Archives de pédiatrie : organe officiel de la Sociéte française de pédiatrie
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Polycythemia vera is a very rare disease in childhood; its treatment for this reason is not well established. ⋯ Oral continuous myelosuppressive therapy with hydroxyurea may be proposed in children if there is no HLA-matched family member. Long-term follow-up is nevertheless necessary in order to detect relapse or side-effects of the treatment.
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Pulmonary pseudocyst is an unusual complication of chest trauma. ⋯ This is a new case of post-traumatic pulmonary pseudocyst whose diagnosis may be difficult until spontaneous cure.
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Accidents are the major cause of morbidity and mortality in children. The aim of this population-based study was to describe characteristics of head injuries leading to hospitalization in children less than 15 years old, in a defined geographic population (Aquitaine: 2.7 millions inhabitants) and the longterm outcome (5-year follow up) of a sample of these patients. ⋯ Origin and mechanisms of head injuries in childhood were similar than in previous studies. Incidence was higher because of a higher proportion of minor head injuries. Disabilities and poor recovery happened in children with brain lesions or in one children with a minor head injury complicated by a severe anoxia. Anxiety and depression should be better studied in these children.
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Case Reports
[Invasive Pseudomonas aeruginosa and Ecthyma gangrenosum infection in a child without risk factors].
Pseudomonas aeruginosa sepsis, well known in immunocompromised patients, is rare in previously healthy children. ⋯ To allow early diagnosis and adequate treatment, it is mandatory to diagnose Ecthyma gangrenosum as the most frequent manifestation of invasive infection with Pseudomonas aeruginosa.
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Cyanosis associated to low oxygen saturation may reveal hemoglobin pathology. ⋯ Cyanosis with low oxygen saturation and high or normal PaO2 should lead to the search of a hemoglobin pathology, especially methemoglobinemia, by appropriate methods.