RESUMO
A Turkish boy was referred at the age of 3 6/12 years for the evaluation of a premature moustache. No other signs of virilisation were present. The endocrine evaluation led to the diagnosis of nonclassic congenital adrenal hyperplasia. Genetic analysis revealed 2 rare mutations of the CYP21A2 gene, the gene encoding for the 21-hydroxylase enzyme: a recently reported R132C mutation in exon 3 and a R339H mutation in exon 8, both reported in the nonclassic CAH. An early moustache, for which the term premature moustache can be coined, can be the presenting symptom of nonclassic CAH. In all children presenting with a sex or age inappropriate development of a moustache, an endocrine evaluation is indicated.
RESUMO
The Belgian Institute of Public Health registered from 2000 to 2005 a yearly average of 6,790 hospital admissions for rotavirus gastroenteritis in children less than 5 years of age. Very efficacious rotavirus vaccines are available nowadays. The surveillance of hospitalisation due to rotavirus gastroenteritis is a good target for the follow-up of vaccine-related prevention. In a large regional Belgian hospital, rotavirus is associated with 12% to 21% of all hospitalisation days among children less than 2 years of age. The general implementation of rotavirus vaccination could dramatically reduce the hospitalisation of young children due to rotavirus gastroenteritis in developed countries.
