Gennaio 2009 - Volume XXVIII - numero 1
Pagine elettroniche
1Pediatra di famiglia, Certaldo (Firenze),
Professore a contratto della Scuola di Specializzazione in Pediatria, Università di Firenze
2Pronto Soccorso, Università di Siena
3Clinica Pediatrica, Università di Siena
Indirizzo per corrispondenza: eva.fossi@tin.it
Key words: Family paediatrician, Accident, Communication system
The present study takes into consideration the work of a family paediatrician who works in a rural area in central Tuscany. The study concerns the accidents occurred to the assisted patients in twelve months. Overall number of the accidents, child’s sex, age, place where the accident happened, the kind of accident, whether the hospitalization or particular tests were necessary, and the repeatability in the same child were considered. In one year 93 children (10% of the assisted) have had an accident. In half cases the accident occurred in their houses. In 51 cases the child has been brought to the emergency unit. Eight children have undergone surgical operations and/or diagnostic tests. The epidemiological relevance of accidents questions the communication systems used to prevent them.
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Pagine elettroniche
II Divisione Pediatrica, Ospedale SS. Annunziata, ASL Na1, Napoli
Indirizzo per corrispondenza: borrelliaurelia@libero.it
Key words: Noonan syndrome, Celiac disease, Hypertrophic cardiopathy
A 4-year-old girl has been hospitalized with abdominal pain and weight and height loss. The patient presented with dysmorphic features and an unusual congenital cardiopathy that had been diagnosed with Noonan syndrome. Lab tests, which were positive for anti-tTg antibodies and anti-endomysium, suggest a second diagnosis: the association of Noonan syndrome with celiac disease, both potentially responsible for the late growth. Actually, the exclusion of gluten from the diet will help to improve her growth and to eliminate the abdominal pain. There is, actually, another diagnosis of hypertrophic cardiopathy: the association with celiac disease has been described in this case as well. It is possible that the association with the celiac disease is due to the fact that a patient with Noonan syndrome is more susceptible to celiac disease.
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