Medico e Bambino
2017
Aprile 2017
numero 4
PAGINE ELETTRONICHE




Il bambino con il batticuore in Pronto Soccorso:
dalla teoria alla pratica andata e ritorno

Marco Bobbo1, Gianluca Tamaro2, Valentina Gesuete1, Biancamaria D’Agata1, Egidio Barbi1, Alessandro Ventura1,2
1IRCCS Materno-Infantile “Burlo Garofolo”, Trieste
2Università di Trieste

indirizzo per corrispondenza:marco.bobbo@burlo.trieste.it

The child with palpitations in the Emergency Unit
Key words
Cardiac arrhythmia, Paroxysmal supraventricular tachycardia, Retrospective study

Summary
Palpitations are a common cause of complaint in the paediatric population and can be a reason of serious concern for children, adolescents and parents. Despite this, palpitations are known to have a benign prognosis, but still are cause of referral to the Emergency Unit (EU). The aim of the present retrospective study was to make a review of prevalence and long-term prognosis of emergency accesses for palpitations between 2009-2015. The study was conducted in the EU of the Paediatric Hospital “Burlo Garofolo”, Italy. Despite a low prevalence of access to the EU, namely 0.1%, 96 patients in a time span of 7 years, 16.7% of patients (n=16) had an underlying arrhythmic cause for the symptom. The presence of a heart rate above 150 beats per minute was highly suggestive of cardiac arrhythmia, more often of paroxysmal supraventricular tachycardia. As far as the long-term follow-up is concerned, 10.4% of patients (n=10) received medical therapy and 6.2% (n=6) underwent transcatheter ablation for supraventricular arrhythmia. In conclusion, palpitations turned out to be an infrequent cause of access to the EU. Nonetheless, 1 out of 6 patients requires long term medical therapy or percutaneous intervention.


Vuoi citare questo contributo?
M. Bobbo, G. Tamaro, V. Gesuete, B. D’Agata, E. Barbi, A. Ventura. IL BAMBINO CON IL BATTICUORE IN PRONTO SOCCORSO: DALLA TEORIA ALLA PRATICA ANDATA E RITORNO. Medico e Bambino 2017;36:256-258 https://www.medicoebambino.com/?id=1704_256.pdf

Calprotectina elevata e polipi intestinali:
quale relazione?

Martina Mainetti1, Andrea Zucchini1, Giuliana Turlà1, Andrea Buzzi2, Federico Marchetti1
1UOC di Pediatria e Neonatologia, 2UOC di Gastroenterologia, Presidi Ospedalieri di Ravenna, Faenza e Lugo, AUSL della Romagna

indirizzo per corrispondenza:mmainetti111@gmail.com

High calprotectin and intestinal polyps: what is the relationship?
Key words
Faecal calprotectin, Juvenile polyps, Case report, Inflammatory bowel diseases

Summary
n clinical paediatric practice faecal calprotectin, a protein derived from white blood cells, is a reliable, non-invasive and easy-to-perform marker, with a high positive predictive power to identify intestinal inflammation. It is very useful for the follow-up of IBD and its main indications are the differential diagnosis between functional bowel disorders and inflammatory diseases. Intestinal bleeding lesions (determining chronic occult bleeding and/or intermittent bleeding) may be due to a high calprotectin level in asymptomatic patients, and among them the intestinal polyps are the most frequent cause. The article reports the case of an 8-year-old male with occasional increase in faecal calprotectin and the feedback to the colonoscopy of a pedunculated single polyp.


Vuoi citare questo contributo?
M. Mainetti, A. Zucchini, G. Turlà, A. Buzzi, F. Marchetti. CALPROTECTINA ELEVATA E POLIPI INTESTINALI: QUALE RELAZIONE?. Medico e Bambino 2017;36:256-258 https://www.medicoebambino.com/?id=1704_256.pdf






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