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 Gennaio 2024

1) Aggiornamento - Gennaio 2024

La cellulite orbitaria in età pediatrica: una proposta di gestione diagnostico-terapeutica

Zama D, Altimari L, Ruscelli M, et al.
The incidence of orbital cellulitis in the paediatric age is around 1.6/100,000 cases per year. Most cases are mild and limited to the preseptal space; however, severe and complicated cases are possible. Paediatricians should be able to recognize high-risk adverse outcome conditions that require prompt intervention. Clinical evaluation supported by laboratory workup is the key for the diagnosis. Intraorbital and intracranial complications may be ruled out through diagnostic imaging. Depending on the extension of the infection, clinicians may choose between conservative treatment with antibiotic therapy or surgical drainage at first. The paper proposes an algorithm to aid clinicians in the management of paediatric orbital cellulitis through the description of three emblematic clinical cases observed in the Paediatric Emergency Room.

non disponibile pdf 2 MB

2) Aggiornamento - Dicembre 2023

Sarà veramente PFAPA?

Insalaco A, De Nardi L.
PFAPA syndrome (Periodic Fever, Aphthous stomatitis, Pharyngitis and cervical Adenitis) is the most common periodic fever in childhood. It is a benign self-limiting condition that may resolve spontaneously during the first years of life or within adolescence, although there is increasing evidence of cases that may persist also in adulthood. A small dose of corticosteroids is safe and effective for the management of fever episodes and can also be useful for the diagnosis. Tonsillectomy is a good option for those patients who keep presenting with disabling symptoms after the typical age.

non disponibile pdf 104 kB

3) Editoriali - Gennaio 2024

Dal dire al fare: la vaccinazione antinfluenzale

Marchetti F.

non disponibile pdf 197 kB

5) ABC - Dicembre 2023

Lesioni perianali

Burlo F, Ballaben A, Bramuzzo M, Lega S.
Anorectal diseases are quite common in children, but their management often raises uncertainty. The most frequent lesions are anal fissures, which are mainly linked to constipation. Intense strain may also lead to rectal prolapse or haemorrhoids. Perianal abscess is common in younger children, while it should arouse suspicion in case of older ones or if it is complex and recurring. Finally, perianal fistula may be a complication of Crohn's disease, which may even precede gastrointestinal symptoms by years.

non disponibile pdf 11 MB

7) Farmacoriflessioni - Aprile 2007

La terapia del croup

F. Marchetti, P. Salierno
Viral croup is the most common cause of upper airway obstruction in children from 6 months to 6 years of age. Parainfluenza virus accounts for the majority of cases. More than 80% of children have mild symptoms and in approximately 60% to 95% of children, the symptoms disappear within 2 and 5 days, respectively. Based on the results of systematic review, glucocorticoid treatment was associated with an improvement in the Westley score at 6 hours and at 12 hours. Fewer return visits and/or (re)admissions occurred in patients treated with glucocorticoids (relative risk 0.50; 0.36 to 0.70). The setting, severity of croup, route of administration (oral or nebulised) and dose, and study quality, did not influence the effectiveness of treatment. Nebulised adrenaline should be reserved for patients with moderate to severe croup. Simultaneous administration of glucocorticoid and adrenaline reduces the rate of intubation in patients with severe croup. Mist/humidified air provides no additional symptom improvement.

non disponibile pdf 414 kB

9) Casi indimenticabili - Gennaio 2024

Un male tremendo proprio lì... sulla tibia

Sambugaro D.
The author describes the case of a boy diagnosed with tibial osteoid osteoma by video chat during the lockdown

non disponibile pdf 222 kB

9) Casi indimenticabili - Gennaio 2024

Artrite che si sposta, nell'ecocardio la risposta

Ballarò G.
The case of a Swiss boy presenting with migrant arthritis and finally diagnosed with rheumatic fever is described.

non disponibile pdf 222 kB

9) Casi indimenticabili - Gennaio 2024

Anemia: sintomo o malattia?

Pentimalli E.
The author describes an intriguing case finally diagnosed with ulcerative colitis in a 20-month-old boy presenting with severe anaemia.

non disponibile pdf 222 kB

9) Casi indimenticabili - Gennaio 2024

Un vomito di troppo, un'evacuazione di meno

Cerreti M.
A typical case of a hypertrophic pyloric stenosis is presented and discussed.

non disponibile pdf 222 kB

9) Casi indimenticabili - Gennaio 2024

Crampi muscolari, iperCPKemia e fenomeno “second wind”: la malattia di McArdle

Faraguna MC, Barzaghi S, Crescitelli V, Pretese R, Fornari A, Gasperini S.
The case of a 12-year-old girl presenting with poor exercise tolerance, muscular cramps and CPK high levels is described. The diagnosis of McArdle disease was eventually made due to the classic “second wind” sign.

non disponibile pdf 222 kB