Clinical pediatrics
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Clinical pediatrics · Jul 2008
Case ReportsA case of catastrophic antiphospholipid syndrome in an adolescent girl with parvovirus B19 infection.
Antiphospholipid syndrome is an autoimmune disease characterized by recurrent thrombosis and the presence of antiphospholipid antibodies. Clinical presentations are dependent on the affected vessels and organs. The most common presentation of antiphospholipid syndrome is arterial or venous thrombosis. ⋯ Clinical manifestations of catastrophic antiphospholipid syndrome are complex with multiple organ involvement, resulting in renal insufficiency, heart failure, acute respiratory distress syndrome, and liver involvement. Early diagnosis and aggressive therapies are essential in this condition because of the extremely high mortality rate. Herein, the case of a 14-year-old girl with catastrophic antiphospholipid syndrome that was previously misdiagnosed as a vasculitis related to parvovirus B19 infection is presented.
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Clinical pediatrics · Apr 2008
What factors are important for pediatric residents' smoking cessation counseling of parents?
Pediatricians are expected to discuss the hazards of passive smoking and provide smoking cessation counseling (SCC) because passive smoking is known to have a direct negative effect on children's health. We conducted a cross-sectional survey of pediatric and medicine- pediatric residents at 2 training programs to identify resident-reported factors associated with higher confidence in and frequency of SCC. ⋯ Knowledge of smoking cessation resources was the factor most strongly associated with high confidence in and frequency of SCC. Research should be done to evaluate if improving awareness of smoking cessation resources for parents improves pediatricians' confidence in asking about parental smoking and the likelihood of advising parents to quit smoking.