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2.
Pediatr. aten. prim ; 15(57): 65-67, ene.-mar. 2013.
Article in Spanish | IBECS | ID: ibc-111130

ABSTRACT

Se presenta el caso de un niño de cuatro años con fiebre, adenopatías y faringoamigdalitis con exantema escarlatiniforme. Se trató con amoxicilina/ácido clavulánico y evolucionó favorablemente. Se aisló Staphylococcus aureus en la faringe y dos semanas después presentó descamación en dedo de guante. Parece tratarse de una forma abortada del síndrome de escaldadura estafilocócica (AU)


We report the case of a four years old child with fever, adenopathies, pharyngitis and scarlet micropapular exanthema. He was treated with amoxicillin/clavulanic acid and he had a favourable outcome. Staphylococcus aureus was isolated from his throat. Two weeks later he presented exfoliation. It seems to be an abortive form of Staphylococcal Scalded Skin Syndrome (AU)


Subject(s)
Humans , Male , Child , Scarlet Fever/complications , Scarlet Fever/diagnosis , Scarlet Fever/drug therapy , Staphylococcal Scalded Skin Syndrome/complications , Staphylococcal Scalded Skin Syndrome/diagnosis , Staphylococcal Scalded Skin Syndrome/drug therapy , Tonsillitis/complications , Diagnosis, Differential , Scarlet Fever/microbiology , Scarlet Fever/physiopathology , Staphylococcal Scalded Skin Syndrome/physiopathology , Fever/complications , Staphylococcus aureus/isolation & purification , Amoxicillin-Potassium Clavulanate Combination/therapeutic use , Osteomyelitis/complications
6.
Pediatr. aten. prim ; 12(46): 227-237, abr.-jun. 2010. tab, ilus
Article in Spanish | IBECS | ID: ibc-80893

ABSTRACT

Introducción: la atopia se define como la tendencia a producir anticuerpos IgE específicosfrente a alérgenos y se expresa clínicamente como dermatitis-eccema, asma y rinoconjuntivitis. En los últimos años se ha documentado el aumento de la prevalencia de atopia en los países desarrollados. La detección de los alérgenos implicados es necesaria para unas medidas terapéuticasóptimas.El objetivo del estudio es describir el perfil de sensibilizaciones en los niños con atopia delmunicipio de Zaragoza. Material y métodos: durante el verano de 2009 se revisaron las historias clínicas de los niñosde 0-14 años, de las consultas de 6 pediatras de Atención Primaria. Se obtuvo una muestrade 194 niños con clínica y estudio alérgico positivo en los últimos 5 años. Resultados: distribución por sexo: 62,9% varones y 37,1% mujeres. Hallazgos clínicos: asma:78%, rinitis: 68%, conjuntivitis: 50% y dermatitis: 29%; con frecuencia se asociaron diferentes diagnósticos. Los alérgenos positivos fueron: gramíneas: 48%, hongos: 35%, árboles: 34%, animales: 26%, alimentos: 24%, ácaros: 19% y malezas: 18%. Conclusiones: las causas más importantes de sensibilización en nuestro estudio son primerolas gramíneas y luego la Alternaria; olivo, animales, ácaros y malezas les siguen por este orden.En nuestra zona geoclimática, si hay síntomas en invierno o al final del verano se debe estudiarel ciprés, plátano de sombra, Chenopodium y Salsola. La alta sensibilización a alimentosencontrada se corresponde con otros estudios. La identificación de las sensibilizaciones permiterelacionarlas con la clínica, tomar las medidas terapéuticas oportunas y mejorar la calidad de vidade los niños (AU)


Introduction: atopy is defined as the tendency to produce allergen-specific IgE antibodiesand is expressed clinically as dermatitis, eczema, bronchial asthma and rhino-conjunctivitis. Inthe last years, an increased prevalence of atopy in developed countries has been documented.The detection of allergens involved is necessary for optimal therapeutic measures. The aim ofthis study is to describe the profiles of sensitizations in children with atopy in the municipalityof Zaragoza.Material and methods: in the summer of 2009 the clinical histories of 0-14 year-old children,of 6 pediatricians’ consultations were reviewed. A sample of 194 children with clinicalfindings and allergic positive study in the last 5 years was collected.Results: distribution between sexes: 62.9% male and 37.1% female. Clinical findings:78% asthma, 68% rhinitis, 50% conjunctivitis and 29% dermatitis; often several diagnoseswere associated. The allergens found were: 48% gramineae, 35% fungi, 34% trees, 26% animals,24% food, 19% dust-mites and 18% weeds.Conclusions: the most important causes of sensitization in our study are gramineae in thefirst place followed by Alternaria. Olive tree, animals, dust-mites and weeds follow them in thisorder. We must study cypress, platanus orientalis and Chenopodium, and Salsola, which areprevalent in our geoclimatic zone, if there are symptoms in winter or in late summer. The high sensitization to food matches other studies. The identification of the sensitizations will allow usto relate them to the clinic, take the appropriate therapeutic measures and to improve the quality of life of these children (AU)


Subject(s)
Humans , Male , Female , Infant, Newborn , Infant , Child, Preschool , Child , Adolescent , Allergy and Immunology/standards , Hypersensitivity/diagnosis , Immunoglobulin E/analysis , Receptors, IgE/immunology , Asthma/immunology , Primary Health Care/methods , Primary Health Care/trends , Conjunctivitis/immunology , Conjunctivitis, Allergic/immunology , Dermatitis/immunology , Rhinitis/immunology , Retrospective Studies
7.
An Esp Pediatr ; 29(5): 397-400, 1988 Nov.
Article in Spanish | MEDLINE | ID: mdl-3232899

ABSTRACT

Genetic counseling has been carried in 30 families with 51 patients affected of microcephalia. An exogenous cause was determined in 13 cases. In two cases authors do not find a definite aetiology. Microcephalia vera AD can be demonstrated in seven families, and microcephalia vera AR eight. This last form showed always typical phenotype, but the former was present without any peculiar traits. Main observation is that mental retardation is not always conditioned by inheritance form.


Subject(s)
Intellectual Disability/genetics , Microcephaly/genetics , Female , Genetic Counseling , Humans , Intellectual Disability/etiology , Male , Microcephaly/complications , Pedigree
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