Marzo 2026 - Volume XLV - numero 3
Casi indimenticabili
1DINOGMI, Università di Genova
2UOC Reumatologia, IRCCS Istituto “Giannina Gaslini”, Genova
Key words: Osteoid osteoma, Limping, Hip pain
An 11-year-old girl presented with limping and right hip pain, initially mistaken for a rheumatological disease (i.e. arthritis) due to the presence of joint fluid. Further investigations showed the real cause: an osteoid osteoma.
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Scuola di Specializzazione in Pediatria, Università di Trieste
Key words: Henoch-Schönlein purpura, Surgical acute abdomen, Isolated abdominal symptoms
The case shows that Henoch-Schönlein purpura may present with isolated abdominal symptoms and mimic a surgical acute abdomen and may sometimes lead to exploratory surgery before the typical skin manifestations appear.
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1Pediatra di famiglia, Portogruaro (Venezia)
2UOC di Pediatria e Patologia Neonatale San Donà di Piave
(Venezia)
Key words: Recurrent vomiting, Bilious vomiting, Munchausen syndrome
The paper reports the case of a 6-year-old girl obsessively brought for medical evaluation by her father due to vague symptoms and recurrent vomiting (at times biliary, documented only through photographs provided by her mother). Extensive medical investigations consistently yielded negative results. The mother levelled serious allegations against her husband (poisoning and abuse), which were later proven to be unfounded. The final diagnosis is Munchausen Syndrome by Proxy.
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Scuola di Specializzazione in Pediatria, IRCCS “Burlo Garofolo”, Università di Trieste
Key words: Cornelia de Lange syndrome, Severe sensory disabilities, Severe cavities, Gingival lesions
A 16-year-old boy with Cornelia de Lange syndrome and severe sensory disabilities presented with a sudden worsening of self-injurious behaviour. After ruling out common gastrointestinal complications associated with his condition, a thorough dental examination revealed severe cavities and gingival lesions.
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