La Pediatria medica e chirurgica : Medical and surgical pediatrics
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Comparative Study
[Clinical-statistical analysis of patient admissions to the emergency services of the Bambino Gesù Hospital in Rome in the year 1992].
The Authors present relevant information concerning the activity carried on in 1992 in the Emergency Department of the Pediatric Hospital Bambino Gesù in Rome. Out of 34,328 cases arrived at the first aid station, only 21.17% of them needed an emergency service. This significant percentage suggests that the pediatric medical staff in service may be better employed for children who really need urgent care.
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Comparative Study
[Food allergy order in 16 pairs of brothers and 4 families].
The aim of our study was the observation of a possible similar allergologic order between brothers and in the family. The used method for the diagnosis of food allergens was the Skin Prick and after the FBST (Food bronchostimulation test--spirometric test with RAW calculation in "late" phase of allergic reply ongoing the exclusion diet). ⋯ II step--observing the reply to the plants family also in subjects very heavy affected it is always a food that is recognized as "self". III step--patients often shows the spontaneous removal of some food as: fish, fruits, wheat, vegetables which correspond a positive allergologic reply.
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CT and MRI play complementary roles in the study of malformation syndromes in pediatric age: CT in particular is indispensable for adequately assessing the skeletal picture in subjects suffering from cranio-facial malformations, while MRI allows a morphological study and supplies informations on the maturation state of the white matter.
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Comparative Study Clinical Trial
[Hypertrophic pyloric stenosis in infants. A retrospective study of cases observed in the years 1970-1990].
Although the definitive cause of infantile hypertrophic pyloric stenosis is unknown, it's probable that several predisposing risk factors would be associated with the condition. We analysed some perinatal factors in relation to the incidence of infantile hypertrophic pyloric stenosis among children observed during the period 1970-90. We examined 61 infants with surgically confirmed hypertrophic pyloric stenosis and, as controls, 61 healty children comparable for age. ⋯ In the 61 infants with hypertrophic pyloric stenosis, the incidence of three factors (male sex, primogeniture and feeding with artificial milk) was significantly higher than that in the controls. We conclude that infantile hypertrophic pyloric stenosis probably has a particular genetic basis, but perinatal factors are responsible for the rising of the condition. However the true aetiology remains to be elucidated.
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It has been known that there is a more than fortuitous association between coeliac disease and a whole range of autoimmune conditions. At present there are only very small numbers of cases reported with childhood coeliac disease and thyroiditis. The Authors refer to a seven year old girl with documented coeliac disease who developed an autoimmune thyroiditis with glandular hypofunction, an unusual feature still rarely described.