Aprile 2012 - Volume XXXI - numero 4
Pagina verde
1Clinica Pediatrica, 2Scuola di Specializzazione in Pediatria,
Azienda Ospedaliera Universitaria Sant’Anna, Ferrara
Indirizzo per corrispondenza: desiderioelena@libero.it
Key words: Vomiting, Acute gastroenteritis, Antiemetics, Extrapyramidal disorders
Nausea and vomiting are frequent in infancy and in preschool age, particularly during gastroenteritis. Guidelines about acute gastroenteritis underline the importance of correct oral rehydration and early refeeding; the use of antiemetics is not recommended. Nevertheless, due to the importance given to this symptom, the use of these drugs is widespread and produces limited benefits if compared with their relevant side effects. The article describes the clinical cases of two patients who came to the paediatric unit for extrapyramidal syndrome due to clebopride and metoclopramide.
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Pagina verde
Dipartimento per la Salute della Donna e del Bambino, Università di Firenze, Ospedale Meyer, Firenze
Indirizzo per corrispondenza: paolo.lionetti@unifi.it
Key words: Lichen planus, Glossitis, Esophageal stenosis, Oral mucosal lesions
The Authors present the case of an 11-year-old Eritrean girl with a 3-year history of glossitis and dysphagia due to esophageal stenosis, eating difficulty and risk of malnutrition. After an extensive workout the diagnosis of Lichen Planus (LP) was made. Retrospectively the same diagnosis was then made also for her sister who had esophageal stenosis without oral active lesions. LP is a chronic inflammatory disorder of unknown etiology affecting mainly skin and the involvement of mucous membranes, hairs and nails is also possible. Although relatively common in adults, it is a rare disease in childhood, and only a few cases are reported in literature. Lichen Planus should be considered in the differential diagnosis of oral mucosal white patches in children, particularly those of Asian and African origins.
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