Monatsschr Kinderh
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Biography Historical Article
[200th anniversary of the publication of the textbook of childhood diseases by M. Underwood (1737 to 1820)].
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In treating children suffering from diseases of the central or peripheral nervous system ambulatory and day-clinical care becomes more and more important. The usually complex problems of rehabilitation and integration are dealt effectively in this way. Secondary effects of handicapping conditions can often be prevented.
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Case Reports
[Nontraumatic rhabdomyolysis with reversible acute kidney failure following hyperosmolar diabetic coma in a child].
A 9 10/12 year year old girl developed severe hyperosmolar diabetic coma, and 5 days later acute renal failure. Extremely elevated levels of myoglobin were measured in serum and urine with a radioimmunoassay kit leading to the diagnosis of atraumatic rhabdomyolysis. ⋯ Subsequently myoglobin and creatinine values in serum returned to normal. Psychological disturbances and paresis of the lower extremities subsided 4 resp. 12 weeks after the onset of acute illness.