Hipocondría en la infancia y adolescencia. Revisión bibliográfica / Hypochondriasis in children and adolescents. A review of the literature

El trastorno hipocondríaco se describe como la preocupación excesiva por padecer una enfermedad. Como ocurre con otros trastornos psiquiátricos, la ausencia de pruebas complementarias analíticas o de imagen para el diagnóstico complica su estudio, y el debate acerca de sus características es constante. En el caso de niños y adolescentes, los estudios son aún más escasos, dificultando la tarea de psiquiatras y pediatras cuando se encuentran ante sintomatología compatible con diagnóstico de hipocondría. Por ello, hemos querido realizar una revisión de las publicaciones más recientes en relación con este trastorno en población infantojuvenil. Tras explorar los artículos publicados en los últimos años, y a pesar de la limitación de estudios en esta población específica, es de relieve la importancia de un abordaje multidisciplinar. Una vez descartadas otras patologías, el objetivo principal es recuperar y mantener la funcionalidad propia de la edad, implicando al grupo primario de apoyo

Hypochondriasis is a condition in which a person is inordinately worried about having a serious illness. As for many other psychiatric disorders, the lack of an objective method for its diagnosis hampers the investigation of this disease, and turns its features into subject of controversy and continuous discussion. These limitations become more relevant when children and adolescents are affected. This, together with the low number of published works covering hypochondriasis in these populations, poses extreme difficulties to pediatricians and child psychiatrists. Here, the most recent studies covering the causes, diagnosis, symptoms, treatment and prevention of hypochondriasis in children and adolescents are reviewed. The systematic revision of the literature suggests that an accurate diagnosis and management requires a multidisciplinary approach. After discarding other pathologies, appropriate managing should involve the main support group and focus in the recovery of the functionality according to the age of the patient

Síndrome de Deleción 22q11.2 y su asociación con Trastornos Psiquiátricos. A propósito de un caso / 22q11.2 Deletion Syndrome and Psychiatric Disorders

El Síndrome de Deleción 22q11.2 o Síndrome de DiGeorge es una entidad genética caracterizada por la triada clínica de anomalías cardiacas conotruncales, hipoplasia tímica e hipocalcemia. No obstante, el fenotipo 22q11.2 es bastante variable, incluyendo anomalías físicas, metabólicas, endocrinológicas y a nivel conductual y del desarrollo. Incluye asociación piscopatológica con distintos síndromes psiquiátricos. Describimos el caso de un varón de 16 años con criterios diagnósticos de Trastorno del Espectro Autista enmarcado en un Síndrome de Deleción 22q11.2

22q11.2 Deletion Syndrome or DiGeorge Syndrome is a genetic disorder characterized by the clinical triad conotruncal cardiac anomalies, thymic hypoplasia and hypocalcemia. However, the 22q11.2 phenotype is quite variable, including physical, metabolic, endocrinological and behavioral and developmental abnormalities. It includes a psychopathological association with different psychiatric syndromes. We describe the case of a 16-year old male with diagnostic criteria for Autism Spectrum Disorder framed in a 22q11.2 Deletion Syndrome

Outbreak of Salmonella enterica Goldcoast infection associated with whelk consumption, England, June to October 2013.

An increase in the number of cases of Salmonella enterica serotype Goldcoast infection was observed in England during September 2013. A total of 38 cases were reported, with symptom onset dates between 21 June and 6 October 2013. Epidemiological, environmental, microbiological and food chain evidence all support the conclusion that this outbreak was associated with eating whelks processed by the same factory. Whelks are a novel vehicle of Salmonella infection and should be considered when investigating future outbreaks.