RESUMO
Gastroesophageal reflux with hiatal hernia has been associated with unusual presentations, including rumination syndrome, Sandifer syndrome (reflux esophagitis, iron deficiency anemia and head cocking) and the Herbst triad (iron deficiency anemia, hypoproteinemia and finger clubbing). We report a new case of this rare disease. Lack of awareness of gastroesophageal reflux as a possible cause of these striking symptoms could lead to complications and delayed surgery.
Assuntos
Anemia Ferropriva/complicações , Dedos/anormalidades , Refluxo Gastroesofágico/complicações , Hipoproteinemia/complicações , Criança , Feminino , Humanos , SíndromeAssuntos
Varicela , Herpes Zoster/transmissão , Complicações Infecciosas na Gravidez , Saúde da Família , Feminino , Humanos , Lactente , Masculino , GravidezAssuntos
Síndrome da Imunodeficiência Adquirida/diagnóstico , Doenças em Gêmeos , Soropositividade para HIV/diagnóstico , Síndrome da Imunodeficiência Adquirida/imunologia , Síndrome da Imunodeficiência Adquirida/transmissão , Feminino , Anticorpos Anti-HIV/imunologia , Soropositividade para HIV/imunologia , Soropositividade para HIV/transmissão , Humanos , Recém-Nascido , Troca Materno-Fetal , Gravidez , Efeitos Tardios da Exposição Pré-Natal , Fatores de Risco , Gêmeos DizigóticosRESUMO
The authors presents 3 cases of Kawasaki disease where, in all cases, a perineal rash or rash located in the diaper area, was an initial or predominant sign. We highlight the interest of this discovery for the early and diagnostic of this disease, in both its classics and incomplete forms, and with this achieve efficiency in the preventive treatment of the cardiovascular complications.
Assuntos
Dermatite das Fraldas/etiologia , Síndrome de Linfonodos Mucocutâneos/complicações , Humanos , Lactente , MasculinoRESUMO
Two cases are reported in which Lancefield group beta-haemolytic streptococci were isolated from culture- from the perineal skin. The physical examination showed perianal irritation and excoriation in both cases and seropurulent anal and balano-preputial discharge in the first only. To the best of our knowledge, this is the first case in which the streptococcal perianal disease is associated to a balanoposthitis and at the same time increments the clinical spectrum of the illness.
Assuntos
Balanite (Inflamação)/etiologia , Dermatopatias Infecciosas/etiologia , Infecções Estreptocócicas , Pré-Escolar , Feminino , Humanos , Lactente , Masculino , PeríneoRESUMO
We report three children with benign paroxysmal torticollis (BPT) and review the literature. BPT represents a self-limited disorder that occurs mainly in infancy and in females. The condition is characterized by recurrent spells of torticollis which may, or may not, be accompanied by other symptoms such as vomiting, pallor, ataxia, irritability and drowsiness. The diagnosis of BPT should be established clinically, although, in some cases, it is necessary to rule out conditions such as posterior fossa tumor, cervical dislocation, ocular palsy, dystonia due to side effects of drugs, or Sandifer's syndrome. The etiology of the syndrome remains unknown and, at present, there is no effective therapy.
Assuntos
Torcicolo , Pré-Escolar , Feminino , Humanos , Lactente , Postura , Torcicolo/diagnóstico , Torcicolo/fisiopatologiaRESUMO
Two patients, a mother and her daughter, who manifested the clinical features of the oro-facial-digital syndrome (OFD I) are reported. The mother have polycystic disease of the kidneys. Clinical data and genetic aspects are commented in relation with these new cases.
Assuntos
Anormalidades Múltiplas/genética , Síndromes Orofaciodigitais/genética , Adulto , Feminino , Ligação Genética , Humanos , Lactente , Fenótipo , Doenças Renais Policísticas/genética , Cromossomo XAssuntos
Tireoidite/patologia , Abscesso/cirurgia , Doença Aguda , Pré-Escolar , Drenagem , Humanos , Masculino , Supuração , Tireoidite/cirurgiaRESUMO
The authors present the case of a 4 year old girl affected by malaria, the latter having been imported from Equatorial Guinea. The initial treatment of the disease with adequate administration and duration of chloroquine therapy, did not impede the recurrence of the disease, once the patient seemed apparently cured. Although due to the special evolutionary circumstances it was not possible to clinically confirm the chloroquine resistant of the parasite, it is considered, to best of our knowledge, to be the first pediatric case of probable chloroquine-resistant Plasmodium falciparum malaria imported into Spain from Western Africa.