Nutritional Rickets with Severe Complications in Syrian and Iraqi Refugee Children

We investigated the presence of nutritional rickets in Syrian andIraqi refugee infants who presented to hospital in Turkey in 2017.25(OH)D levels were examined in 77 refugee children. Nutritionalrickets was diagnosed in 22 (28.5%) children; 11 patients withrickets did not follow up

A Rare Cause of Swelling and Pain in Extremities in Children: Complex Regional Pain Syndrome

Complex regional pain syndrome is a condition of uncertainetiology characterized by spontaneous or stimulus-induced painthat is out of proportion to the inciting event. We report a 14-year-7-month-old girl with swelling of the left hand and wrist, wasdiagnosed as complex regional pain syndrome. The patient wastreated successfully with physical therapy and non-steroidalanti-inflammatory drugs. This condition should be kept in mind inthe differential diagnosis of musculoskeletal non-inflammatoryand inflammatory pains

Características demográficas de pacientes con enfermedad de pie-mano-boca. Serie de casos atípicos / Demographic characteristics of patients with hand-foot-and-mouth disease. Atypical cases series

La enfermedad de pie-mano-boca es un exantema frecuente en la niñez. Se han descrito varios tipos de lesiones de distribución generalizada en casos atípicos, aunque los datos sobre la predilección respecto de la localización de estas lesiones son insuficientes. Nuestro objetivo fue describir las características demográficas de los pacientes con esta enfermedad y caracterizar las localizaciones de las lesiones en pacientes con erupciones atípicas, tratadas en un centro ambulatorio de dermatología de un hospital pediátrico, entre noviembre de 2011 y agosto de 2013. Se incluyen a 67 pacientes en el estudio. La edad media de los pacientes fue de 34 meses con predominio de varones (60%). Todos los pacientes tuvieron erupciones en la boca, las manos y los pies. Los niños <24 meses se vieron afectados en la zona cubierta por el pañal y las extremidades, con un compromiso significativamente mayor en los que tenían entre 24 y 48 meses y en los >48 meses (p <0,0001 y p= 0,011, respectivamente). Ninguno de los pacientes tuvo complicaciones sistémicas graves.

Hand-foot-and-mouth disease (HFMD) is a common childhood exanthem. Various types of lesions and widespread distribution in atypical cases have been described, but data on the predilection of lesion localizations in atypical cases are insufficient. We aimed to describe the demographic features of patients with HFMD, and to characterize lesion localizations in patients with atypical eruptions treated at an outpatient dermatology clinic of a pediatric hospital, between November 2011 and August 2013.The study included 67 patients. Mean age of the patients was 34 months and there was a male predominance (60%). All the patients had eruptions on hands, feet, and mouth. Children aged <24 months had involvement of the diaper area and extremities, which was significantly higher than those aged 24-48 months and >48 months (P < 0.0001 and P= 0.011, respectively). None of the patients had serious systemic complications.