}
Introduction: Medical information exchanged via electronic communications to improve a patient’s clinical health status by a physician without in-patient visit is telemedicine. Control of seizures with antiepileptic drugs, reassurance for compliance to drugs, regular monitoring of adverse effects of drugs in patient with established seizure can be possible through telemedicine. The main objective of this study was to evaluate feasibility of telemedicine for follow up of children with established seizure disorder.
Methods: This study was conducted among children of age one to 16 years with an established seizure due to any cause presenting to the Paediatric Neurodevelopmental OPD of Tribhuvan University Teaching Hospital (TUTH) between October 1, 2018 and September 30, 2020. Mobile phone as a modality of telemedicine was used to inquire about seizure every month for 12 months and whenever necessary.
Results: When parameters as seizure control, total cost and time spent per hospital visit, distance to TUTH were analyzed, more than 75% caregivers were satisfied with telemedicine. Greater age, appropriate development, focal onset of seizure, normal electroencephalogram and seizure adequately controlled by single antiepileptic drug were the favorable factors in better seizure control in children using telemedicine.
Conclusions: Telemedicine for follow up of children with established seizure disorder seems to be a feasible and satisfactory option when implemented with caution and proper patient selection as it decreases unnecessary high expenses and time to hospital visit
{"title":"Feasibility of Telemedicine for Follow up of Children with Established Seizure Disorder- A Tertiary Care Center Prospective Study","authors":"Luna Bajracharya, Merina Shrestha","doi":"10.60086/jnps486","DOIUrl":"https://doi.org/10.60086/jnps486","url":null,"abstract":"Introduction: Medical information exchanged via electronic communications to improve a patient’s clinical health status by a physician without in-patient visit is telemedicine. Control of seizures with antiepileptic drugs, reassurance for compliance to drugs, regular monitoring of adverse effects of drugs in patient with established seizure can be possible through telemedicine. The main objective of this study was to evaluate feasibility of telemedicine for follow up of children with established seizure disorder.
 Methods: This study was conducted among children of age one to 16 years with an established seizure due to any cause presenting to the Paediatric Neurodevelopmental OPD of Tribhuvan University Teaching Hospital (TUTH) between October 1, 2018 and September 30, 2020. Mobile phone as a modality of telemedicine was used to inquire about seizure every month for 12 months and whenever necessary.
 Results: When parameters as seizure control, total cost and time spent per hospital visit, distance to TUTH were analyzed, more than 75% caregivers were satisfied with telemedicine. Greater age, appropriate development, focal onset of seizure, normal electroencephalogram and seizure adequately controlled by single antiepileptic drug were the favorable factors in better seizure control in children using telemedicine.
 Conclusions: Telemedicine for follow up of children with established seizure disorder seems to be a feasible and satisfactory option when implemented with caution and proper patient selection as it decreases unnecessary high expenses and time to hospital visit","PeriodicalId":39140,"journal":{"name":"Journal of Nepal Paediatric Society","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136072813","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}
Vijaykumar Pooja, BM John, Suprita Kalra, Amit Devgan
Introduction:Acute Kidney injury (AKI) is associated with poor outcomes in critically ill hospitalized children. There are very few studies on incidence of AKI based on urine output criteria of KDIGO (Kidney Disease: Improving Global Outcome) and time lag between the fall in urine output and rise in serum creatinine. This study was therefore aimed at determining the same.
Methods: A prospective study was conducted in the Department of Paediatrics of a tertiary care hospital. 171 critically ill children between one to 14 years who were admitted in PICU were enrolled. Hourly urine output and eight hourly serum creatinine levels were measured and incidence of AKI was calculated along with lag time between fall in urine output and rise in serum creatinine. Outcome of children with AKI was also studied. Data analysis was done using SPSS software version 25.0 and Microsoft excel 2007.
Results: The mean age + SD of children in the study was 5.5 years ± 3.76 with a range of one to 14 years, with 62.6 % of them being boys. The incidence of AKI in the study population was 14.62%. The mean lag time between fall in urine output and rise in serum creatinine was found to be 13.21 hours. AKI had a significant association with mortality, use of nephrotoxic drugs, inotropes and mechanical ventilation.
Conclusions: A significant number of critically ill children develop AKI and its occurrence portends a poor outcome. Utilization of the KDIGO reduced urine output criteria as a marker of AKI allows for early detection and intervention
{"title":"Incidence of Acute Kidney Injury in 1 - 14 years old Critically ill Children in a Tertiary care Center","authors":"Vijaykumar Pooja, BM John, Suprita Kalra, Amit Devgan","doi":"10.60086/jnps489","DOIUrl":"https://doi.org/10.60086/jnps489","url":null,"abstract":"Introduction:Acute Kidney injury (AKI) is associated with poor outcomes in critically ill hospitalized children. There are very few studies on incidence of AKI based on urine output criteria of KDIGO (Kidney Disease: Improving Global Outcome) and time lag between the fall in urine output and rise in serum creatinine. This study was therefore aimed at determining the same.
 Methods: A prospective study was conducted in the Department of Paediatrics of a tertiary care hospital. 171 critically ill children between one to 14 years who were admitted in PICU were enrolled. Hourly urine output and eight hourly serum creatinine levels were measured and incidence of AKI was calculated along with lag time between fall in urine output and rise in serum creatinine. Outcome of children with AKI was also studied. Data analysis was done using SPSS software version 25.0 and Microsoft excel 2007.
 Results: The mean age + SD of children in the study was 5.5 years ± 3.76 with a range of one to 14 years, with 62.6 % of them being boys. The incidence of AKI in the study population was 14.62%. The mean lag time between fall in urine output and rise in serum creatinine was found to be 13.21 hours. AKI had a significant association with mortality, use of nephrotoxic drugs, inotropes and mechanical ventilation.
 Conclusions: A significant number of critically ill children develop AKI and its occurrence portends a poor outcome. Utilization of the KDIGO reduced urine output criteria as a marker of AKI allows for early detection and intervention","PeriodicalId":39140,"journal":{"name":"Journal of Nepal Paediatric Society","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135249033","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}
Peutz-Jeghers syndrome (PJS) is a rare disease characterized by melanotic macular lesions over the pulp of fingers, in oral cavity mucosa, lips, and hamartomatous gastric and intestinal polyps. They usually present with intestinal intussusception or intestinal bleeding; gastroduodenal intussusception is an infrequent presentation. Endoscopic resection or complete surgical excision of the polyp is the treatment of choice. We here present a case of a seven year male with multiple gastric polyps presenting as gastric outlet obstruction.
{"title":"Peutz-Jeghers Syndrome Causing Gastroduodenal Intussusception : A Rare Case Report","authors":"Gyanendra Chaudhary, Sachin Agrawal, Situ Situ, Ananvay Dadu","doi":"10.60086/jnps499","DOIUrl":"https://doi.org/10.60086/jnps499","url":null,"abstract":"Peutz-Jeghers syndrome (PJS) is a rare disease characterized by melanotic macular lesions over the pulp of fingers, in oral cavity mucosa, lips, and hamartomatous gastric and intestinal polyps. They usually present with intestinal intussusception or intestinal bleeding; gastroduodenal intussusception is an infrequent presentation. Endoscopic resection or complete surgical excision of the polyp is the treatment of choice. We here present a case of a seven year male with multiple gastric polyps presenting as gastric outlet obstruction.","PeriodicalId":39140,"journal":{"name":"Journal of Nepal Paediatric Society","volume":"194 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135249034","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}
Erythema dyschromicum perstans (EDP) and Lichen planus pigmentosus (LPP) are both inflammatory disorders of pigmentation with unknown etiology and are difficult to differentiate clinically and histologicaly. There is no consensus on whether both entities are separate or belong to the same spectrum of cutaneous disorders. We present a 13 year old boy with mostly asymptomatic hyperpigmented lesions over body. The lesions were subsequently diagnosed as EDP after detailed examination and histopatholgical examination.
{"title":"Hyperpigmented Macules in an Indian boy: is it EDP or LPP ? - A Case Report","authors":"Sameeksha Chand, Anuj Malhotra","doi":"10.60086/jnps497","DOIUrl":"https://doi.org/10.60086/jnps497","url":null,"abstract":"Erythema dyschromicum perstans (EDP) and Lichen planus pigmentosus (LPP) are both inflammatory disorders of pigmentation with unknown etiology and are difficult to differentiate clinically and histologicaly. There is no consensus on whether both entities are separate or belong to the same spectrum of cutaneous disorders. We present a 13 year old boy with mostly asymptomatic hyperpigmented lesions over body. The lesions were subsequently diagnosed as EDP after detailed examination and histopatholgical examination.","PeriodicalId":39140,"journal":{"name":"Journal of Nepal Paediatric Society","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135249030","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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