Congenital hematometrocolpos in a circumcised girl. an anomaly superimposed by cultural mutilating practices

A rare case associated with congenital hematometrocolpos in a circumcised 13 years old Somalian girl is presented. Emphasis on proper history is highlighted. Mutilation caused by bad cultural practice of female circumcision which is although not a problem in Pakistan, is brought into notice for those who may be unaware of perineal appearance of a circumcised female and stitched over vagina

Clinical, nutritional and radiological features of pneumonia

From December, 1992 to February, 1993,100 consecutively admitted children between 2-24 months of age with pneumonia were studied. They were diagnosed and treated according to the National ARI Control Programme case management guidelines. Of the total, 74 were under one year of age. Seventeen children had very severe pneumonia, 77 severe pneumonia and 6 simple pneumonia. Sixty children had radiological evidence of pneumonia, 89 responded to standard recommended treatment and only 11% required a change of therapy. There were no deaths. Only 6 mothers of these 100 children had practiced exclusive breast feeding. Low socioeconomic status, illiteracy and malnutrition were the other risk factors. In this study all types of pneumonia were more common in children under one year of age and radiology did not appear to be essential for its diagnosis. The National ARI Control guidelines for diagnosis and management of hospitalized children are simple, useful and effective

Juvenile rheumatoid arthritis

Juvenile Rheumatoid Arthritis [J.R.A.] is a disease of children, of which joint swelling, pain and stiffness are the hallmarks and a high ESR is indicative of the continuing inflammatory process in the synovium. Permanent damage to joints may result. Correct diagnosis can only be made if the paediatrician is vigilant, as the disease may be misdiagnosed as minor trauma or rheumatic fever, or ignored altogether