Dicembre 2009 - Volume XXVIII - numero 10
Pagine elettroniche ; Caso Contributivo
1Scuola di Specializzazione in Pediatria, Università di Trieste
2UO di Pediatria, Ospedale “M. Bufalini”, Cesena
Indirizzo per corrispondenza: bramuzzo@tiscalinet.it
Key words: Blue baby syndrome, Methemoglobinemia, Nitrate intoxication
Nitrate intoxication caused by vegetables consumption is an unusual cause of methemoglobinemia in infancy. The skin colour becomes blue and the Hb desaturation can be fatal. We report the case of a 7-month girl who was intoxicated by chards and two additional cases in which the condition was caused by carrots or by well water. A high index of suspicion is the most important factor in diagnosis.
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Pagine elettroniche ; Caso Contributivo
UOC di Pediatria. Azienda Ospedaliera di rilievo nazionale “Antonio Cardarelli”, Napoli
Indirizzo per corrispondenza: francesco.demaddi@ospedalecardarelli.it
Key words: Stevens-Johnson syndrome, Severe cutaneous drug reactions, Chinese drugs
Stevens-Johnson syndrome (SJS) is an immunecomplex-mediated hypersensivity. Paediatric case is more often related to a reaction to a drug or to infections. SJS typically involves the skin and the membranes. Lesions may become bullous and later rupture leaving denuded skin. The Authors describe a case of SJS in a three-year-old Chinese child with severe involvement of oral and mucous membranes. The serology of most common implicated organism was negative. Chinese drugs were incriminated in this case of SJS. The patient responded to IVIg infusion.
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