[Congenital tracheal stenosis about a case report]

The congenital tracheal stenosis is a very rare malformation in the child and it is potentially lethal. The diagnosis is difficult and we note the absence of therapeutic standardisation. We report a new observation of a 4 months old child, presenting since the birth a wheezing with accesses of polypnea and cyanosis, with progressive aggravation. He was hospitalized for acute respiratory distress. The physical examination found an eutrophic infant, with a fever at 38°C, polypnea, and a stridor with sibilants at the pulmonary sounding. The initial diagnosis was a severe bronchiolitis and the child had a symptomatic treatment with respiratory kinesitherapy. The evolution was marked by the persistence of an intense dyspnea with expiratory stridor. A laryngotracheoscopy found a larynx of normal aspect but presence of a tight tracheal stenosis located at 1cm of the hull and extended on 1 cm heigh. A helicoid thoracocervical CT scan confirmed the tracheal stenosis and eliminated an extrinsic compression tracheal. The initial therapeutic attitude consisted on several attempts of installation of a tube T of Montgomery but without success. The child was maintained in artificial ventilation by tracheotomy for 3 months. A surgical treatment [resection anastomosis of the tracheal stenosis] was made in front of the absence of other therapeutic alternatives. A control by CT scan [3 mois post operative] didn't show any abnormalities. The congenital tracheal stenosis requires an early diagnosis and a multidisciplinary treatment

[Glucose transporteur type 1 deficiency: a mild form]

Glucose transporter type 1 deficiency is a rare but curable disease whose real frequency is probably under estimated. This defect is responsible df reduced glucose brain supply across the blood-brain barrier. We report a mild form of GLUT1 deficiency suspected in al 9 months old boy when low cerebrospinal fluid rate glucose had persisted several months after recovery from presumed viral meningitis. GLUT 1 deficiency should be evoked in any child with delayed milestones development or seizures of unclear cause. The sole effective treatment is based on ketogenic diet

[Renal osteodystrophy in children: about 26 cases]

The authors reported 26 cases of osteodystrophy in witch 10 girls and 16 boys aged between 3 and 22 years. 9 patients are asymptomatic, 5 have bone pain and 6 with lower member distortion. The hypocalcaemia is recovered at 7 patient, the hyperphosphoremia at 17 and the increase of the alkalin phosphatases at 20. The PTH is constantly increased. The x-ray standard shows geodes in 8 cases, a reduction of the transparency in 9. All patient received substitutive treatment. The evolution is marked by a stabilization or improvement of lesions in 20 cases and an aggravation at 6

[Kaposi-juliusberg's syndrome complicating atopic dermatitis]

Kaposi-Juliusberg dermatitis is a severe infection of the skin caused by herpes simplex virus. It occurs, most often, in the presence of another skin disease such as eczema. We report the case of a 12 month old boy who was previously examined for atopic dermatitis treated by topic steroids. He was admitted in a general pediatric unit for a diffuse vesicular and ulcero-necrotic eruption which was extremely severe and hemorrhagic in the face. Buccal mucosis was also ill. The lesions were accompanied by high fever and wirse general state. Kaposi's dermatitis was highly suspected and the boy was so treated with parenteral Zovirax and topic product for three weeks. An uneventful recovery within one month