Febbraio 2006 - Volume XXV - numero 2
Pagine elettroniche ; Ricerca
1SOC Pediatria, Ospedale SS Pietro e Paolo, Borgosesia, ASL 11
2Direzione Programmazione Sanitaria, Regione Piemonte
3SOC Laboratorio Analisi, Ospedale S. Andrea, Vercelli, ASL 11
4SCDU Pediatria, Dip. di Scienze Mediche, Università del Piemonte Orientale, Novara (l’elenco di tutti i partecipanti allo studio è riportato on line)
Indirizzo per corrispondenza: pediatria.borgosesia@asl11.piemonte.it
Key words: Children, Non-Caucasian, Immigrants, Nutritional rickets, Prophylaxis
In recent years, the number of children with nutritional rickets has increased in industrialized countries. The vast majority of these cases were born from immigrants and/or non-Caucasians. We conducted a retrospective study on all children discharged from the paediatric wards with diagnosis of rickets in 2000-2002 in Piedmont. Ninety-nine children were traced: 95% were either sons of immigrated parents or of non-Caucasians, 97% were breastfed and none received vitamin D supplementation during the first year of life. We suggest that all newborns of immigrant/non-Caucasian couples should receive vitamin D prophylaxis (as stated from the Italian National Health System) and that its compliance during the first year of life should be closely monitored. In addition we recommend that oral vitamin D supplementation is extended to pregnant immigrant women to increase their vitamin D intake and to expand fetus and newborn reserves.
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Pagine elettroniche ; Caso Contributivo
1Clinica Pediatrica, IRCCS “Burlo Garofolo”, Trieste;
2UO di Radiologia, IRCCS “Burlo Garofolo”, Trieste
Indirizzo per corrispondenza: evadadalt@hotmail.com
Key words: oint pain, Periosteal reaction, Recurrent chronic osteomyelitis, Pamidronate, Methotrexate
We report the case of an 11 years old child with recurrent joint pain associated with fever and multifocal bone involvement, which developed in the course of a couple of years. X-rays showed a significant periosteal reaction, allowing the diagnosis of recurrent multifocal osteomyelitis (CRMO). Two bone biopsies were performed to rule out a malignanc. The second biopsy was performed at a time when the clinical diagnosis was reasonably sure. The diagnostic challenges and therapeutic issues of this condition are discussed.
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Pagine elettroniche ; Caso Contributivo
Pediatra di famiglia, Roma
Indirizzo per corrispondenza: paolo.meglio@fastwebnet.it
Key words: Clavicle congenital pseudarthrosis, Omerus fracture
We report the case of the congenital pseudarthrosis of the clavicle (PAC) in a female child aged 1 year and 9 months. PAC is a rare disease which is normally present at birth even though diagnosis may sometimes be delayed due to the absence of the characteristic painless mass or swelling over the clavicle. In PAC, the two primary ossification centres fail to unite, and sometimes the two resulting portions of the clavicle are connected by a fibrous bridge, contiguous with the periosteum, and a synovial membrane develops. Usually the patient has no history of trauma, and shoulder and arm movements are normal. In this case, PAC was diagnosed following a trauma that caused the omerus fracture and the rupture of the fibrous bridge between the two portions of the clavicle. The aetiology, clinical findings, and therapy of PAC are discussed.
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