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Fatal Waterhouse-Friderichsen syndrome due to Neisseriameningitidis group B in a paediatric patient duringthe phone consultation era 在电话咨询时代,一名儿科患者因B组奈瑟菌性脑膜炎引起的致死性沃特豪斯-弗里德里克森综合征
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.5114/polp.2023.125063
Marta Serafin, E. Czerwińska, Marian Koźbiał, M. Leszczyński, L. Szenborn
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引用次数: 0
Personalized multi-marker panel in the risk assessment of atopic dermatitis phenotypes in children 儿童特应性皮炎表型风险评估的个性化多标记面板
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.5114/polp.2023.128063
V. Dytiatkovskyi, O. Abaturov, V. Dosenko, T. Drevytska, T. Lapikova-Bryhinska, Nataliya Naumenko, O. Alifirenko
Introduction: This paper reports the study of a combined genetic and biomarker panel for assessing the risk of development of different phenotypes of atopic dermatitis (AD) in children: alone and combined with other atopic disorders (AtD) – allergic rhinitis/rhino-conjunctivitis (AR/ARC) and bronchial asthma (BA). The aim was to establish a personalized diagnostic multi-marker panel for assessing the developmental risk of different AD phenotypes in children combining single nucleotide polymorphism (SNP) rs_7927894 filaggrin (FLG) genotype variants, serum levels of total immune globulin E (IgE), cutaneous T-cell attracting chemokine (CTACK/CCL27) and thymus and activation regulated chemokine (TARC/CCL17). Material and methods: The study recruited patients aged 3–18 years old: 39 atopic patients to the main group and 47 non-atopic patients to the control group. All the patients were tested for SNP variants of rs_7927894 FLG and serum concentrations of total IgE, CTACK/CCL27 and TARC/CCL17. Results: Within AD alone phenotype patients we detected the following significant risk ratios: cytosinethymine (C/T) rs_7927894 FLG [odds ratio (OR) = 4.14, p < 0.05], total IgE > 173 IU/ml (OR = 8.98, p < 0.001), CTACK/ CCL27 > 3658.5 pg/ml (OR = 5.64, p < 0.01). Atopic disorders combined with other AtD phenotype: C/T rs_7927894 FLG (OR = 2.88, p < 0.05), total IgE > 213 IU/ml (OR = 136.7, p < 0.001), CTACK/CCL27 > 4308.8 pg/ml (OR = 7.40, p < 0.001). With AD combined with other AtD collated to AD alone – total IgE > 1001 IU/ml (OR = 16.0, p < 0.001). TARC/CCL17 had no significant differences among main and control groups. Conclusions: Cytosinethymine rs_7927894 FLG variant combined with cut-off serum IgE and CTACK/ CCL27 levels is a novel significant personalized multi-marker panel for assessing the risk of development of the different AD phenotypes in children.
本文报道了一项联合遗传和生物标志物小组的研究,用于评估儿童特应性皮炎(AD)不同表型的发展风险:单独或合并其他特应性疾病(AtD) -变应性鼻炎/鼻结膜炎(AR/ARC)和支气管哮喘(BA)。目的是结合单核苷酸多态性(SNP) rs_7927894聚丝蛋白(FLG)基因型变异、血清总免疫球蛋白E (IgE)、皮肤t细胞吸引趋化因子(CTACK/CCL27)和胸腺及激活调节趋化因子(TARC/CCL17)水平,建立一个个性化的多标记诊断面板,以评估不同AD表型儿童的发育风险。材料与方法:本研究招募年龄在3-18岁的患者,其中特应性患者39例为主要组,非特应性患者47例为对照组。所有患者均检测rs_7927894 FLG SNP变异和血清总IgE、CTACK/CCL27和TARC/CCL17浓度。结果:在AD单独表型患者中,我们检测到以下显著风险比:胞嘧啶胸腺嘧啶(C/T) rs_7927894 FLG[比值比(OR) = 4.14, p < 0.05],总IgE > 173 IU/ml (OR = 8.98, p < 0.001), CTACK/ ccl27> 3658.5 pg/ml (OR = 5.64, p < 0.01)。特应性疾病合并其他AtD表型:C/T rs_7927894 FLG (OR = 2.88, p < 0.05),总IgE > 213 IU/ml (OR = 136.7, p < 0.001), CTACK/CCL27 > 4308.8 pg/ml (OR = 7.40, p < 0.001)。当AD合并其他AtD时,总IgE为10101iu /ml (OR = 16.0, p < 0.001)。TARC/CCL17在主要组和对照组之间无显著差异。结论:胞嘧啶胸腺嘧啶rs_7927894 FLG变异结合血清IgE和CTACK/ CCL27水平是评估儿童不同AD表型发展风险的一种新的、有意义的个性化多标记指标。
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引用次数: 0
Cough as a symptom of respiratory infection or a rare cardiological pathology in an infant 咳嗽作为呼吸道感染的症状或婴儿罕见的心脏病病理
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.5114/polp.2023.130846
Anna Chanas, Klaudia Obsznajczyk, B. Kucińska, Bożena Werner
Congenital coronary artery anomalies are rare and represent 0.24–0.46% of all congenital heart defects. The most common is an anomaly in which the left coronary artery arises from the pulmonary artery (ALCAPA), also known as a Bland-White-Garland syndrome. Nonspecific symptoms typically appear at 2–3 months of age. We present the case of a 10-week-old boy admitted to the hospital due to cough and dyspnea, with suspicion of a respiratory tract infection with no clinical improvement after standard therapy. The chest X-ray revealed cardiomegaly. The electrocardiogram showed signs of anterolateral infarction. Echocardiography revealed signs of dilatated cardiomyopathy and color Doppler was of great value in establishing a final diagnosis. After confirming the diagnosis of ALCAPA in computed tomography angiography, the patient was operated on, with a good outcome.
先天性冠状动脉异常是罕见的,占所有先天性心脏缺陷的0.24-0.46%。最常见的是左冠状动脉起源于肺动脉(ALCAPA),也被称为Bland-White-Garland综合征。非特异性症状通常在2-3个月大时出现。我们报告一例10周大的男孩因咳嗽和呼吸困难而入院,怀疑呼吸道感染,经标准治疗后无临床改善。胸部x光片显示心脏肿大。心电图显示前外侧梗塞的征象。超声心动图显示扩张型心肌病的征象,彩色多普勒对最终诊断具有重要价值。经计算机断层血管造影确诊为ALCAPA后,手术治疗,预后良好。
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引用次数: 0
Blood group relevance for the newborn – the ABO system and neonatal diseases 血型相关性的新生儿- ABO系统和新生儿疾病
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.5114/polp.2023.125423
Izabela M Cendal, B. Królak-Olejnik
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引用次数: 0
Psychological and functional problems of children and adolescents with cerebral palsy from the neurodevelopmental perspective 从神经发育角度看儿童和青少年脑瘫的心理和功能问题
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.5114/polp.2023.128854
P. Rok-Bujko, Joanna Kawecka
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引用次数: 0
Anti-SARS-CoV-2 antibodies important in diagnostics of acute hepatitis in children 抗sars - cov -2抗体在儿童急性肝炎诊断中的重要意义
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.5114/polp.2023.125696
M. Pawłowska, J. Moppert, Małgorzata Sobolewska-Pilarczyk
The most common causes of acute hepatitis in children are hepatitis A and autoimmune hepatitis. Hepatitis in the course of Wilson's disease is sporadically registered in adolescents. An increase of activity of aminotransferases both in the course of multisystem inflammatory syndrome in children (MIS-C) and in the course of COVID-19 has been observed. Hepatitis is common in children with MIS-C and is associated with a more severe presentation and persistent elevation of liver function tests. To date, no cases of acute hepatitis in children due to COVID-19 have been reported. We present 2 cases of acute hepatitis in children where the only cause seems to be a previous asymptomatic SARS-CoV-2 infection.Copyright © 2023 Termedia Publishing House Ltd.. All rights reserved.
儿童急性肝炎最常见的病因是甲型肝炎和自身免疫性肝炎。肝豆状核变性过程中的肝炎在青少年中偶有发生。在儿童多系统炎症综合征(MIS-C)和COVID-19过程中观察到转氨酶活性升高。肝炎在患有misc的儿童中很常见,并且与更严重的表现和肝功能检查的持续升高有关。迄今为止,尚未报告因COVID-19引起的儿童急性肝炎病例。我们报告了2例儿童急性肝炎,其中唯一的原因似乎是以前无症状的SARS-CoV-2感染。版权所有©2023 Termedia出版社有限公司版权所有。
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引用次数: 0
Significance of anti-endothelial cell antibodies in paediatrickidney transplant recipients 抗内皮细胞抗体在儿童肾移植受者中的意义
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.5114/polp.2023.125388
Mervat Ismail, F. Fadel, A. Rashad, Doaa M. Salah, M. Rasheed, N. Kantoush, Mona H. Ibrahim, M. Kafoury, Manal F Elshamaa
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引用次数: 0
Functional annotation of lactase gene and its distal enhancer MCM6 for prediction of metabolically unhealthy obesity 乳糖酶基因及其远端增强子MCM6预测代谢不健康肥胖的功能注释
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.5114/polp.2023.126132
A. Abaturov, A. Nikulina
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引用次数: 0
Acquired thrombotic thrombocytopaenic purpura of an atypical, oligosymptomatic course in an adolescent girl – case report 获得性血栓性血小板减少性紫癜的一个不典型,少症状的过程中,在青春期的女孩-个案报告
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.5114/polp.2023.127966
Grażyna Waśka, Weronika Fijałkowska, Marta Badeńska, Andrzej Badeński, Agnieszka A. Książek, R. Tomaszewska, E. Trembecka-Dubel, M. Szczepańska
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引用次数: 0
Atypical mycobacterial cervical lymphadenopathy in a 2-year-old girl 2岁女童非典型分枝杆菌性宫颈淋巴结病
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.5114/polp.2023.128800
Anna Fedorowicz, M. Pasierbek, W. Korlacki
Lymphadenopathy is a common clinical condition in the paediatric population. In 50% of cases it occurs in otherwise healthy children, and in 75% it presents as a localized form. Lymphadenopathy lasting more than 3 months is defined as chronic. Common conditions causing lymph node enlargement include infections, malignancies, and autoimmune disorders. Mycobacteria causing infectious lymphadenopathy are divided into tuberculous and non-tuberculous mycobacteria (NTM). Diagnosing mycobacterial disease is complicated, and definitive surgery is the best treatment option for NTM cervicofacial lymphadenitis. We present a case of a 2-year-old girl with chronic cervical lymphadenopathy, eventually diagnosed as NTM infection. The diagnostic and therapeutic process was complicated, demanding an interdisciplinary approach and several surgical procedures. The treatment was supported by negative pressure therapy.
淋巴结病是儿科人群中一种常见的临床疾病。50%的病例发生在健康儿童中,75%的病例表现为局部形式。淋巴结病持续3个月以上被定义为慢性。引起淋巴结肿大的常见情况包括感染、恶性肿瘤和自身免疫性疾病。引起传染性淋巴结病的分枝杆菌分为结核性和非结核性分枝杆菌(NTM)。分枝杆菌疾病的诊断是复杂的,明确的手术是NTM颈面淋巴结炎的最佳治疗选择。我们提出一个2岁的女孩慢性颈部淋巴结病,最终诊断为NTM感染。诊断和治疗过程是复杂的,需要跨学科的方法和几个外科手术。治疗采用负压疗法。
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引用次数: 0
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Pediatria Polska
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