ABSTRACT
Celiac disease (CD) is a known cause of short stature and sometimes, this is its only symptom. The aim of this work was to determine the incidence of CD in children with short stature. We studied 178 infants with short stature and with no gastrointestinal symptoms. Serum IgA antigliadin antibodies were determined in all of them. We found a pathological titer in ten of these patients. Peroral intestinal biopsy was performed on these children, with nine showing no alterations and only one having subtotal villus atrophy that was compatible with CD. Therefore, the incidence of CD in this population is about 0.56%, which is much lower than the incidence shown by other authors.
Subject(s)
Body Height , Celiac Disease/physiopathology , Gliadin/immunology , Adolescent , Antibodies/immunology , Celiac Disease/immunology , Child , Child, Preschool , Female , Humans , Infant , MaleABSTRACT
We have studied 36 patients (19 females and 17 males), controlled between 1973 and 1989, who suffered Wolff-Parkinson-White (WPW) pattern in their electrocardiogram. Epidemiological, clinical, diagnostic, therapeutic and evolutional data were reviewed. The mean age at the time of diagnosis was 4 years and 3 months, with 48% younger than six months of age. The average time for the follow-up period was 4 years and 2 months. There was not familiar occurrence. Six (16%) of the patients had associated heart disease. Seventeen (47%) had type A of WPW, 12 (33%) type B and 7 (20%) were not defined. An echocardiographic study was done in 20 patients (61%). Twenty-seven patients (75%) showed supraventricular tachycardia (SVT), which in 22 of these cases was the reason for seeking consultation. Children without SVT, 9 (25%), did not need any form of treatment. Twenty-four (889) of the patients with SVT required treatment to prevent recurrence. In the 27 studied episodes of SVT, Verapamil IV (55%) and vagal manoeuvres were the most efficient treatments. Seventeen (47%) of the patients presented a persistent WPW pattern and 11 (31%) experienced a normalization of their electrocardiogram with a mean time of 2 years-2 months.
Subject(s)
Wolff-Parkinson-White Syndrome/epidemiology , Age Factors , Child , Child, Preschool , Electrocardiography , Female , Follow-Up Studies , Humans , Male , Spain/epidemiology , Tachycardia, Supraventricular/diagnosisSubject(s)
Bacterial Infections/etiology , Glycogen Storage Disease Type I/complications , Mycoses/etiology , Bacterial Infections/microbiology , Child, Preschool , Glycogen Storage Disease Type I/diagnostic imaging , Glycogen Storage Disease Type I/microbiology , Humans , Male , Mycoses/microbiology , Tomography, X-Ray ComputedABSTRACT
An epidemiologic interview was carried out in 279 children between 2-5 years represented the highest risk group. Male children were more frequently affected (57.7%). Most poisoning happened at home. Medicines and cleaning products were the most relevant poisons. Only 81 children (29%) were admitted, generally for 26 hours. Deaths serious sequels were not observed.
