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 Marzo 2026
1) La pagina gialla - Marzo 2026
a cura di Sara Lega
66 kB2) Protocolli di diagnosi e terapia - Febbraio 2026
Anafilassi nel bambino e nell’adulto
- Elefante G, De Toro G, Gallo Afflitto I, Veneruso D, Quarantiello F, Furcolo G.
- Anaphylaxis is a sudden, severe and potentially life-threatening allergic reaction. In paediatrics, timely recognition and treatment are crucial. A synoptic chart was developed to support clinicians in emergency management, based on the updated diagnostic criteria by Dribin (2025). The chart emphasises intramuscular adrenaline as the only first-line therapy; antihistamines and corticosteroids have a secondary role. Early fluid resuscitation is highlighted as a key measure in cases of hypotension or shock. By providing clear, practical and evidence-based guidance, this tool aims to reduce delays, unify clinical practice and improve safety in the management of paediatric anaphylaxis.
3) Protocolli di diagnosi e terapia - Febbraio 2026
4) Lettere - Marzo 2026
Armi da fuoco e salute mentale dei figli: una ferita collettiva
- Lepore L, Marchetti F.
4) Lettere - Marzo 2026
Educazione sessuale: il ruolo del pediatra tra opportunità e formazione mancata
- Mozzo E, Marolla F, Tamburlini G.
5) Binomi - Febbraio 2026
a cura di Alessandro Ventura6) News box - Marzo 2026
a cura di Federico Marchetti7) Percorsi clinici - Marzo 2026
Paura in gola… ARFID in azione!
- Menghi A, Biserna L, Barbini D, Mainetti M, Marchetti F.
- Avoidant/Restrictive Food Intake Disorder (ARFID) is a recently defined eating disorder characterised by an apparent lack of interest in eating, avoidance based on sensory characteristics of food or concern about potential adverse consequences of eating (e.g. choking and vomiting), without body image disturbances. The paper reports the case of a 12-year-and-8-month-old girl referred for significant weight loss (~7 kg over 6 months) and increasing selectivity in food textures. At admission, she was severely underweight (BMI 11.96). Diagnostic criteria for ARFID (DSM-5-TR) were fully met. The case highlights the importance of the early identification and comprehensive, multidisciplinary management of ARFID.
8) La pagina gialla - Febbraio 2026
a cura di Sara Lega9) Problemi speciali - Marzo 2026
Guida essenziale alla gestione nutrizionale nello scompenso metabolico acuto in Pediatria
- Cimador V, Candela E, Pancaldi C, et al.
- Background - Inherited metabolic diseases (IMDs) are a heterogeneous group of rare disorders in which nutritional management is the cornerstone of therapy, both in chronic and acute phases. In cases of acute metabolic decompensation, the timely implementation of an emergency dietary regimen is crucial to prevent severe complications and permanent neurological damage.
Objectives - To provide non-specialist paediatricians with a practical reference on common principles and key nutritional strategies to be adopted in the acute management of IMDs, with specific adaptations according to the underlying disorder.
Materials and Methods - Narrative review based on international guidelines, reference textbooks and representative clinical cases (fatty acid β-oxidation defect and type 1 citrullinemia) aimed to illustrate both standardised and individualised nutritional approaches.
Results - According to the disorder, common general principles were identified and included: ensuring adequate energy intake, preventing prolonged fasting and temporarily limiting protein or lipid intake. The home-based “emergency regimen,” based on maltodextrin solutions with concentrations and volumes adjusted according to age, is a key tool for reducing hospitalisation risk and improving outcomes. In acute phases, temporary protein suspension with gradual reintroduction is indicated for urea cycle defects and organic acidurias, while specific lipid restriction and reduction of fasting periods are recommended for fatty acid β-oxidation defects. The clinical cases show how targeted nutritional intervention can lead to rapid clinical and metabolic improvement.
Conclusions - The knowledge and prompt application of the emergency diet along with specific nutritional adaptations are essential for managing metabolic crises in paediatric patients. The adoption of standardised protocols, combined with the training of primary care paediatricians, can significantly reduce morbidity and long-term complications in patients with IMDs.