Choroby nowotworowe i autoimmunologiczne u dzieci jako istotne przyczyny gorączki o nieustalonej etiologii
Conclusions In a differential diagnosis of FUO should be concerned infectious, autoimmune and noeplastic diseases. Appropriate questions, physical examinations and basic laboratory tests often allow to make the correct diagnosis. The proposed diagnostic algorithm might be helpful to a successful diagnostic process. (Source: Pediatria Polska)
Source: Pediatria Polska - February 11, 2016 Category: Pediatrics Source Type: research
Problemy diagnostyczne i terapeutyczne u pacjenta z rakiem nosogardła i latentną gruźlicą – opis przypadku
Publication date: Available online 6 February 2016 Source:Pediatria Polska Author(s): Aleksandra Fatyga, Małgorzata Anna Krawczyk, Gabrielle Karpinsky, Andrzej Pustkowski, Dagmara Szmyd, Magdalena Markiewicz, Ewa Bień The coexistence of two rare conditions in the same patient is a challenge. This paper reports on a case of a 14.5-year-old boy diagnosed concurrently with latent tuberculosis infection (LTBI) and a nasopharyngeal carcinoma (NPC). The initial symptom was the enlargement of the right cervical lymph nodes. Ultrasound imaging was initially suggestive of LTBI. A positive skin tuberculin test an...
Source: Pediatria Polska - February 7, 2016 Category: Pediatrics Source Type: research
Niektóre aktualne prawne i kliniczno-naukowe aspekty farmakoterapii w pediatrii i onkologii dziecięcej
Publication date: Available online 1 February 2016 Source:Pediatria Polska Author(s): Jacek Wachowiak, Marian Krawczyński Every physician's duty is management consistent with the actual medical knowledge. Legal aspects of therapy in Poland are defined by the Act on Physician and Dentist Professions and Pharmaceutical Law. This latter one introduces a term “therapeutic product characteristics” that is equivalent to its registration. The problem of the choice of the drugs, especially for pediatric therapies, is difficult, because many of the drugs were not an object of research in children. A special legal impor...
Source: Pediatria Polska - February 3, 2016 Category: Pediatrics Source Type: research
World Kidney Day 2016. Averting the legacy of kidney disease – Focus on childhood
Publication date: Available online 1 February 2016 Source:Pediatria Polska Author(s): Julie R. Ingelfinger, Kamyar Kalantar-Zadeh, Franz Schaefer World Kidney Day 2016 focuses on kidney disease in childhood and the antecedents of adult kidney disease that can begin in earliest childhood. Chronic kidney disease (CKD) in childhood differs from that in adults, as the largest diagnostic group among children includes congenital anomalies and inherited disorders, with glomerulopathies and kidney disease in the setting of diabetes being relatively uncommon. In addition, many children with acute kidney injury will ultima...
Source: Pediatria Polska - February 1, 2016 Category: Pediatrics Source Type: research
Uprawnienia opiekuna faktycznego w procesie diagnostyczno-terapeutycznym podejmowanym wobec małoletniego pacjenta – wybrane zagadnienia prawne
Publication date: Available online 23 January 2016 Source:Pediatria Polska Author(s): Anna Augustynowicz, Iwona Wrześniewska-Wal, Grażyna Dykowska, Mariola Kowalska The article presents an analysis of the laws related to participation of the actual guardian in the diagnostics and therapeutics of a minor patient. The actual guardian is authorized to consent to testing if the patient does not have a legal representative, or no one can communicate with him. The extent to which it is authorized to consent is that he has the right to information needed to develop a position on this issue. To obtain information in ...
Source: Pediatria Polska - January 25, 2016 Category: Pediatrics Source Type: research
Testy skórne punktowe i płatkowe w diagnostyce nadwrażliwości na pokarmy u niemowląt i małych dzieci – badanie pilotażowe
Conclusions The choice of the test type can be important to the diagnosis but differ for different types of food. Conducting diagnostic tests, which allow for combined assessment of IgE-mediated and non-IgE-mediated food allergy, including skin prick tests and patch tests, increases the chance of establishing an accurate diagnosis. (Source: Pediatria Polska)
Source: Pediatria Polska - January 23, 2016 Category: Pediatrics Source Type: research
Niefarmakologiczne metody obniżania ciepłoty ciała u dzieci gorączkujących – analiza postępowania rodziców na podstawie badania ankietowego
Conclusions The majority of parents use non-pharmacological methods of lowering the body temperature of the child, usually packs and baths. The method of using these methods is often incorrect. It is necessary to educate parents in this regard. (Source: Pediatria Polska)
Source: Pediatria Polska - January 15, 2016 Category: Pediatrics Source Type: research
Wrodzona torbielowatość gruczolakowata płuc 2-letniej dziewczynki – opis przypadku
Publication date: Available online 14 January 2016 Source:Pediatria Polska Author(s): Franciszek Halkiewicz, Tomasz Legaszewski, Bogna Drozdzowska, Kamila Gumprecht, Bogusława Sieroń-Rokicka, Edyta Machura The study presents a case report of the congenital cystic adenomatoid malformation, which has been diagnosed in 2-year-old child. The diagnosis is based on lung CT scan and confirmed by autopsy examination. Differential radiological diagnosis had been considered. The manifestation of advanced adenomatoid malformation in lungs with the lack of clinical symptoms and signs, until the time of mortal respira...
Source: Pediatria Polska - January 15, 2016 Category: Pediatrics Source Type: research
Zespół Noonan u noworodka z przeważającymi objawami niewydolności oddechowej oraz kardiomiopatii przerostowej i nadciśnienia płucnego
Publication date: Available online 14 January 2016 Source:Pediatria Polska Author(s): Karolina Jeleń, Robert Śmigiel, Monika Gos, Ewa Terpińska, Barbara Królak-Olejnik Noonan syndrome (NS) is a clinically heterogeneous and autosomal dominant disorder which occurs with a frequency of 1:1000–2500 live births regardless of gender. The most characteristic clinical features are: short stature, congenital heart defects, numerous and various dysmorphic features (eg.: hypertelorism, palpebral fissures slant down, low-set ears, short and broad neck with excess skin, webbed neck, low hair line on the neck), as we...
Source: Pediatria Polska - January 15, 2016 Category: Pediatrics Source Type: research
Laparoscopic cholecystectomy in children: One centre experience
Publication date: Available online 5 January 2016 Source:Pediatria Polska Author(s): Paweł Nachulewicz, Andrzej Kasza, Paweł Osemlak, Magdalena Woźniak, Elżbieta Pac-Kożuchowska, Czesław Cielecki, Agnieszka Brodzisz, Grzegorz Jędrzejewski, Paweł Wieczorek The incidence of cholelithiasis in children is assessed to range from 0.13 to 1.9%. Symptomatic cholelithiasis in children requiring surgery has increased in tendency over the past ten years. Food habits, obesity and family history are the most common risk factors. Aim of the study was evaluation of the indications, methods and results of cho...
Source: Pediatria Polska - January 12, 2016 Category: Pediatrics Source Type: research
Niefarmakologiczne metody obniżania ciepłoty ciała u dzieci z gorączką – analiza postępowania rodziców na podstawie badania ankietowego
Conclusions The majority of parents use non-pharmacological methods of lowering the body temperature of the child, usually packs and baths. The method of using these methods is often incorrect. It is necessary to educate parents in this regard. (Source: Pediatria Polska)
Source: Pediatria Polska - January 12, 2016 Category: Pediatrics Source Type: research
Laparoscopic excision of a type II choledochal cyst: A case report
Conclusions Reports of type II choledochal cysts are very rare and standards of treatment are not yet clearly established. A simple excision may be sufficient and is associated with a low rate of complication. However, there is a risk of malignancy especially when any sign of metaplasia or dysplasia are observed in histopathological specimens. (Source: Pediatria Polska)
Source: Pediatria Polska - January 12, 2016 Category: Pediatrics Source Type: research
Isolated subglottic stenosis by Wegner's granulomatosis in a pediatric patient – A case report
We present a 13-year-old boy who came with breathing difficulty. A nasopharyngolaryngoscopy revealed narrowing in the subglottic region. This was managed by planned microlaryngoscopy with cold steel instruments. Excision of granulomatous tissue from subglottis along with application of steroid and mitomycin-C. Biopsy from the subglottic area confirmed the diagnosis of WG. During managing subglottic stenosis (SGS), the etiology of WG should be in mind as it is essential to find out the cause for providing the appropriate treatment. An early diagnosis of WG leads to early initiation of treatment which helps in reduction of m...
Source: Pediatria Polska - January 12, 2016 Category: Pediatrics Source Type: research
Skuteczność trzech skoniugowanych szczepionek przeciwko pneumokokom w zapobieganiu inwazyjnej chorobie pneumokokowej w kanadyjskiej prowincji Quebec
Publication date: Available online 21 December 2015 Source:Pediatria Polska Author(s): Geneviève Deceuninck, Gaston De Serresa, Nicole Bouliannea, Brigitte Lefebvre, Philippe De Wals (Source: Pediatria Polska)
Source: Pediatria Polska - December 22, 2015 Category: Pediatrics Source Type: research
Witamina D a odporność u dzieci
Publication date: Available online 17 December 2015 Source:Pediatria Polska Author(s): Nel Dąbrowska-Leonik, Ewa Bernatowska Vitamin D influence on immune cells has been known for years. Vitamin D deficiency is associated with increased susceptibility to infection, lower antibody production after immunisation, higher incidence of autoimmune diseases and worse course of the autoinflammatory diseases as data show. Decrease of vitamin D level in patients with large spectrum of primary immune disorders correlates with severity and duration of clinical symptoms, including respiratory tract infections. These patients us...
Source: Pediatria Polska - December 18, 2015 Category: Pediatrics Source Type: research
