Acta Pediátrica Española

ISSN 2014-2986

Información adicional

  • Num_publicacion 78(1-2)
  • Resumen_ingles

    In the treatment of the child with attention deficit hyperactivity disorder (ADHD) we have to include the family from the beginning, mainly the parents, since it is going to be through them how our interventions can have a greater repercussion and benefit for the minor.
    We propose as a pillar of any intervention, the psychoeducational groups of parents, in which they are given the information and the necessary tools to begin to understand the problem of the child, how to help him, the different alternatives of treatments and from there improve the alliance with the therapists who will intervene.
    A psychoeducational program of 4 sessions of two hours each for parents with children with ADHD is established at the mental health center, directed by the psychologist and the psychiatrist of the children and youth program. At the end of each group an anonymous evaluation is done to have a feedback about how the parents had received the information transmitted with 4 questions, assessment of the sessions and the possibility of suggestions.
    An analysis of the questionnaires collected during a school year is made, obtaining a very positive assessment in all the suggested aspects and suggesting to expand them or include more topics in new sessions.
    These results encourage us to improve this alternative and include it as a basis in all treatments for children with ADHD, proposing to parents that before this diagnosis start this group and from there each case is raised individually.

  • Palabras_clave_ingles Attention deficit disorder and hyperactivity groups of psychoeducation treatment ADHT
  • Todos_autores M.C. Herráez Martín de Valmaseda
  • autores listados M.C. Herráez Martín de Valmaseda
  • Correspondecia

    M.C. Herráez Martín de Valmaseda. Centro de Salud Mental de Chamartín. Servicio de Salud Mental Infantojuvenil. Marqués de Ahumada, 11. 28028 Madrid. Correo electrónico: claraherraez@telefonica.net

  • Titulo_ingles Psychoeducational groups for parents of children with attention deficit hyperactivity disorder
  • Centros_trabajo Centro de Salud Mental de Chamartí. Servicio de Salud Mental Infantojuvenil. Hospital Universitario La Princesa. Madrid
  • Publicado en Acta Pediatr Esp. 2020; 78(1-2): 14-18
  • copyright ©2020 Ediciones Mayo, S.A.
  • Fecha recepcion 13/02/19
  • Fecha aceptacion 26/03/19
  • Tipo de Artículo Clínico (Microdatos) Review
Publicado en Revisión

Información adicional

  • Num_publicacion 76(11-12)
  • Resumen_ingles
    Title: Fibroepithelial polyps as a cause of hydronephrosis
    Introduction: Ureteral polyps are a strange cause of hydronephrosis in children. We report a case of a child treated in our hospital, and review of the related literature. 
    Clinical case: A 5-year-old boy presented with severe, colicky, left lumbar pain. Renal ultrasound showed grade II/IV hydronephrosis, and the 99 m-Tc MAG-3 scan showed an obstructive drainage curve type IIIb. As the symptoms persisted, we decided surgical treatment, finding pyelic fibroepithelial polyps as the cause of the pain.
    Conclusion: Fibroepithelial polyp treatment in children is highly effective; nevertheless, the interpretation of diagnostic tests can be difficult, delaying the diagnosis and causing affectation of renal function.
     
  • Palabras_clave_ingles Fibroepithelial polyps Hydronephrosis Treatment
  • Todos_autores J.V. Redondo Sedano, D. Cabezalí Barbancho, C. Tordable Ojeda, A. Gómez Fraile
  • autores listados J.V. Redondo Sedano, D. Cabezalí Barbancho, C. Tordable Ojeda, A. Gómez Fraile
  • Correspondecia
    J.V. Redondo Sedano. Sección de Urología Infantil. Servicio de Cirugía Pediátrica. Hospital Universitario 12 de Octubre. 
    Avda. de Córdoba, s/n. 28041 Madrid.
    Correo electrónico: jesusredondosedano@gmail.com
     
  • Titulo_ingles Fibroepithelial polyps as a cause of hydronephrosis
  • Centros_trabajo Sección de Urología Infantil. Servicio de Cirugía Pediátrica. Hospital Universitario 12 de Octubre. Madrid
  • Publicado en Acta Pediatr Esp. 2018; 76(11-12): e161-e163
  • copyright ©2018 Ediciones Mayo, S.A.
  • Fecha recepcion 15/08/17
  • Fecha aceptacion 16/11/17
  • Tipo de Artículo Clínico (Microdatos) Case Reports
Publicado en Notas clínicas

Información adicional

  • Num_publicacion 75(5-6)
  • Resumen_ingles
    Introduction: Non-alcoholic fatty liver disease (NAFLD) is the leading cause of chronic liver disease in children in developed countries. This high prevalence is due to the close relationship with childhood obesity, disease reaching epidemic category. It refers to the deposit or diffuse steatosis and intracellular fat and complicated NASH defined by necroinflammation and sometimes hepatocellular ballooning. It has no specific clinical and is usually suspected in the clinical context of obesity, insulin resistance or diabetes mellitus. Transaminases may be elevated, have normal levels or be oscillating in time.
    Patients and methods: We raise this work as revising and updating the therapeutic possibilities that may be currently employed or in the near future, in addition to the current treatment of NAFLD based on physical exercise and the right diet. We carry out a literature search to learn about new therapeutic targets and drug and/or surgical measures at different stages of research.
    Results: Several therapeutic targets that may contribute to the diet and exercise are described and future research. 
    Conclusions: It is difficult to maintain a proper diet and exercise routine in children, so many drugs (described in the article below) of proven use in adults and bariatric surgery can contribute to the treatment of NAFLD in children.
     
  • Palabras_clave_ingles Non alcoholic fatty liver disease Children surgery Treatment
  • Todos_autores A. Cruz Rodríguez1, B. Burgueño Jiménez1, T. Calvalho e Silva Costa Duarte2, A. Millán Jiménez1
  • autores listados A. Cruz Rodríguez, B. Burgueño Jiménez, T. Calvalho e Silva Costa Duarte, A. Millán Jiménez
  • Correspondecia
    A. Cruz Rodríguez. Unidad de Gestión Clínica de Pediatría y Neonatología. Hospital Universitario de Valme. Avda. de Bellavista, s/n. 41014 Sevilla.
    Correo electrónico: amaliacruzrodriguez87@gmail.com
  • Titulo_ingles Paediatric non-alcoholic fatty liver disease: Pathophysiology, current treatment and perspectives
  • Centros_trabajo 1Unidad de Gestión Clínica de Pediatría y Neonatología. Hospital Universitario de Valme. Sevilla. 2Facultad de Medicina. Universidade de Lisboa
  • Publicado en Acta Pediatr Esp. 2017; 75(5-6): 62-66
  • copyright ©2017 Ediciones Mayo, S.A.
  • Fecha recepcion 20/03/16
  • Fecha aceptacion 20/06/16
  • Tipo de Artículo Clínico (Microdatos) Observational Study
Publicado en Originales

Información adicional

  • Num_publicacion 74(7)
  • Palabras_clave_ingles
  • Todos_autores Coordinación: Dra. María José Galiano Segovia. Pediatra. Centro de Salud María Montessori. Leganés (Madrid)
  • Publicado en Acta Pediatr Esp. 2016; 74(7): e180-e181
  • copyright ©2016 Ediciones Mayo, S.A.
  • Tipo de Artículo Clínico (Microdatos) Abstracts

Información adicional

  • Num_publicacion 74(7)
  • Resumen_ingles
    Introduction: Despite the fact that the treatment of bronchiolitis remains a support therapy, a big use of drugs has been documented. The aims of this study were to know the management of bronchiolitis in the different settings and to assess if there was a professional factor linked to the possible differences found.
    Material and methods: Observational and cross-sectional study consisting in a national survey pointed to identify the treatment proceedings of the doctors who attend patients with bronchiolitis in Spain.
    Results: A total of 402 doctors were asked, 89.1% were pediatricians and 10.9% general practitioners. Sixty eight percent of them said they prescribe salbutamol sometimes, and 57.2 % tend to use it when the bronchodilator test is positive. Saline hypertonic was not used by the 43% of practitioners, 25,7% of them commented not to get it available. Fifty six percent declared to use systemic steroids and a third of them prescribe physiotherapy occasionally. Eighty percent of doctors considered that bronchiolitis is not managed according the best evidence available. There were differences between the specialists, being general practitioners those who prescribe more salbutamol and respiratory physiotherapy. Regarding pediatricians, those who work in hospitals tend to use more saline hypertonic, and those who attend patients in the primary setting more salbutamol and mucolytics/ antitussive.
    Conclusions: The use of drugs without proved efficacy for bronchiolitis is a common practice in Spain, with differences between the health settings and the specialist who manage the patient.
     
  • Palabras_clave_ingles Bronchiolitis Therapy Infants
  • Todos_autores C. Rivas Juesas1, J.M. Rius Peris2
  • autores listados C. Rivas Juesas, J.M. Rius Peris
  • Correspondecia
    C. Rivas Juesas. Servicio de Pediatría. Hospital de Sagunto. Avda. Ramón y Cajal, s/n. 46520 Sagunto (Valencia).
    Correo electrónico: crisrijue@gmail.com
  • Titulo_ingles The variability in the management of bronchiolitis. Why don’t we do what we read?
  • Centros_trabajo Servicio de Pediatría. 1Hospital de Sagunto (Valencia). 2Hospital «Virgen de la Luz». Cuenca
  • Publicado en Acta Pediatr Esp. 2016; 74(7): e142-e148
  • copyright ©2016 Ediciones Mayo, S.A.
  • Fecha recepcion 10/11/15
  • Fecha aceptacion 22/01/26
  • Tipo de Artículo Clínico (Microdatos) Observational Study
Publicado en Originales

Información adicional

  • Num_publicacion 74(6)
  • Resumen_ingles

    Attention deficit hyperactivity disorder is getting increasingly better known in Spain. It is of great relevance in children and may remain in adolescence and in adulthood. For over a decade its diagnosis has been going up, as well as the means for its assistance, both health-related and educational. After obtaining a short medical history we updated the statistics of prevalence and early diagnosis, as well as the drugs available to date. Finally there is a short remark on some aspects of today’s assistance and how the future is being planned out.

  • Palabras_clave_ingles Attention deficit hyperactivity disorder Prevalence Diagnosis Treatment Assistential plans Review
  • Todos_autores M. Fernández Pérez1, L. Cortiñas Villazón2, A.I. Iglesias Carbajo3, C. Gonzalvo Rodríguez4, M.M. López Benito5
  • autores listados M. Fernández Pérez, L. Cortiñas Villazón, A.I. Iglesias Carbajo, C. Gonzalvo Rodríguez, M.M. López Benito
  • Correspondecia
    M. Fernández Pérez. Centro de Salud de La Felguera. Manuel Suárez, s/n. 33930 Langreo (Asturias).
    Correo electrónico: maximinofernandez.pediatra@gmail.com
  • Titulo_ingles Attention deficit hyperactivity disorder in Spain: chronicle of the last 15 years
  • Centros_trabajo 1Pediatra especializado en Psiquiatría Infantil y psicólogo. Centro de Salud de La Felguera. Langreo (Asturias). 2Farmacéutica del área VIII de Asturias. 3Coordinación de Farmacia SESPA. 4Enfermera y psicóloga del Centro de Salud de La Felguera. Langreo (Asturias). 5Pediatra del Centro de Salud de Contrueces. Gijón (Asturias)
  • Publicado en Acta Pediatr Esp. 2016; 74(6): 149-153
  • copyright ©2016 Ediciones Mayo, S.A.
  • Fecha recepcion 27/11/15
  • Fecha aceptacion 15/02/16
  • Tipo de Artículo Clínico (Microdatos) Review
Publicado en Revisión

Información adicional

  • Num_publicacion 73(9)
  • Resumen_ingles

    Dumping syndrome (DS) is a condition where gastrointestinal and vasomotor symptoms happen as a consequence of gastric surgery. In pediatrics it has been described primarily after anti-reflux surgery. The diagnosis is clinical, but the oral glucose tolerance test can be useful if there are doubts.

    We present the cases of 8 patients with DS, 6 men and 2 women, aged between 13 months and 9 years old. Four patients had atresia of esophagus, 2 gastroesophageal reflux disease, 1 patient a congenital diaphragmatic hernia, and 1 a gastric tumor. All were treated with gastric surgery. In 7 of them fundoplication was performed, and in 4 piloroplastia. All patients had early dumping, and 6 had late dumping. In all patients oral glucose tolerance test confirmed the diagnosis. Dietary treatment was effective in 7 patients; 1 patient also required treatment with acarbose.

    Dietary treatment is effective in most patients with DS.

  • Palabras_clave_ingles Dumping Nissen fundoplication Diagnosis Treatment
  • Todos_autores M.C. de Mingo Alemany, O. Rubio Puchol, F. Moreno Macián, S. León Cariñena, B. Cremades Romero
  • autores listados M.C. de Mingo Alemany, O. Rubio Puchol, F. Moreno Macián, S. León Cariñena, B. Cremades Romero
  • Correspondecia
    M.C. de Mingo Alemany. Sección de Endocrinología Pediátrica. Hospital Universitario y Politécnico «La Fe». Avda. de Fernando Abril Martorell, 106. 46026 Valencia. Correo electrónico: menchu2528@yahoo.es
  • Titulo_ingles Gastric dumping syndrome in pediatrics
  • Centros_trabajo Sección de Endocrinología Pediátrica. Hospital Universitario y Politécnico «La Fe». Valencia
  • Publicado en Acta Pediatr Esp. 2015; 73(9): 214-217
  • copyright ©2015 Ediciones Mayo, S.A.
  • Fecha recepcion 28/04/2015
  • Fecha aceptacion 15/06/2015
  • Tipo de Artículo Clínico (Microdatos) Observational Study
Publicado en Originales

Información adicional

  • Num_publicacion 73(7)
  • Resumen_ingles
    Attention deficit hyperactivity disorder (ADHD) is the most common neurodevelopmental disorder in children. There has been suggested various biochemical etiologies in relation to diets: food allergies and additives, heavy metals toxicity and other environmental toxins, low protein diets with high levels in carbohydrate, imbalances of minerals and micronutrients, inadequate intake of essential fatty acids and phospholipids deficit, aminoacids deficiencies, deficiencies in B vitamins and phytonutrients and thyroid disorders.
    The treatment of this disorder with stimulant drugs are not free of side effects on sleep and appetite. The occurrence of these side effects joined with a lack of response to medical treatment causes that many parents question and reject the medical treatment, using alternative treatments like the “dietary treatments”. Therefore pediatricians should be familiar with these alternative therapies to advise and to assess the nutritional impact on the child.
     
  • Palabras_clave_ingles Attention deficit hyperactivity disorder Diets Treatment
  • Todos_autores A. Canals Baeza1, M. Juste Ruiz2, H. Romero Escobar3
  • autores listados A. Canals Baeza, M. Juste Ruiz, H. Romero Escobar
  • Correspondecia
    A. Canals Baeza. Centro de Salud «Alicante Santa Faz». Pl. Santa Faz, 7. 03002 Alicante.
    Correo electrónico: alex.canals@gmail.com
  • Titulo_ingles Dietary possibilities in attention deficit and hyperactivity disorder
  • Centros_trabajo 1Departamento del Hospital de Sant Joan. Centro de Salud «Alicante Santa Faz». Alicante. 2Servicio de Pediatría. Gastroenterología Pediátrica. Hospital de Sant Joan. Alicante. 3Psiquiatra Infantil. Unidad de Salud Mental Infantil. Centro de Salud «San Vicente II». San Vicente del Raspeig (Alicante)
  • Publicado en Acta Pediatr Esp. 2015; 73(7): e171-e175
  • copyright ©2015 Ediciones Mayo, S.A.
  • Fecha recepcion 2/06/15
  • Fecha aceptacion 17/06/15
  • Tipo de Artículo Clínico (Microdatos) Review
Publicado en Nutrición infantil

Información adicional

  • Num_publicacion 73(4)
  • Resumen_ingles
    Introduction and objective: Optimal treatment for fetal tachycardia is still controversial. The aim of this study is to review the actual management and outcome of fetal tachycardia in 9 Spanish centers. 
    Method: Retrospective multicentric study: analysis of all fetuses with tachycardia diagnosed at 9 Spanish centers between January 2008 and September 2010. 
    Results: 37 cases were registered, 30% of which were hydropic. We had 26 no hydropic cases, of which 4 atrial flutter –all of them successfully cardioverted intrautero or after delivery– and 22 with supraventricular tachycardia (SVT), of which 17 short ventriculo-auricular (VA) interval and 5 long VA interval. Digoxin was the drug of choice in most cases. Prenatal control of the tachycardia was achieved in 93% of treated SVT with short VA interval and 50% of long VA, being digoxine effective in short VA but not long VA interval (p= 0.019). 1 fetus with supraventricular tachycardia with ventricular dysfunction died. 11 cases were hydropic, all of them diagnosed as SVT. Management strategies were highly diverse in this group. 5 patients died: 1 after delivery, 2 intrautero very shortly after starting treatment, and 2 intrautero in spite of being successfully cardioverted to sinus rhythm (1 with sotalol, 1 with flecainide).
    Conclusions: Hydropic fetuses have shown a high mortality rate in our population, which calls for further studies and unification of criteria. Here we propose a common protocol aimed at improving the outcome of fetal tachycardia.
     
  • Palabras_clave_ingles Arrhythmia Fetus Tachycardia Therapy
  • Todos_autores F. Perin1, M.M. Rodríguez Vázquez1, Q. Ferrer Menduiña2, L. Deiros Bronte3, F. Rueda Núñez4, F. Centeno Malfaz5, D. García de la Calzada6, R.M. Perich Durán7, J.I. Zabala Argüelles8, A. Galindo Izquierdo9
  • autores listados F. Perin, M.M. Rodríguez Vázquez, Q. Ferrer Menduiña, L. Deiros Bronte, F. Rueda Núñez, F. Centeno Malfaz, D. García de la Calzada, R.M. Perich Durán, J.I. Zabala Argüelles, A. Galindo Izquierdo
  • Correspondecia
    F. Perin. Unidad de Cardiología Pediátrica. Servicio de Pediatría. Hospital Universitario Virgen de las Nieves. Avda. Fuerzas Armadas, s/n. 18014 Granada.
    Correo electrónico: francescaperin33@gmail.com
    Trabajo presentado en el Congreso de la Sociedad Europea de Cardiología Pediátrica en mayo de 2011.
     
  • Titulo_ingles Fetal tachycardia: a retrospective study in 9 Spanish centers
  • Centros_trabajo 1Unidad de Cardiología Pediátrica. Hospital Universitario «Virgen de las Nieves». Granada. 2Servicio de Cardiología Pediátrica. Hospital Universitario de la Vall d’Hebron. Barcelona. 3Servicio de Cardiología Pediátrica. Hospital Universitario «La Paz». Madrid. 4Unidad Médico-Quirúrgica de Cardiopatías Congénitas. Complejo Hospitalario Universitario A Coruña. 5Unidad de Cardiología Pediátrica. Hospital Universitario «Río Hortega». Valladolid. 6Unidad de Cardiología Pediátrica. Hospital Universitario «Miguel Servet». Zaragoza. 7Unidad de Cardiología Pediátrica. Hospital Universitario de Sabadell (Barcelona). 8Sección de Cardiología Pediátrica. Hospital Universitario «Carlos Haya». Málaga. 9Unidad de Medicina Fetal. Servicio de Obstetricia y Ginecología. Hospital Universitario «Doce de Octubre». Madrid
  • Publicado en Acta Pediatr Esp. 2015; 73(4): 88-95
  • copyright ©2015 Ediciones Mayo, S.A.
  • Fecha recepcion 5/12/14
  • Fecha aceptacion 18/12/14
  • Tipo de Artículo Clínico (Microdatos) Multicenter Study
Publicado en Originales

Información adicional

  • Num_publicacion 70(6)
  • Resumen_ingles

    Mastitis represents the main medical reason for precocious weaning. Generally, acute mastitis is easily diagnosed, in contrast to the subacute o subclinical ones. Milk cultures and antibiograms would facilitate a rational treatment of the different types of mastitis; however, the services of Microbiology that routinely perform microbiological analyses of human milk are very scarce at present. In this context, the objective of this article is to associate each type of mastitis with its etiological agents, its characteristic symptoms and the most adequate therapeutic approach. This therapeutic proposal is basically directed to those cases in which milk cultures and antibiograms are not possible and/or those in which is not possible to wait for the results in order to initiate the treatment.

  • Palabras_clave_ingles Mastitis treatment probiotics antibiotics nonsteroidal anti inflammatory drugs (NSAIDS)
  • Todos_autores M. Carrera1, R. Arroyo2, P. Mediano2, L. Fernández2, M. Marín2, J.M. Rodríguez2
  • autores listados M. Carrera, R. Arroyo, P. Mediano, L. Fernández, M. Marín, J.M. Rodríguez
  • Correspondecia
    J.M. Rodríguez. Departamento de Nutrición, Bromatología y Tecnología de los Alimentos. Universidad Complutense de Madrid. Ciudad Universitaria. 28040 Madrid.
    Correo electrónico: jmrodrig@vet.ucm.es
  • Titulo_ingles Breastfeeding and mastitis. Empirical treatment based on symptoms and etiological agents
  • Centros_trabajo 1Centro de Atención Primaria Silvano. 2Departamento de Nutrición, Bromatología y Tecnología de los Alimentos. Universidad Complutense de Madrid
  • Publicado en Acta Pediatr Esp. 2012; 70(6): 255-261
  • copyright ©2012 Ediciones Mayo, S.A.
  • Fecha recepcion 22/01/12
  • Fecha aceptacion 09/03/12
Publicado en Nutrición infantil

Información adicional

  • Num_publicacion 64(8)
  • Resumen_ingles

    Cutaneous larva migrans is a parasitic disease caused by larvae of nematodes that produces a serpiginous rash. Ancylostoma braziliense is the most common origin. The diagnosis of this disease is based on the clinical findings.

    Cutaneous larva migrans is endemic in tropical countries, but the incidence has increased in other parts of the world due to the rise in tourism and immigration.

    We report the case of a child who developed a serpiginous rash on his leg after visiting a country in which this disease is endemic.

  • Palabras_clave_ingles Cutaneous larva migrans child treatment
  • Todos_autores M.C. Míguez Navarro, A. Peñalba Citores1, M.M. Guerrero Solís2, P. Vázquez López, R. Marañón Pardillo
  • autores listados M.C. Míguez Navarro, A. Peñalba Citores, M.M. Guerrero Solís, P. Vázquez López, R. Marañón Pardillo
  • Correspondecia

    José A. Gómez Campderá. Hospital Universitario «Gregorio Marañón». Dr. Esquerdo, 46. 28007 Madrid.
    Correo electrónico: infecc@ippp.hggm.es

  • Titulo_ingles Cutaneous larva migrans. Case report
  • Centros_trabajo Adjunto de Pediatría de Urgencias. 1Médico residente de Pediatría. 2Adjunto de Urgencias. Hospital Infantil «Gregorio Marañón». Madrid
  • Publicado en Acta Pediatr Esp. 2006; 64(8): 405-407
  • copyright ©2006 Ediciones Mayo, S.A.
  • Fecha recepcion 24/04/06
  • Fecha aceptacion 05/05/06
Publicado en Imagen del mes

Información adicional

  • Num_publicacion 64(8)
  • Resumen_ingles

    The congenital form of Toxoplasma gondii infection is caused by primary maternal infection, with consequences in different fetal systems, especially the ocular system (chorioretinitis) and central nervous system (hydrocephalus, seizures), as well as systemic involvement (hepatosplenomegaly), although between 80% and 90% of the resulting disorders are subclinical. The diagnosis involves maternal serology, as the risk of fetal infection depends on the trimester in which seroconversion occurs.

    Given the lack of studies on the efficacy of prenatal treatment, spiramycin should be administered to pregnant women with primary infection until the results of complementary studies are known. Should the newborn be infected, treatment with pyrimethamine, sulfadiazine and folic acid should be begun in the attempt to reduce the risk of long-term sequelae.

    Prenatal screening is a controversial issue since both the health care costs and rate of false positives are high. In some countries, health education programs have resulted in a decrease in the rate of infection of 50%.

  • Palabras_clave_ingles Toxoplasma treatment gestational
  • Todos_autores J. Adrián Gutiérrez, A. Peñalba Citores, R. Real Terrón
  • autores listados J. Adrián Gutiérrez, A. Peñalba Citores, R. Real Terrón
  • Correspondecia
    J.A. Gómez Campderá. Sección de Enfermedades Infecciosas. Hospital Materno-Infantil «Gregorio Marañón». Dr. Esquerro, 46. 28007 Madrid.
    Correo electrónico: jgomezca@wanadoo.es
  • Titulo_ingles Congenital toxoplasmosis: a review
  • Centros_trabajo Sección de Enfermedades Infecciosas. Hospital Materno-Infantil «Gregorio Marañón». Madrid
  • Publicado en Acta Pediatr Esp. 2006; 64(8): 372-376
  • copyright ©2006 Ediciones Mayo, S.A.
  • Fecha recepcion 22/02/06
  • Fecha aceptacion 20/04/06
Publicado en Revisión

Información adicional

  • Num_publicacion 64(2)
  • Resumen_ingles

    All forms of childhood onset epilepsy, whether idiopathic, symptomatic or cryptogenic, can be refractory to treatment. Moreover, the problem not only depends on the type of epilepsy or epileptic syndrome, but also on the age of the patient at onset and, especially in children, should be assessed not as an isolated circumstance in the life of the child, but in the context of his or her overall process of neurological maturation.

    Before labeling a case of epilepsy as refractory or resistant to standard treatment, a number of different aspects should be evalu¬ated: with respect to epileptology, specification of the symptoms, electroencephalographic (EEG) recordings with polygraph during sleep and wakefulness and long-term or ambulatory video-EEG; in terms of etiology, biological parameters and neuroimaging; from the psychological point of view and to establish the differential diagnosis, the eventual relationship and incidence of pseudoseiz¬ures; with respect to therapy, the rational use of antiepileptic drugs with monitoring of the therapeutic levels, including kinetic aspects and those of their metabolites, not adhering religiously to monotherapy or viewing polytherapy with horror and, thus, considering rational associations, nonspecific treatments (corticosteroids, ketogenic diet, immunoglobulins), new molecules and even the discontinuation of all treatment (possibility that antiepileptic drugs make the condition worse). Finally, it is necessary to keep in mind the fact that some epilepsies may be refractory to all treatment for years and, ultimately, become manageable or even be cured.

  • Palabras_clave_ingles Refractory childhood epilepsy assessment treatment
  • Todos_autores J. Campos-Castelló
  • autores listados J. Campos-Castelló
  • Correspondecia
    J. Campos-Castelló. Servicio de Neurología Pediátrica. Hospital Clínico «San Carlos». Profesor Martín Lagos, s/n. 28040 Madrid
  • Titulo_ingles Refractory epilepsy in childhood: a practical approach
  • Centros_trabajo Servicio de Neurología Pediátrica. Hospital Clínico «San Carlos». Madrid
  • Publicado en Acta Pediatr Esp. 2006; 64: 51-56
  • copyright ©2006 Ediciones Mayo, S.A.
  • Fecha recepcion 7/09/05
  • Fecha aceptacion 8/09/05
Publicado en Revisión

Información adicional

  • Num_publicacion 64(7)
  • Resumen_ingles

    Objective: To analyze the therapeutic response of a group of obese patients to a treatment program based on nutrition education, self-management, and intensive follow-up.

    Material and methods: We reviewed the clinical records of 60 children with exogenous obesity (42 girls and 18 boys) enrolled in a management program and intensive follow-up (controls every three months) for a continuous 24-month period. The following variables were recorded: sex, chronological age (CA), bone age (BA), and percent body mass index (%BMI) in the first visit; %BMI in each follow-up visit, and therapeutic response (drop-outs, improvements, and failures) at 12 and 24 months of follow-up.

    Results: Mean values for age and BA/CA ratio were 9.7 years (boys: 9.7; girls: 9.7), and 1.12 (boys: 1.1; girls: 1.12), respectively. The mean baseline %BMI was 144.7 (95% CI: 121.0-190.0), being significantly higher in boys (151.0) when compared with that of the girls (142.0). There was a progressive decrease with respect to the baseline %BMI that was statistically significant from 18 months of follow-up on in girls (p

    Conclusions: Individualized information and intensive follow-up favor good acceptance and/or adhesion to the treatment program, and it allows for instilling health education in patients and/or families that, particularly in motivated patients, is conducive to a series of behavioral guidelines essential for controlling obesity.

     

  • Palabras_clave_ingles Nutrition education childhood obesity adolescent obesity management
  • Todos_autores T. Durá Travé
  • autores listados T. Durá Travé
  • Correspondecia
    T. Durá Travé. Avda. Pío XII, 10, 8.º C. 31008 Pamplona.
    Correo electrónico: tduratra@cfnavarra.es
  • Titulo_ingles Treatment of childhood obesity: nutrition education, self-management and intensive follow-up
  • Centros_trabajo Departamento de Pediatría. Facultad de Medicina. Universidad de Navarra. Pamplona
  • Publicado en Acta Pediatr Esp. 2006; 64: 328-334
  • copyright ©2006 Ediciones Mayo, S.A.
  • Fecha recepcion 26/04/06
  • Fecha aceptacion 26/04/06
Publicado en Originales

Información adicional

  • Num_publicacion 66(9)
  • Resumen_ingles

    The antithrombotic therapy in paediatric patients is carried out using guides extrapolated from adults, in spite of their dif¬ferent haemostatic condition. In the treatment with heparins, the unfractionated heparin (UH) is used in a continuous infusion in a dose suitable to the patient's age and body weight (in children under the age of one 28 U/kg/h and in children over the age of two 20 U/kg/h). In low-molecular-weight heparins (LMWH), sometimes alternatives to oral anticoagulants, the dose varies according to the age, body weight and type of heparin with the therapeutic objective of achieving an anti-Xa level of between 0.5-1 U/mL 4 hours after administration. As regards the oral anticoagulant therapy, its application is problematic because of the different haemostatic conditions of children, with serious hemorrhagic complications accounting for 2% of the cases; the duration varies depending on whether it is a thromboembolism because of thrombophilia (6 months) or whether it is secondary to a disease (minimum 3 months). In acute venous thrombosis a therapy with UH must be started followed by an OAT. In the antiplatelet therapy, used in the arterial thromboembolic processes, the most commonly used drug is aspirin (1-5 mg/kg/day), followed by dipiridamol in doses of 2-5 mg/kg/day. The use of thrombolytics requires a detailed evaluation of the potential risks due to the decrease of the total capacity of the fibrinolytic system. The two most commonly used thrombolytics are urokinase and the tissue plasminogen activator.

  • Palabras_clave_ingles Arterial thrombosis venous thrombosis prophylaxis treatment childhood
  • Todos_autores J.A. Iriarte Ezcurdia, A. Delgado Rubio1, M. Vacas Rius, Y. Sáez Meabe, J.P. Sáez de Lafuente Chivite2, J.D. Sagastagoitia Gorostiza3, E. Molinero de Miguel3
  • autores listados J.A. Iriarte Ezcurdia, A. Delgado Rubio, M. Vacas Rius, Y. Sáez Meabe, J.P. Sáez de Lafuente Chivite, J.D. Sagastagoitia Gorostiza, E. Molinero de Miguel
  • Correspondecia
    J.A. Iriarte. FIDEC-Fundación para la Investigación y Docencia de las Enfermedades Cardiovasculares. Gurtubay, s/n. 48013 Bilbao.
    Correo electrónico: marta_vacas@ehu.es
  • Titulo_ingles Arterial and venous thrombosis in childhood (II): Prophylaxis and treatment
  • Centros_trabajo Fundación para la Investigación y Docencia de las Enfermedades Cardiovasculares-FIDEC. 1Servicio de Pediatría. Hospital de Basurto. 2Departamento de Enfermería. Universidad del País Vasco/Euskal Herriko Unibertsitatea. Bilbao. 3Servicio de Cardiología. Hospital de Basurto
  • Publicado en Acta Pediatr Esp. 2008; 66(9): 431-440
  • copyright ©2008 Ediciones Mayo, S.A.
  • Fecha recepcion 22/12/07
  • Fecha aceptacion 25/06/08
Publicado en Revisión

Información adicional

  • Num_publicacion 66(4)
  • Resumen_ingles

    Aim: To describe the diagnosis and therapeutic management of childhood diskitis.

    Patients and methods: A retrospective review of 19 consecutive cases of diskitis diagnosed in our center over a 16-year period.

    Results: Fifty-eight percent of the patients were boys, 74% of them younger than 4 years old. A slight increase in the incidence was observed in summer. The mean delay in diagnosis was 20 days. The clinical findings were refusal to stand (57.9%), fever (42.1%), paraspinal muscle spasm (31.5%), back pain (31.5%), irritability (26.3%), refusal to walk (21%) and abdominal pain (15.7%). The analytical studies revealed an increase in the erythrocyte sedimentation rate in nearly every case. The blood culture was positive in 11.2% of the cases. In the one case in which aspiration of the disk space was performed, Staphylococcus aureus was isolated. Radionuclide bone scan and magnetic resonance imaging were the most sensitive tests (91% and 86.6%, respectively). The most common sites were L4-L5 (31.5%), L5-S1 (21%) and L3-L4 (15.8%). All the patients were treated with immobilization and 89% received antibiotics. The mean hospital stay was 17 days. There was one case of recurrence. Four patients presented sequelae.

    Commentaries: Diskitis is more frequent among preschool children. The most common onset symptoms are refusal to stand and fever. The low incidence and lack of specificity of the symptoms explain the diagnostic delay. The lumbar region is the most frequent location. Radionuclide bone scan and magnetic resonance imaging are of great utility in the diagnosis of diskitis. Treatment is based on antibiotics and immobilization.


  • Palabras_clave_ingles Diskitis spondylodiskitis children diagnosis treatment
  • Todos_autores J.A. Costa Orvay, M. Simó Nebot, H. Salvador Hernández, J. Antón López, J. Ros Viladoms, J. Pou Fernández
  • autores listados J.A. Costa Orvay, M. Simó Nebot, H. Salvador Hernández, J. Antón López, J. Ros Viladoms, J. Pou Fernández
  • Correspondecia
    J.A. Costa Orvay. Hospital «Sant Joan de Déu». Passeig Sant Joan de Déu, 2. 08950 Esplugues del Llobregat (Barcelona). 
    Correo electrónico: curune@yahoo.es
  • Titulo_ingles Diskitis: can we improve its course? Result of a retrospective study
  • Centros_trabajo Servicio de Pediatría. Unidad Integrada. Hospital «Sant Joan de Déu»-Hospital Clínic. Universidad de Barcelona
  • Publicado en Acta Pediatr Esp. 2008; 66(4): 171-175
  • copyright ©2008 Ediciones Mayo, S.A.
  • Fecha recepcion 25/11/07
  • Fecha aceptacion 10/12/07
Publicado en Originales

Información adicional

  • Num_publicacion 66(3)
  • Resumen_ingles

    The metabolic syndrome is a pathology with an increasing prevalence in children and teenagers. Nevertheless, its exact etiopathogeny is unknown, and diagnostic criteria vary depending on authors and experts' committees. Likewise, its prevalence varies depending on whether adult parameters or paediatric parameters are applied, and in case of using the latter it will vary depending on the chosen cut-point. These features, together with current matters of its treatment, are reviewed in the present article.

  • Palabras_clave_ingles Metabolic syndrome children teenagers diagnosis treatment
  • Todos_autores B. Ferrer Lorente1, J. Dalmau Serra2
  • autores listados B. Ferrer Lorente, J. Dalmau Serra
  • Correspondecia
    J. Dalmau Serra. Unidad de Nutrición y Metabolopatías. Hospital Infantil «La Fe». Avda. Campanar, 21. 46009 Valencia. 
    Correo electrónico: dalmau_jai@gva.es
  • Titulo_ingles Some considerations on the metabolic syndrome
  • Centros_trabajo 1Centro de Salud de Alaquás. Valencia. 2Unidad de Nutrición y Metabolopatías. Hospital Infantil «La Fe». Valencia
  • Publicado en Acta Pediatr Esp. 2008; 66(3): 130-134
  • copyright ©2008 Ediciones Mayo, S.A.
  • Fecha recepcion 25/06/07
  • Fecha aceptacion 23/07/07
Publicado en Nutrición infantil

Información adicional

  • Num_publicacion 65(11)
  • Resumen_ingles

    Chagas disease, or American trypanosomiasis, is endemic to large regions of America, from the southern United States to the south of Argentina and Chile.

    Currently, the risk of being infected with the disease does not exist only in Latin America. This infection is beginning to be a serious problem all over the world because of immigration from the endemic regions.

    It is necessary to update our knowledge concerning this emergent disease, which is already a reality in our patient population, by means of a literature review.

    Infected pregnant women can transmit the disease to the fetus either vertically or via the placenta. We are interested in transplacental transmission because this is the form that leads to congenital Chagas. In endemic areas, the prevalence of transmission by this route ranges between 2% and 12%.

    It is very important to request serologic tests for pregnant women from endemic areas. Should the results be positive, their children should have early diagnostic testing, followed by treatment throughout their first year of life

  • Palabras_clave_ingles Congenital Chagas early diagnosis treatment
  • Todos_autores M.C. Parada Barba2, C. Paredes Cencillo1
  • autores listados M.C. Parada Barba, C. Paredes Cencillo
  • Correspondecia
    C. Paredes Cencillo. Avda. Blasco Ibáñez, 20. 46010 Valencia.
    Correo electrónico: paredes_car@gva.es
  • Titulo_ingles Vertically-transmitted Chagas: a reality in Spain
  • Centros_trabajo 1Servicio de Pediatría. 1,2Hospital Clínico Universitario de Valencia
  • Publicado en Acta Pediatr Esp. 2007; 65(11): 565-569
  • copyright ©2007 Ediciones Mayo, S.A.
  • Fecha recepcion 15/10/07
  • Fecha aceptacion 15/10/07
Publicado en Originales

Información adicional

  • Num_publicacion 66(10)
  • Resumen_ingles

    Breast pain and other breast problems are frequent among breastfeeding mothers. They cause significant distress, undermine the mother's self-confidence in her ability to feed the baby and often contribute to early cessation of lactation. However, more than often, health professionals do not have the necessary knowledge for prevention or resolution of these specific problems as, in general, these topics are not included in preservice or in-service training. The purpose of this review is to provide all professionals in charge of the health of the mother-infant dyad with a practical tool based on present scientific knowledge.

  • Palabras_clave_ingles Breastfeeding mastitis Raynaud’s syndrome breast pain fissures engorgement prevention treatment
  • Todos_autores M.T. Hernández Aguilar, J.J. Lasarte Velillas1, M.J. Lozano Latorre2, J. Aguayo Maldonado3, N.M. Díaz Gómez4
  • autores listados M.T. Hernández Aguilar, J.J. Lasarte Velillas, M.J. Lozano Latorre, J. Aguayo Maldonado, N.M. Díaz Gómez
  • Correspondecia
    M.T. Hernández Aguilar. Centro de Salud «Fuente de San Luis». Arabista Ambrosio Huici, 30. 46007 Valencia.
    Correo electrónico: hernandez.teragu@gmail.com
  • Titulo_ingles Breast pain during lactation: management strategies for the pediatrician
  • Centros_trabajo Centro de Salud «Fuente de San Luis». Valencia. 1Centro de Salud de Zuera. Zaragoza. 2Hospital Universitario «Marqués de Valdecilla». Universidad de Cantabria. 3Consejería de Salud de Andalucía. 4Universidad de La Laguna. Tenerife. Pediatras y miembros del Comité de Lactancia Materna de la AEP
  • Publicado en Acta Pediatr Esp. 2008; 66(10): 504-509
  • copyright ©2008 Ediciones Mayo, S.A.
  • Fecha recepcion 23/03/08
  • Fecha aceptacion 01/04/08
Publicado en Nutrición infantil

Información adicional

  • Num_publicacion 66(11)
  • Resumen_ingles

    Sickle-cell disease is a hemoglobinopathy that produces rigidity in red cells under conditions of hypoxia, infection or dehydration, with the subsequent microvascular occlusion and hemolysis. It is a disease that affects multiple organs and systems, such as the spleen, the central nervous system, the osteoarticular system, the eyes, the genitourinary tract and the respiratory tract.

    Respiratory diseases, both acute and chronic, are a major cause of morbidity and mortality, although painful crises have a greater impact on the quality of life of these patients.

    In this article, we will elaborate upon the various respiratory complications for the purpose of introducing proper preventive measures and initiating an early and aggressive treatment of these complications. We will also briefly describe other situations that may arise throughout the course of the disease and briefly describe a program for the control and monitoring of patients with sickle cell disease.

    This article will also highlight the interest in establishing specialized workgroups in this disease. Although it is still not very widespread among our general population, it is being detected with increasing frequency due to immigration, and due to the universal newborn screening in some autonomous regions, which calls for the development of a plan of action through the creation of multidisciplinary units that will greatly improve the survival and quality of life of these patients.

  • Palabras_clave_ingles Sickle cell disease anemia prevention treatment
  • Todos_autores M. Echeverría1, E. Barredo1, B. Huidobro1, J. Rodríguez-Cimadevilla1, E. Cela2, A. Salcedo1
  • autores listados M. Echeverría, E. Barredo, B. Huidobro, J. Rodríguez-Cimadevilla, E. Cela, A. Salcedo
  • Correspondecia
    M. Echeverría Fernández. Hospital Maternoinfantil Gregorio Marañón. Dr. Castelo, 47. 28009 Madrid.
    Correo electrónico: maiecheve@yahoo.es
  • Titulo_ingles Respiratory disorders in patients with sickle cell disease: management protocol (I)
  • Centros_trabajo Unidad de Control y Seguimiento de Pacientes con Enfermedad de Células Falciformes. 1Sección de Neumología Pediátrica. 2Sección de Hematooncología Pediátrica. Hospital Universitario «Gregorio Marañón». Madrid
  • Publicado en Acta Pediatr Esp. 2008; 66(11): 536-543
  • copyright ©2008 Ediciones Mayo, S.A.
  • Fecha recepcion 4/02/08
  • Fecha aceptacion 19/02/08
Publicado en Revisión

Información adicional

  • Num_publicacion 65(4)
  • Resumen_ingles

    In this article, we report the case of a male infant who was delivered by cesarean section due to breech presentation. After the delivery, which had not involved the performance of aggressive obstetrical maneuvers, it was discovered that he had sustained a displaced fracture of the femoral metaphysis. In this article, the authors analyze both the atypical clinical presentation and fracture site, as well as the response to treatment and sequelae throughout his first year of life.

  • Palabras_clave_ingles Congenital femoral fracture cesarean healthy newborn infant obstetrical trauma treatment sequelae
  • Todos_autores E. Carvajal, L. Picó, I. Güemes, C. Pellicer, R. Fornés1
  • autores listados E. Carvajal, L. Picó, I. Güemes, C. Pellicer, R. Fornés
  • Correspondecia
    E. Carvajal Roca. Departamento de Pediatría. Hospital «Casa de la Salud». Dr. Manuel Candela, 41. 46021 Valencia.
    Correo electrónico: evacarvajal@ono.com
  • Titulo_ingles A rare obstetrical injury: displaced fracture of femoral metaphysis at birth in an otherwise healthy infant
  • Centros_trabajo Servicio de Neonatología. 1Servicio de Urgencias. Hospital «Casa de la Salud». Valencia
  • Publicado en Acta Pediatr Esp.2007; 65(4): 186-188
  • copyright ©2007 Ediciones Mayo, S.A.
  • Fecha recepcion 17/01/07
  • Fecha aceptacion 17/01/07
Publicado en Notas clínicas

Información adicional

  • Num_publicacion 65(3)
  • Resumen_ingles

    Objective: The features of neonatal neurological disorders detected in the Neonatal Unit of Miguel Servet Universitary Children's Hospital in Zaragoza, Spain, a referral center for Aragon, La Rioja and Soria, have been studied.

    Patients and methods: We reviewed the cases of the neonates with neurological disorders studied in our hospital for a five-year period (January 1996-December 2000). The personal and family histories, as well as the reason for consultation, the results of physical examination and supplementary examinations, diagnoses and neonatal treatments, have been taken into consideration.

    Results: The most frequent reason for consultation was perinatal distress (n= 77; 37.56%), followed by prematurity and non convulsive paroxysms. Consultation took place early, occur¬ring on the first day of life in 159 (77.56%) of the 205 infants with neonatal neurological disorders. The results of the neurological examination were abnormal in 70.24%, with a preval¬ence of hypotonia in 62; (30.24%). The supplementary exam¬inations most frequently performed, transfontanellar ultrasound, was carried out in 188 cases (91,71%), while electroencephal¬ographic studies were performed in 152 (74.15%), computed tomographic scan in 84 (40.98%) and genetic studies in 48 (23.41%). Perinatal disorders were detected in 126 children (61.46%) (mostly premature and asphyxiated newborns) and prenatal disorders in 62 (30,24%); 112 (54.63%) required rehabi¬litation and early stimulation.

    Conclusions: The importance of neonatal neurological dis¬orders is due to the frequency and serious nature of some of the processes that provoke them, especially prematurity, asphyxia and prenatal genetic disorders. Neuroimaging and genetic studies are essential in the management of these children, who also require special, costly and prolonged treatments.

  • Palabras_clave_ingles Physical examination supplementary examinations diagnosis treatment neonatology neuropediatrics
  • Todos_autores S. Ruiz Escusol, J. López Pisón, V. Rebage Moisés1, J.L. Peña Segura
  • autores listados S. Ruiz Escusol, J. López Pisón, V. Rebage Moisés, J.L. Peña Segura
  • Correspondecia
    S. Ruiz Escusol. Avda. Països Catalans, 15 C, 2.º 2.ª. 43007 Tarragona.
    Correo electrónico: salomere@tinet.org
  • Titulo_ingles Features of neonatal neurological disorders in a regional referral hospital
  • Centros_trabajo Sección de Neuropediatría. 1Unidad Neonatal. Hospital Infantil Universitario «Miguel Servet». Zaragoza
  • Publicado en Acta Pediatr Esp. 2007; 65(3): 111-117
  • copyright ©2007 Ediciones Mayo, S.A.
  • Fecha recepcion 13/03/06
  • Fecha aceptacion 15/11/06
Publicado en Originales

Información adicional

  • Num_publicacion 65(1)
  • Resumen_ingles

    Relapsing fever caused by spirochetes of the genus Borrelia is a vector-borne disease that is currently underdiagnosed in our area. However, a readily available diagnostic test perform­ed in the emergency department could help identify this disease. The test would be essential to start early antibiotic therapy, which, in turn, would decrease the high rate of morbidity associated with the natural history of this condition. We present the case of a child with relapsing fever caused by Borrelia, who contracted the disease in his country of origin, and was seen and diagnosed in our emergency department.

  • Palabras_clave_ingles Borrelia relapsing fever treatment
  • Todos_autores J. Martínez-Baylach, L. García Rodríguez, A. Cabot Dalmau, G. Sauca1, R. Díez
  • autores listados J. Martínez-Baylach, L. García Rodríguez, A. Cabot Dalmau, G. Sauca, R. Díez
  • Correspondecia
    J. Martínez-Baylach. Hospital de Mataró. Ctra. de Cirera, s/n. Mataró (Barcelona).
    Correo electrónico: jmar9072@hotmail.com
  • Titulo_ingles Relapsing fever due to borreliosis
  • Centros_trabajo Servicio de Pediatría. 1Servicio de Microbiología. Hospital de Mataró. Consorci Sanitari del Maresme. Barcelona
  • Publicado en Acta Pediatr Esp. 2007; 65(1): 29-31
  • copyright ©2007 Ediciones Mayo, S.A.
  • Fecha recepcion 30/06/06
  • Fecha aceptacion 13/07/06
Publicado en Notas clínicas

Información adicional

  • Num_publicacion 65(1)
  • Resumen_ingles

    Introduction: The diagnosis and treatment of acute bronchiolitis are controversial issues. We proposed to assess the practice patterns of pediatricians in Galicia (Northwest Spain) in the diagnosis and treatment of this disease, and to analyze the influence on the response of professional factors such as med­ical training, practical experience, and work setting.

    Material and methods: A cross-sectional observational study consisting of a postal survey that included a clinical case report of acute bronchiolitis and 40 related questions. The survey was submitted in May 2004 to pediatricians belonging to the Pediatric Society of Galicia.

    Results: A total of 103 correctly completed surveys were returned. Half of the responders (50.5%) were over 45 years of age. Eighty-seven percent of them were pediatricians and 13% were pediatric residents. In all, 58% of the physicians worked in the primary care setting. In most cases, the diagnostic ap­proach followed the current international recommendations, with an especially widespread use of clinical scales and pulse oximetry. In contrast, pharmacological therapies were prescribed more frequently than is recommended, and the use of drugs such as bronchodilators or corticosteroids was nearly generalized. Practical experience did not influence the responses. Respiratory syncytial virus detection assays were more frequently indicated by medical residents (p

    Conclusions: There are considerable discrepancies between routine practice and the evidence justifying it. A national consensus conference on the management of acute bronchiolitis could help to improve patient care and to rationalize the use of resources.

     

  • Palabras_clave_ingles Viral bronchiolitis/diagnosis viral bronchiolitis/treatment infant bronchodilators steroids evidence based medicine
  • Todos_autores F. Martinón-Torres, F. Contreras Martinón, L. Redondo Collazo, A. Rodríguez Núñez, J.M. Martinón Sánchez
  • autores listados F. Martinón-Torres, F. Contreras Martinón, L. Redondo Collazo, A. Rodríguez Núñez, J.M. Martinón Sánchez
  • Correspondecia
    F. Martinón-Torres. Unidad Cuidados Intensivos Pediátricos. Hospital Clínico Universitario Santiago. A Choupana, s/n. 15706 Santiago de Compostela (A Coruña).
    Correo electrónico: federico.martinon.torres@sergas.es
  • Titulo_ingles A practice approach to the diagnosis and treatment of infants with acute bronchiolitis in Galicia, Spain (Bronquio-Gal study)
  • Centros_trabajo Departamento de Pediatría. Servicio de Críticos, Intermedios y Urgencias Pediátricas. Hospital Clínico Universitario de Santiago de Compostela. Universidad de Santiago de Compostela
  • Publicado en Acta Pediatr Esp. 2007; 65(1): 12-20
  • copyright ©2007 Ediciones Mayo, S.A.
  • Fecha recepcion 29/10/06
  • Fecha aceptacion 29/10/06
Publicado en Originales

Información adicional

  • Num_publicacion 67(5)
  • Resumen_ingles

    Introduction: One of the most frequent reasons for a visit to the neuropediatrician is related to cranial morphology as regards the uni or bilateral occipital flattening of the child's head. It is important to distinguish between the real posterior plagiocephaly due to the closure of the lambdoidal suture and the occipital flattening without suture closure, with the purpose of guiding on the most appropriate therapeutic measures in each case.

    Objective: To assess the existence or not of real posterior plagiocephaly in children with occipital flattening.

    Patients and methods: During 4 years, 42 children under a year of age attended the consultation with problems related to the head; nine showed an occipital flattening. All nine cases were requested to undergo a cranial CT scan, recommending the most adequate treatment for each case.

    Results: Only one case showed a posterior plagiocephaly. They were all recommended postural measures and physiotherapy, and in three cases the use of helmets. The remodelling of the skull was adequate and both the children as the families tolerated the helmet.

    Conclusions: Most of children with occipital flattening do not show a pagliocephaly. In these cases the postural measures, the physiotherapy and in some cases the placement of a helmet is enough to improve and even to normalize the cranial morphology of the unweaned baby.

  • Palabras_clave_ingles Occipital flattening craniosynostosis supine position children posterior plagiocephaly posture torticollis treatment
  • Todos_autores A. Morant Gimeno
  • autores listados A. Morant Gimeno
  • Correspondecia
    A. Morant Gimeno. Consulta de Neuropediatría. Jesús, 101, 7.º. 46007 Valencia.
    Correo electrónico: med01241822@saludalia.com
  • Titulo_ingles Posterior plagiocephaly versus occipital flattening: diagnostic and therapeutic measures
  • Centros_trabajo Neuropediatra. Consulta de Neuropediatría. Valencia
  • Publicado en Acta Pediatr Esp. 2009; 67(5): 217-219
  • copyright ©2009 Ediciones Mayo, S.A.
  • Fecha recepcion 14/07/08
  • Fecha aceptacion 23/07/08
Publicado en Originales

Información adicional

  • Num_publicacion 67(9)
  • Resumen_ingles

    Recurrent aspiration syndrome is an important cause of bronchopulmonary pathology. Its etiopathogenesis involves swallowing alterations, the presence of gastroesophageal reflux and the aspiration of saliva. Because of its variable clinical presentation and the absence of specific diagnostic criteria, it often goes unnoticed. The treatment should be determined according to the mechanism involved, thereby evaluating the potential predisposing factors in each patient.

    We present the case of a girl who is referred to the Pneumology Department because of recurrent respiratory episodes and a poor response to the treatment.

    An in-depth review is conducted of this pathology in the field of paediatrics, with the aim of defining rules for adequate diagnostic action, thereby trying to avoid excessive and inappropriate additional tests, and providing a targeted and justified therapy.

  • Palabras_clave_ingles Recurrent aspiration syndrome diagnosis treatment
  • Todos_autores B. Huidobro, J. Huerta, E. Barredo, M. Tolín, J. Rodríguez-Cimadevilla, A. Salcedo
  • autores listados B. Huidobro, J. Huerta, E. Barredo, M. Tolín, J. Rodríguez-Cimadevilla, A. Salcedo
  • Correspondecia
    A. Salcedo Posadas. Hospital Materno-Infantil «Gregorio Marañón». Dr. Castelo, 47. 28009 Madrid.
    Correo electrónico: asalcedo.hgugm@salud.madrid.org
  • Titulo_ingles Treatment of recurrent aspiration syndrome in children
  • Centros_trabajo Sección de Neumología Pediátrica. Hospital Universitario «Gregorio Marañón». Madrid
  • Publicado en Acta Pediatr Esp. 2009; 67(9): 420-426
  • copyright ©2009 Ediciones Mayo, S.A.
  • Fecha recepcion 08/04/08
  • Fecha aceptacion 18/04/08
Publicado en Revisión

Información adicional

  • Num_publicacion 67(10)
  • Resumen_ingles

    Cysticercosis is the most common human's CNS (central nervous system) parasitic disease, and the most frequent cause of acquired epilepsy in developing countries. It is a growing problem in developed countries due to the influx of immigrants from endemic areas.

    Treatment with praziquantel and albendazole, although at the beginning it was initially promising, it has been questioned by many authors, because of its side effects, and because many of the patients progressed favourably without the need of any antiparasitic treatment. Many randomized controlled trials which support the use of the antiparasitic treatment in patients with cystic lesions and in contrast enhancing ones have been published.

    In patients exclusively with calcified lesions the antiparasitary or steroid treatment is not specified.

    However, the decision of administering anthelmintics and or corticoids is not always clear, having to individualize its use when appropriate in the cases where a clear symptom is not shown.

  • Palabras_clave_ingles Neurocysticercosis therapy childhood
  • Todos_autores S. Ibáñez Micó, I. Izquierdo Fos, S. de Murcia Lemauviel, J. González de Dios
  • autores listados S. Ibáñez Micó, I. Izquierdo Fos, S. de Murcia Lemauviel, J. González de Dios
  • Correspondecia
    S. Ibáñez Micó. Unidad de Neuropediatría. Hospital de Torrevieja. Ctra. Torrevieja a San Miguel de Salinas. CV-95 Partida La Ceñuela. 03186 Torrevieja (Alicante).
    Correo electrónico: salibmi@coma.es
  • Titulo_ingles Neurocysticercosis in childhood: to treat or not to treat?
  • Centros_trabajo Servicio de Pediatría. Hospital de Torrevieja. Alicante
  • Publicado en Acta Pediatr Esp. 2009; 67(10): 503-504
  • copyright ©2009 Ediciones Mayo, S.A.
  • Fecha recepcion 21/11/08
  • Fecha aceptacion 24/11/08
Publicado en Notas clínicas

Información adicional

  • Num_publicacion 67(1)
  • Resumen_ingles

    Sickle cell disease is a hemoglobinopathy that produces stiffness in red cells in situations of hypoxia, infection or dehydration, with the subsequent microvascular occlusion and hemolysis. It is a disease that affects multiple organs and systems, such as the spleen, the central nervous system, the osteoarticular apparatus, the eyes, the genitourinary system and the respiratory system.

    The respiratory disease, both acute and chronic, is a major cause of morbidity and mortality, although painful crises have a greater effect on the quality of life of these patients.

    In this article, we will elaborate upon the various respiratory complications with the aim of providing proper prevention and treating them early and aggressively. We will also briefly describe the other situations that may occur throughout the course of the disease and schematically explain a control and monitoring program for patients with sickle cell disease.

    This article will also stress the interest in establishing specialized workgroups in this disease, which is still not very well known in Spain, although its detection is increasing due to immigration, and due to the universal newborn screening in some autonomous regions. This circumstance makes it necessary to develop an action plan through the creation of multidisciplinary units that will greatly improve the survival and quality of life of these patients.

  • Palabras_clave_ingles Sickle cell disease anemia prevention treatment
  • Todos_autores M. Echeverría1, S. Zarzoso, V. Cruzado, J. Rodríguez-Cimadevilla, E. Cela2, A. Salcedo1
  • autores listados M. Echeverría, S. Zarzoso, V. Cruzado, J. Rodríguez-Cimadevilla, E. Cela, A. Salcedo
  • Correspondecia
    M. Echeverría Fernández. Hospital Materno-Infantil Gregorio Marañón. Dr. Castelo, 47. 28009 Madrid.
    Correo electrónico: maiecheve@yahoo.es
  • Titulo_ingles Respiratory disorders in patients with sickle cell disease. Management protocol (II)
  • Centros_trabajo Unidad de Control y Seguimiento de Pacientes con Enfermedad de Células Falciformes. 1Sección de Neumología Pediátrica. 2Sección de Hematooncología Pediátrica. Hospital Universitario «Gregorio Marañón». Madrid
  • Publicado en Acta Pediatr Esp. 2009; 67(1): 4-8
  • copyright ©2009 Ediciones Mayo, S.A.
  • Fecha recepcion 04/02/08
  • Fecha aceptacion 19/02/08
Publicado en Revisión

Información adicional

  • Num_publicacion 68(11)
  • Resumen_ingles

    Herpes zoster or shingles is caused by reactivation of varicella-zoster virus long time after the primary infection, varicella. It is unusual in pediatrics. Contrary to the way it can affect adults zoster manifestation is mild if it appears in children. Diagnosis is based on distinctive clinical appearance and laboratory tests are not usually required. Symptomatic treatment of skin lesions should be the best choice to take while systemic oral or intravenous acyclovir should be restricted only to special cases. Regarding other antiviral drugs of proved efficacy in adults, no evidence is gathered for their use in children. To sum up, our main aim is to review and update this subject stressing diagnosis and treatment.

  • Palabras_clave_ingles Herpes zoster pediatrics diagnosis treatment
  • Todos_autores J.M. Rius Peris, M.D. Martínez Sanz1, E. Cueto Calvo, L. Guardia Nieto, J. Torrecilla Cañas, M. Sarrión Cano
  • autores listados J.M. Rius Peris, M.D. Martínez Sanz
  • Correspondecia
    J.M. Rius Peris. Servicio de Pediatría. Hospital «Virgen de la Luz». Hermandad de Donantes de Sangre, s/n. 16002 Cuenca.
    Correo electrónico: riusjua@gmail.com
  • Titulo_ingles Herpes zoster in pediatrics. Case report and review of the literature
  • Centros_trabajo Servicio de Pediatría. Hospital «Virgen de la Luz». Cuenca. 1Unidad Docente de Medicina Familiar y Comunitaria. Cuenca
  • Publicado en Acta Pediatr Esp. 2010; 68(11): 564-568
  • copyright ©2010 Ediciones Mayo, S.A.
  • Fecha recepcion 25/11/09
  • Fecha aceptacion 29/12/09
Publicado en Notas clínicas

Información adicional

  • Num_publicacion 68(2)
  • Resumen_ingles

    Molluscum contagiosum is a common viral disease of childhood which presents itself as small, firm, umbilicated papules.

    Since it is considered a self-limiting disease, debate continues about whether lesions associated with this disease should be treated or allowed to resolve spontaneously. How­ever, the lesions take between 6 and 48 months to resolve and are a source of great embarrassment for both carers and children, often affecting the children's attendance at school and limiting their social activity. Treatment can shorten the disease course, possibly reducing autoinoculation and transmission, and increases the patients' quality of life.

  • Palabras_clave_ingles Curettage molluscum contagiosum poxvirus treatment
  • Todos_autores B. Monteagudo, M. Cabanillas, E. León-Muiños1, Ó. Suárez-Amor, M. Vázquez-Blanco, A. Corrales1
  • autores listados B. Monteagudo, M. Cabanillas, E. León-Muiños, Ó. Suárez-Amor, M. Vázquez-Blanco, A. Corrales
  • Correspondecia
    B. Monteagudo Sánchez. Alegre, 83-85, 3.º A. 15401 Ferrol (A Coruña).
    Correo electrónico: benims@hotmail.com
  • Titulo_ingles Molluscum contagiosum: when should treatment start?
  • Centros_trabajo Servicio de Dermatología. 1Servicio de Pediatría. Complejo Hospitalario Arquitecto Marcide-Novoa Santos. Ferrol (A Coruña)
  • Publicado en Acta Pediatr Esp. 2010; 68(2): 91-94
  • copyright ©2010 Ediciones Mayo, S.A.
  • Fecha recepcion 12/01/09
  • Fecha aceptacion 28/01/09
Publicado en Notas clínicas

Información adicional

  • Num_publicacion 69(1)
  • Resumen_ingles

    We present the case of a child affected by congenital Chagas disease. Her serology's for the detection of Chagas persisted positive and she was diagnosed and treated at the age of 8 months. Chagas PCR was not available. She was treated with benznidazole for 60 days, without secondary effects or toxicity. After treatment her serologies decreased. It is important to detect these children as soon as possible. That is the reason why Chagas screening tests should be performed in pregnant women who come from endemic areas and emigrate to European countries and if it is positive, to do a PCR and serological tests to the child.

  • Palabras_clave_ingles Congenital Chagas Trypanosoma cruzi diagnosis treatment
  • Todos_autores R. Chacón Aguilar, L. Tapia Ceballos, B. Picazo Angelín, A. Martín Torrecillas
  • autores listados R. Chacón Aguilar, L. Tapia Ceballos, B. Picazo Angelín, A. Martín Torrecillas
  • Correspondecia
    R. Chacón Aguilar. Hospital «Costa del Sol». Área de Pediatría. Autovía A-7, km 187. 29603 Marbella (Málaga).
    Correo electrónico: rocio_chacon_aguilar@hotmail.com
  • Titulo_ingles Congenital Chagas. Treatment in the first year of life
  • Centros_trabajo Área de Pediatría. Hospital «Costa del Sol». Marbella (Málaga)
  • Publicado en Acta Pediatr Esp. 2011; 69(1): 42-43
  • copyright ©2011 Ediciones Mayo, S.A.
  • Fecha recepcion 04/12/09
  • Fecha aceptacion 17/02/10
Publicado en Notas clínicas

Información adicional

  • Num_publicacion 69(1)
  • Resumen_ingles

    Cutaneous larva migrans results from skin penetration of worms, most commonly Ancylostoma braziliense and Ancylostoma caninum. The typical clinical picture is a serpiginous erythematous tract on the skin, often pruritic, normally affecting the feet, legs and buttocks. It is a self-limited disease, though an effective treatment can diminish the symptoms and shorten the duration of the disease.

  • Palabras_clave_ingles Cutaneous larva migrans larva treatment
  • Todos_autores M. Valdivielso-Ramos, E. Balbín, M.A. Martín, E. Chavarría, J.M. Hernanz
  • autores listados M. Valdivielso-Ramos, E. Balbín, M.A. Martín, E. Chavarría, J.M. Hernanz
  • Correspondecia
    J.M. Hernanz Hermosa. Servicio de Dermatología. Hospital «Infanta Leonor». Gran Vía del Este, 80. 28031 Madrid.
    Correo electrónico: jmhernanzh@salud.madrid.org
  • Titulo_ingles Cutaneous larva migrans
  • Centros_trabajo Servicio de Dermatología. Hospital «Infanta Leonor». Madrid
  • Publicado en Acta Pediatr Esp. 2011; 69(1): 38-39
  • copyright ©2011 Ediciones Mayo, S.A.

Información adicional

  • Num_publicacion 69(4)
  • Resumen_ingles

    Acute otitis media (AOM) is the most frequent diagnosis in the primary care pediatrician visits and the main reason for the prescription of antibiotics. The world prevalence of the AOM is high, especially during the early childhood. Approximately of every five upper respiratory tract infection one is complicated by an AOM episode. The incidence peak occurs between 6-12 months old. Most of the children suffer at least of one episode before they begin school. A third part develops recurrent acute otitis media (AOMr). Even though very little AOM's episodes produce serious complications, such as mastoiditis and meningitis, many others can produce hearing loss caused by the persistent presence of fluid in the middle ear. This hypoacusia intermittent or chronic can cause learning disabilities and subsequent problems in the acquisition of language skills.

  • Palabras_clave_ingles Otitis media treatment diagnosis antibiotics
  • Todos_autores M. Garcés-Sánchez1, M. Renales Toboso1, R. Ballester Fernández1, J. Díez-Domingo2
  • autores listados M. Garcés-Sánchez, M. Renales Toboso, R. Ballester Fernández, J. Díez-Domingo
  • Correspondecia
    M. Garcés. Centro de Salud Nazaret. Fernando de Morais, 2. 46024 Valencia.
    Correo electrónico: maria.garces.sanchez@gmail.com
  • Titulo_ingles Diagnosis, treatment and prevention of acute otitis media in early childhood
  • Centros_trabajo 1Centro de Salud de Nazaret (Valencia). 2Centro Superior de Investigación en Salud Pública (CSISP). Valencia
  • Publicado en Acta Pediatr Esp. 2011; 69(5): 151-155
  • copyright ©2011 Ediciones Mayo, S.A.
  • Fecha recepcion 17/05/10
  • Fecha aceptacion 08/02/11
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