Novembre 2011 - Volume XXX - numero 9

Medico e Bambino


Pagine elettroniche

Prevalenza di malattie rare fra gli assistiti dei pediatri di libera scelta di un distretto sanitario torinese

Mara Fanì1, Mauro Balani2, Giovanna Bottero Seminario2, Giovanni Grillone2, Claudio Imperiale2, Lamberto Pastorin2, Ugo Sala2, Renata Stella2, Kaveh Tavassoli2, Elena Tempesta2, Anna Vighetti2, Silvia Ferro3, Giulio Benna4

1Direttore del Distretto 2, ASL TO 1
2Pediatri di libera scelta del Distretto 2, ASL TO 1
3Responsabile s.s.d. Igiene e Organizzazione per il Superamento dell’Invalidità, ASL TO 1
4Referente aziendale Registro malattie rare, ASL TO 1

Indirizzo per corrispondenza: mara.fani@aslto1.it

Key words: Rare diseases, Prevalence, Health planning, Family paediatricians

Objectives - To detect the prevalence of rare diseases among the patients of family paediatricians in a health district in Turin, with particular regard to children under 15.
Methods - Research carried out through the analysis of computerized clinical records of the patients, selecting all the codes of rare disease, and through the comparison with free health care and some data of prosthetic service.
Results - The number of detected rare illnesses was far greater than the one for which free health care is provided. Celiac, instead, resulted to be the same number as prosthetic service. Free health care provided for rare disease compared to the whole resident population under 15 is 10.3 per thousand and corresponds to 118 patients. However, by analysing the survey carried out by family paediatricians on their patients under 15, it results that there are 161 rare diseases distributed in 158 patients.
Conclusion - The work was part of the Programme of Local Activities and has contributed to update both the regional register of rare diseases and the evaluations regarding the support organization of the Department of maternal and child’s health.

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M. Fanì, M. Balani, G. Bottero Seminario, G. Grillone, C. Imperiale, L. Pastorin, U. Sala, R. Stella, K. Tavassoli, E. Tempesta, A. Vighetti, S. Ferro, G. Benna Prevalenza di malattie rare fra gli assistiti dei pediatri di libera scelta di un distretto sanitario torinese. Medico e Bambino 2011;30(9):601-602 https://www.medicoebambino.com/?id=1109_601.pdf

Pagine elettroniche

Linfadenite atipica con Mantoux e Quantiferon positivi: descrizione di un caso

Sara Ciccone1, Doriana Lacorte1, Michela Cappella1, Carlotta Farneti1, Cristina Malaventura1, Domenico Saggese2, Irene Pelligra2, Roberta Burnelli1

1Clinica Pediatrica, Azienda Ospedaliero-Universitaria S. Anna, Ferrara
2Dipartimento di Chirurgie Specialistiche e Anestesiologia, UO di Otorinolaringoiatria, Azienda Ospedaliero-Universitaria S. Orsola-Malpighi, Bologna

Indirizzo per corrispondenza: dorianalacorte@libero.it

ATYPICAL LYMPHADENITIS PRESENTING WITH POSITIVE MANTOUX AND QUANTIFERON: DESCRIPTION OF A CASE

Key words: Lymphadenitis, Atypical mycobacterial infection, Tuberculin skin test, Quantiferon

Atypical mycobacterial infections are a common cause of chronic cervicofacial lymphadenitis especially in 1-5 yearold children. Although tuberculous mycobacterial adenitis are less frequent among this age group, it is important to consider them in the differential diagnosis, because of the increasing incidence of tuberculosis even in Developed Countries. Considering the high sensitivity and specificity of Tuberculin skin test and Quantiferon, these tests are normally performed to exclude Tuberculosis. The Authors report and discuss the case of a patient with Atypical Mycobacterial Adenitis of parotid gland, positive Tuberculin skin test and Quantiferon but with definitive diagnosis of Mycobacterium avium lymphadenitis.

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S. Ciccone, D. Lacorte, M. Cappella, C. Farneti, C. Malaventura, D. Saggese, I. Pelligra, R. Burnelli Linfadenite atipica con Mantoux e Quantiferon positivi: descrizione di un caso. Medico e Bambino 2011;30(9):601-602 https://www.medicoebambino.com/?id=1109_601.pdf


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