Bronchiolitis with montelukast; to determine improvement in symptoms in 02 months to 02 years old children

To assess the efficacy of montelukast in children with bronchiolitis. Experimental-Preventive. Pediatrics department Allied/DHQ hospital affiliated with Punjab Medical College, Faisalabad, from 1[st] Nov 2007 to 30[th] April 2008. One hundred children of bronchiolitis were studied in two equal groups, group A and group B. To group A montelukast along with symptomatic treatment was given. Group B was given only symptomatic treatment. The criteria of treatment efficacy was taken as number of symptoms free days and nights, bronchiodilator rescue therapy, duration of hospital stay and complications like worsening of symptoms, ventilatory support and side effects of drug therapy. Symptoms free days were increased in group A as compare to group B [P value = 0.000] whereas duration of symptoms free nights were significant numerically but not statistically. There was a significant reduction in exacerbations [P = 0.046] and use of rescue therapy [beta 2-agonist] in group A. Leukotriene receptor antagonist [LRTA] reduced the duration and severity of lung symptoms in children with Bronchiolitis

Cutaneous vascular anomalies pattern in neonates and infants

To analyze the patterns of cutaneous vascular anomalies in neonates and infants. To identify the complications arising in various vascular lesions. A descriptive hospital based observational study. Dermatology and pediatric department of DHQ and Allied Hospital PMC, Faisalabad From 1 Feb 2005 to 31 January 2006. 72 consecutive newborns and infants of either sex having any vascular anomaly on cutaneous areas were included in the study. The information regarding size, site, type of lesions, sex of patients, with family history and any complication were recorded on a proforma prepared for this study. Out of 72 infants 25 were male [35%] and 47[65%] were females. Family history was present in 12 cases [17%]. The commonly involved sites were head and neck 45 [62.5%], trunk 18[25%] and upper limb 9[12.5%]. In 59 children [82%] it was single and in 13[18%] the lesions were multiple. The complications observed were ulceration in 13[18%], infection in 8[11%], haemorrhage in 3[4%] and visual impairment in 4[5%], while 56[78%] had no complications