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 2025
1) Aggiornamento - Febbraio 2025
Torcicollo in età pediatrica: come orientarsi per non sbagliare
- Cruciani C, Borelli AI, Palluzzi F, et al.
- Torticollis is defined as a condition characterised by the deviation of the head to one side with the chin rotated in the opposite direction. Torticollis in paediatric age is a presenting symptom common to various underlying pathophysiological processes. It may occur at any age; indeed, there are congenital and acquired forms. The aetiology may be benign or potentially life-threatening, so knowing the main causes of torticollis is of fundamental importance. The objective of this discussion is providing the paediatrician with practical indications to orient themselves among the numerous differential diagnoses and ensure appropriate clinical management of the patient with torticollis. The first step consists in recognising the causes early and treating them promptly; the next step consists in identifying the underlying pathology and offering targeted treatment and follow-up.
184 kB2) Farmacoriflessioni - Febbraio 2025
Corticosteroidi topici nel trattamento della fimosi
- Traunero A, Scarpa MG, Tornese G.
- Phimosis is the complete or partial inability to retract the foreskin over the glans. Usually, it is a physiological condition, present from birth, and in the majority of cases resolves with variable timing during growth. Pathological phimosis occurs when the failure to retract the foreskin is caused by a distal scar tissue, secondary to recurrent balanoposthitis, trauma, or balanitis xerotica obliterans. The physiological and asymptomatic forms should not be treated as they tend to resolve spontaneously, while treatment should be reserved for its pathological or symptomatic forms, in case of balanoposthitis or recurrent urinary infections, paraphimosis and symptomatic vesicoureteral reflux or hydroureteronephrosis. This article analyses the previous studies on the use of topical steroids in the treatment of phimosis. The literature shows their high rate of efficacy in improving or resolving this condition, without significant differences between low-medium and high-potency steroids, and the absence of adverse effects. Therefore, the use of topical steroids in the distal stenotic portion of the foreskin, applied for a month (and possibly repeatable), is an optimal strategy in the initial management of phimosis, reserving surgery (circumcision) as a second-line treatment in case of failed conservative therapy.
3) La pagina gialla - Febbraio 2025
a cura di Sara Lega4) Casi indimenticabili - Febbraio 2025
Cellulite orbitaria: una diagnosi a colpo d’occhio
- Pasquali E, Iacono A, Farneti C, Romeo C, Marchetti F.
- A one-year-old girl presents with left orbital swelling during a fever after having been treated with antibiotic therapy for rhinitis and cough. The examination shows left eyelid oedema, a nearly closed eyelid fissure and mild facial asymmetry. The diagnosis is postseptal orbital cellulitis. Orbital cellulitis in children is rare but can be severe, with risks of complications such as blindness.
4) Casi indimenticabili - Febbraio 2025
Piomiosite dell’atleta: una diagnosi subdola
- Colombo D, Catalano A, Morandi F, Pedruzzi P, Colombo P.
- A 15-year-old gymnast developed a painful swelling after a training session, diagnosed as pyomyositis: an acute bacterial infection of the skeletal muscle, often caused by Staphylococcus aureus.
5) Binomi - Febbraio 2025
a cura di Alessandro Ventura6) Domande e risposte - Febbraio 2025
a cura di Giorgio Longo7) Editoriali - Febbraio 2025
8) Aggiornamento - Ottobre 2007
La splenomegalia
- M. Rabusin, F. Patarino
- The spleen in infants and children is involved in a wide variety of pathological conditions. Splenic disorders may be isolated like splenic cysts or, more frequently, due to multiorgan or systemic disease including hepatic diseases, malignancy, hemoglobinopathy, infectious diseases and storage diseases. The Authors review the role of the laboratory test, the ultrasonography and the peripheral blood smear in orienting the differential diagnosis. Invasive procedure as bone marrow aspiration, lymph node biopsy, hepatic biopsy or fine needle splenic biopsy are often warranted to estabilish the cause of splenomegaly.
9) 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.
10) Neonatologia - Febbraio 2025
La fototerapia ciclica
- Davanzo R, Cavicchioli P, Agosti M, Dani C.
- A proactive approach to the management of hyperbilirubinemia during phototherapy may help reduce mother-infant separation, maintain comfort of the newborn, reduce maternal anxiety and promote exclusive breastfeeding. Cyclic phototherapy may be part of such an approach, as it has been documented equally effective to continuous phototherapy for the treatment of neonatal jaundice, while possibly reducing the proven adverse effects of phototherapy.