Gennaio 2001 - Volume XX - numero 1
Pagine elettroniche
1Pediatri di famiglia, Roma;
2Servizio di Chirurgia, Ospedale Pediatrico “Bambino Gesù” IRCCS, Roma
Key words: Phimosis, Steroids, Circumcision, Paediatrician
Verifying the long term (six months) efficacy and the appropriateness of treating boys, to whom circumcision had been recommended, with steroid ointment. 7 primary care paediatricians referred 49 boys with suspected phimosis to surgical examination; in 45 cases the diagnosis was confirmed and circumcision was recommended. 41 families accepted the treatment with 0.05% betamethason ointment twice a day for a month. Two controls were done: at 30 and 180 days. At the end of the 30 days control, good retraction of the foreskin was present in 36 boys, with 4 recurrences at the follow-up. According to the sensitivity analysis, the success rate was 68.9%. Topical treatment with steroid ointment is safe, effective and inexpensive; it can be prescribed by the primary care paediatrician, before referral to a surgeon.
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Pagine elettroniche
Ospedale per Bambini SS. Annunziata, Napoli
Key words: Naphazoline, adverse effects; Nasal drops
Case report: a 6. 5 year - old female, after instillation of naphazoline as nasal drops, undergoes severe central nervous system depression. A sudden onset of a deep sleep as well as psycomotor disorders are a characteristic onset of the sintomatology. Nasal vasoconstrictors which contain imidazolin derivatives should be discouraged in childhood, above all in infancy.
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