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L’occhio (non) fa sempre la differenza: quando il sospetto clinico guida per mano la diagnosi 眼睛(并不)总能做出判断:当临床怀疑引导手部诊断时
Q4 Medicine Pub Date : 2024-05-24 DOI: 10.53126/meb43329
Andrea Biuso, Stefano Baresi, M. Agostinelli, C. Chillemi, M. Di Frenna, G. Zuccotti
The case of a 13-year-old child presenting with persistent headache and occasional vomiting is described. Diplopia and papilledema were observed. Eventually, based on an MRI, the diagnosis of idiopathic pseudotumour cerebri was made, and treatment with acetazolamide was initiated.
本病例描述了一名 13 岁儿童因持续性头痛和偶尔呕吐而就诊的情况。观察到复视和乳头水肿。最终,根据核磁共振成像,诊断为特发性假性脑瘤,并开始使用乙酰唑胺进行治疗。
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引用次数: 0
Sindrome da microdelezione 22Q11.2 22Q11.2 微缺失综合征
Q4 Medicine Pub Date : 2024-05-24 DOI: 10.53126/meb43321
L. Cazzaniga, Silvia Scupilliti, A. Selicorni
Cuore, palato, viso e immunità. Può esserci tutto o qualcosa qua e là...
心脏、上颚、面部和免疫力。这里或那里可能什么都有....。
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引用次数: 0
Cosa deve sapere oggi il pediatra del trattamento dell’epatite C nell’era dei nuovi farmaci antivirali? 在新的抗病毒药物时代,儿科医生对丙型肝炎的治疗应该有哪些了解?
Q4 Medicine Pub Date : 2024-05-24 DOI: 10.53126/meb43303
Silvio Veraldi, G. Maggiore
The treatment of hepatitis C virus (HCV) infection with the new directacting antivirals (DAAs) has dramatically modified the natural history of the HCV-related disease, eradicating the virus in over 90% of treated patients, with negligible collateral effects. The high costs of treatment, however, represent a factor that limits patients’ access to therapy and burdens the countries’ healthcare systems. In Italy the estimated cost of treatment for a naïve patient (8/12 weeks) amounts to approximately €5,500 (VAT excluded). HCV liver disease especially affects adults, in Italy the average prevalence of hepatitis C ranges between 2.4% and 3.3% in the general population. The prevalence of hepatitis C in children is significantly lower (0.15%) and the liver disease is rarely progressive in the paediatric age; however, there are not tools capable of interrupting the main route of infection, namely the vertical transmission from the infected mother. The effectiveness and great manageability of these new direct antivirals have also allowed their use in paediatrics starting from three years of age.
使用新型直接作用抗病毒药物(DAAs)治疗丙型肝炎病毒(HCV)感染,极大地改变了与 HCV 相关疾病的自然病史,90% 以上的治疗患者都能根除病毒,且副作用微乎其微。然而,高昂的治疗费用限制了患者接受治疗的机会,也加重了各国医疗系统的负担。在意大利,一名新患者(8/12 周)的治疗费用估计约为 5500 欧元(不含增值税)。丙型肝炎病毒肝病尤其影响成年人,在意大利,丙型肝炎在普通人群中的平均发病率为 2.4% 至 3.3%。丙型肝炎在儿童中的发病率要低得多(0.15%),而且在儿科年龄段,肝病很少进展;然而,目前还没有能够阻断主要感染途径(即从受感染的母亲处垂直传播)的工具。这些新的直接抗病毒药物的有效性和可控性也使得它们可以用于三岁以上的儿童。
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引用次数: 0
Le vite salvate dai vaccini negli ultimi 50 anni 过去 50 年中疫苗挽救的生命
Q4 Medicine Pub Date : 2024-05-24 DOI: 10.53126/meb43286
Federico Marchetti
Sono 154 milioni di cui 101 milioni di bambini! Progressi straordinari e emozionanti che richiedono uno sforzo congiunto, umanamente possibile, un bene per tutti, per oggi, ma ancora di più per il domani
这相当于 1.54 亿人,其中 1.01 亿是儿童!非凡而令人兴奋的进步需要我们共同努力,这是人类所能做到的,对每个人都有好处,对今天如此,对明天更是如此
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引用次数: 0
I primi anni contano 最初的岁月
Q4 Medicine Pub Date : 2024-04-24 DOI: 10.53126/meb43254
G. Tamburlini
Mettere la prima infanzia al centro di un'Europa sociale
将幼儿置于欧洲社会的中心位置
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引用次数: 0
La malattia come teatro della vita 疾病是生命的舞台
Q4 Medicine Pub Date : 2024-04-24 DOI: 10.53126/meb43265
Rita Stracquadaino
Tre toccanti storie che mettono in luce gli aspetti umani e partecipi dell’assistenza sanitaria. Una proposta editoriale di Medico e Bambino di raccogliere storie come queste per esplorare il lato umano e narrativo della nostra professione e condividere emozioni e riflessioni.
三个感人的故事,彰显了医疗保健的人性化和参与性。Medico e Bambino 的编辑建议收集这样的故事,以探索我们职业中人性和叙事的一面,并分享情感和反思。
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引用次数: 0
Le possibili complicanze neurologiche dell'infezione da rotavirus 轮状病毒感染可能引起的神经系统并发症
Q4 Medicine Pub Date : 2024-04-24 DOI: 10.53126/meb43258
Carmine Brienza, Agostino Imperatore, Michele Capasso, F. Gallicola, Maria Letizia, F. Nunziata
The Authors describe the case of a 3-year-old child presenting with clinical symptoms of encephalitis during a Rotavirus infection.
作者描述了一例 3 岁儿童在轮状病毒感染期间出现脑炎临床症状的病例。
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引用次数: 0
Difetti congeniti dell’immunità: non solo le vecchie immunodeficienze 先天性免疫缺陷:不仅是古老的免疫缺陷症
Q4 Medicine Pub Date : 2024-04-24 DOI: 10.53126/meb43219
A. Tommasini, Erica Valencic, S. Naviglio
Inborn errors of immunity are a rapidly-developing area of clinical study. Based on the description of a small set of disorders with a significant risk of infection that may be identified with a small number of lab tests, the definition has been expanded to include a broader range of diseases that may necessitate a more intricate diagnostic process involving immunological and genetic studies. In this context, the paper presents a compilation of the most prevalent and severe illnesses that should not be overlooked. Additionally, it provides valuable guidance for classifying recently identified conditions, which may manifest as more nuanced and gradual clinical presentations. Prompt identification is es- sential for timely implementation of elective treatments such as bone marrow transplantation or gene therapy in severe instances or for commencing targeted medications that can mitigate present and future hazards in other cases.
先天性免疫错误是一个发展迅速的临床研究领域。先天性免疫错误是一个发展迅速的临床研究领域。在描述了少量可通过少量实验室检测确定的具有重大感染风险的疾病的基础上,该定义已扩展到包括更广泛的疾病,这些疾病可能需要涉及免疫学和遗传学研究的更复杂的诊断过程。在此背景下,本文汇集了最流行、最严重、最不容忽视的疾病。此外,本文还为新近发现的疾病分类提供了宝贵的指导,这些疾病可能表现为更细微和渐进的临床表现。对于及时实施选择性治疗(如严重情况下的骨髓移植或基因治疗)或在其他情况下开始使用可减轻当前和未来危害的靶向药物至关重要。
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引用次数: 0
Lettere 信件
Q4 Medicine Pub Date : 2024-04-24 DOI: 10.53126/meb43216
A. Selicorni, Marina Macchiaiolo, E. Mazzoni, Luigi Memo, Roberta Onesimo, Fabrizio Faravelli, Silvia Di Michele, Giuseppe Zampino
Una sorta di manifesto sulla gestione del bambino ad alta complessità assistenziale: unità di intenti tra i professionisti per evitare sovrapposizioni, fraintendimenti e duplicazione degli interventi.
关于管理高度复杂的受照料儿童的宣言:专业人员目标一致,避免干预措施的重叠、误解和重复。
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引用次数: 0
Quando l'atassia cerebellare acuta è post-infettiva 当急性小脑共济失调是感染后遗症时
Q4 Medicine Pub Date : 2024-04-24 DOI: 10.53126/meb43259
Arianna Bedeschi
The Authors describe the case of a 2-year-old child presenting to the emergency room with vomiting and diarrhoea.The diagnosis of post-infectious cerebellar ataxia was subsequently made due to the onset of postural instability, inability to walk, and pendular oscillations while seated.
作者描述了一例因呕吐和腹泻到急诊室就诊的 2 岁儿童的病例。由于开始出现姿势不稳、无法行走以及坐着时下垂摆动,随后被诊断为感染后小脑共济失调。
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引用次数: 0
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