Rivista di formazione e aggiornamento di pediatri e medici operanti sul territorio e in ospedale. Fondata nel 1982, in collaborazione con l'Associazione Culturale Pediatri
Gli articoli più visti nel mese di Maggio 2021
1) Consensus - Febbraio 2021
Gestione del Covid-19 in età pediatrica: documento di consenso
- Gruppo di Lavoro su Covid-19 in Pediatria della Regione Emilia-Romagna (RE-CO-PED)
- Coronavirus disease 2019 (COVID-19) caused by SARS-CoV-2 has rapidly spread, becoming the first pandemic of the 21st century by death toll. Children appear to be less affected than adults, with a milder clinical presentation and a significantly lower mortality rate. However, serious complica-tions can occur in childhood, such as COVID-19 temporally related multisystem inflammatory syn-drome (MIS-C). Some aspects of SARS-CoV-2 infection in children and adolescents remain un-clear and the optimal treatment has not been defined. The Working Group on COVID-19 in Paediatrics of the Emilia-Romagna Region (RE-CO-PED) has produced a consensus document with practical recommendations based on a systematic review of the literature and on the clinical experi-ence of the expert group. Evidence is reported regarding prevention measures, diagnostic tools as well as home and hospital therapeutic management of complicated cases (MIS-C). The educational and psychological effects of the pandemic in the paediatric and adolescent age are reported, with the need to define coordinated interventions (between paediatricians, neurospychiatrists, psycholo-gists and educational services) for the prevention and treatment of documented emotional, relational and educational consequences caused by the lockdown, school closures and social distances.
933 kB2) La pagina gialla - Maggio 2021
a cura di Alessandro Ventura
3) Editoriali - Aprile 2021
Bambini che (non) vanno a scuola: prima e dopo il Covid
- Abbracciavento G
3) Editoriali - Aprile 2021
Sequele post-acute da SARS-CoV-2 (PASC): ovvero il lungo inverno del Covid-19
- Peri F, Tommasini A
4) Aggiornamento - Aprile 2021
Le sindromi autoinfiammatorie: quando non è solo PFAPA
- Tommasini A, Lepore L
- PFAPA (Periodic Fever, Aphthous Stomatitis, Pharyngitis and Adenitis) is the most common self-inflammatory disorder in children. The diagnosis of PFAPA is easy, based on Thomas criteria, and the prognosis is good. Differential diagnosis with hereditary periodic fever syndromes (Familial Mediterranean Fever, Mevalonate Kinase Deficiency, TRAPS and CAPS) should be considered only in the presence of red flags such as early onset, severe abdominal complaints, arthritis and severe rashes. Some patients may present distinct clinical entities with periodic fevers that neither meet PFAPA criteria nor hereditary periodic fever syndromes genotypes. Subjects with these “Undifferentiated Periodic Fever” may respond to glucocorticoids or colchicines or to anakinra in the most severe cases and still have an undetermined prognosis.
5) Problemi correnti - Maggio 2021
Ginocchio valgo punto per punto: quello che deve sapere il pediatra
- Genovese MRL, Vittoria F, Grasso R, Barbi E, Carbone M
- Knee valgus is one of the most frequent paediatric orthopaedic problems based on the evaluation by the paediatricians. Most cases are physiological variants that resolve spontaneously with growth, however pathological cases require surgical treatment. Therefore, the paediatrician must know how to distinguish between the two entities from the beginning, sending the child to the specialist when necessary, thus respecting the correct timing for treatment. The most frequent condition is idiopathic knee valgus, which occurs when the physiological variant persists after the age of 8 without spontaneous resolution. Children who always need specialist evaluation are those who on physical examination show a tibiofemoral angle greater than 15° with an intermalleolar distance of about 10 cm that persists beyond 10 years of age. The gold standard treatment in these children is growth-guided hemiepiphysiodesis, namely a simple and minimally invasive procedure that reshapes the altered angle of the knees through the application of the 8-plate. The correction is based on the presence of residual growth of the physical cartilages, therefore it should not be performed too late, but not before 10 years of age.
9) La pagina gialla - Aprile 2021
a cura di Alessandro Ventura10) Aggiornamento - Maggio 2021
La tecnologia genetica: ciò che ogni pediatra dovrebbe sapere
- Mariani M, Cianci P, Cereda A, et al.
- Availability of genetic tests has remarkably increased in the last few years. The new technologies offer clinicians new diagnostic opportunities that enable to save time and money in the diagnostic path of patients with possible genetic disease. Also from a patient’s perspective the application of the new tests significantly improves what has been called “diagnostic odyssey”. For all these reasons it is absolutely important that paediatricians become aware of what can be offered to their patients as well as of the increased diagnostic potentialities but also of the well-known limits and possible doubtful results of these tests.