Acta Pediátrica Española

ISSN 2014-2986

Acta Pediátrica Española suspende su publicación
Tras 77 años ininterrumpidos de cita con sus lectores, la revista Acta Pediátrica Española va a suspender su publicación a partir de abril de 2020.
Mayo, empresa editora de la histórica cabecera, se ha visto obligada a tomar esta medida por razones estrictamente económicas derivadas de la caída de los ingresos publicitarios.
Los dos últimos números de Acta Pediátrica Española (los correspondientes a enero/febrero y marzo/abril) incluyen los artículos cuya publicación ha sido aceptada por el comité científico de la revista. Sin embargo, a partir de ahora ya no podemos atender nuevas peticiones de publicación de trabajos.
Desde Mayo queremos hacer público nuestro agradecimiento y reconocimiento a todos los excelentes profesionales que han participado en la dirección y en los comités científicos de la publicación, a los revisores, a los autores que nos han confiado sus trabajos, a nuestros lectores y a los anunciantes. Gracias a su apoyo hemos podido escribir juntos un pedacito de la historia de la pediatría española.

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  • Num_publicacion 77(11-12)
  • Resumen_ingles

    Introduction: Autoimmune hemolytic anemia (AIHA) is rare in childhood, with an estimated annual incidence of 1 per 80,000 people in the general population. Anemia is usually moderate, well tolerated by the patient. Red blood cell transfusions are usually not indicated, except in situations of vital risk.

    Clinical case: We present the case of a patient with warm-reactive AIHA. After the diagnosis, she iniciated treatment with glucocorticoids. She needed 2 red cell units, and 3 doses of immunoglobulins as adjuvant treatment.

    Conclusions: Usually, transfusion of red cells units in AIHA should be avoided, except in situations of vital risk. Transfusion may intensify haemolysis. However, in some of these patients the disease could be presented as an emergency, that advises the immediate transfusion despite the risks involved, in the presence of signs of cerebral, cardiac or renal hypoxia. Each case must be individualized, and it must be considered in the benefit-risk equation.

  • Palabras_clave_ingles Autoimmune haemolytic anemia hemolysis corticosteroids transfusion childhood
  • Todos_autores P.M. Barberá Pérez1, P.J. Paúl Vidaller2, M.P. Collado Hernández1, M.T. Sobrevía Elfau1, V. Sancho Ariño1
  • autores listados P.M. Barberá Pérez, P.J. Paúl Vidaller, M.P. Collado Hernández, M.T. Sobrevía Elfau, V. Sancho Ariño
  • Correspondecia
    P.M. Barberá Pérez. Servicio de Pediatría. Hospital Clínico Universitario Lozano Blesa. Avda. San Juan Bosco, 15. 50009 Zaragoza. Correo electrónico: pmbarbera@salud.aragon.es
  • Titulo_ingles Transfusion in autoimmune hemolitic anemia: a vital issue. A case report
  • Centros_trabajo 1Servicio de Pediatría. Hospital Clínico Universitario Lozano Blesa. Zaragoza. 2Servicio de Hematología. Hospital de Barbastro (Huesca)
  • Publicado en Acta Pediatr Esp. 2019; 77(11-12): e189-e192
  • copyright ©2019 Ediciones Mayo, S.A.
  • Fecha recepcion 10/06/18
  • Fecha aceptacion 26/10/18
  • Tipo de Artículo Clínico (Microdatos) Case Reports
Publicado en Notas clínicas

Información adicional

  • Num_publicacion 77(3-4)
  • Resumen_ingles
    Fabry disease (FD) is a hereditary, progressive lysosomal storage disorder that can threaten the patient’s life and diagnosis of which is often slow because of poor identification of the clinical symptoms. A clinical case of FD diagnosed at paediatric age is described here. The main symptoms experienced during childhoad were neuropathic damage, gastrointestinal problems, hypohidrosis and intolerance of heat and cold. After starting enzyme replacement therapy (ERT) at 14 years old, the patient experienced a clinical improvement in the different symptoms suffered, and plasma lyso-GL3 levels fell considerably. It suggests that ERT currently could offers the possibility of delaying the progression of the illness and even encourage the emission of some clinical symptoms in these patients, with an improved long-term prognosis. Early detection of the disease and starting treatment early are essential to ensure greater effectiveness.
  • Palabras_clave_ingles Fabry disease Infancy Enzyme replacement therapy
  • Todos_autores I. Vitoria Miñana, P. Correcher Medina
  • autores listados I. Vitoria Miñana, P. Correcher Medina
  • Correspondecia
    I. Vitoria Miñana. Unidad de Nutrición y Metabolopatías. Hospital Universitario La Fe. Avda. de Fernando Abril Martorell, 126. 46026 Valencia.
    Correo electrónico: vitoria_isi@gva.es
  • Titulo_ingles Clinical case study of Fabry disease
  • Centros_trabajo Unidad de Nutrición y Metabolopatías. Hospital Universitario La Fe. Valencia
  • Publicado en Acta Pediatr Esp. 2019; 77(3-4): 62-66
  • copyright ©2019 Ediciones Mayo, S.A.
  • Tipo de Artículo Clínico (Microdatos) Case Reports

Información adicional

  • Num_publicacion 77(1-2)
  • Resumen_ingles
    Introduction: Cases of children with pneumonia and extrathoracic symptoms such as abdominal pain, sickness, vomits or headache have been described previously. Pneumonia should be also included in the differential diagnosis of a patient with fever and upper extremity pain.
    Clinical case: We present a case of a patient with left upper lobe pneumonia and arm pain and fever as the single symptomatology.
    Conclusion: The diagnosis of pneumonia is a challenge in childhood, especially in those patients with little symptomatology, mild intensity or extrathoracic location. Knowing the extrathoracic symptoms that can associate pneumonias in pediatric age is important. In the case of our patient, with left upper lobe pneumonia, nature and distribution of pain is explained by the involvement of the roots of the lower brachial plexus by irritation or inflammation of the apical pleura.
     
  • Palabras_clave_ingles Pneumonia Extratoracic symptomatology Arm pain Childhood
  • Todos_autores P.M. Barberá-Pérez1, L.D. Barberá-Pérez2, P. Ferrer-Santos1, A. Hueto-Najarro1, J.M. Mengual-Gil2
  • autores listados P.M. Barberá-Pérez, L.D. Barberá-Pérez, P. Ferrer-Santos, A. Hueto-Najarro, J.M. Mengual-Gil
  • Correspondecia
    P.M. Barberá-Pérez. Hospital Clínico Universitario Lozano Blesa. Avda. San Juan Bosco, 15. 50009 Zaragoza. 
    Correo electrónico: pmbarbera@salud.aragon.es
     
  • Titulo_ingles Severe arm pain and fever as unusual presentation of pneumonia. A case report
  • Centros_trabajo 1Hospital Clínico Universitario Lozano Blesa. 2Centro de Salud Delicias Sur. Zaragoza
  • Publicado en Acta Pediatr Esp. 2019; 77(1-2): e28-e30
  • copyright ©2019 Ediciones Mayo, S.A.
  • Fecha recepcion 9/07/17
  • Fecha aceptacion 16/01/18
  • 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 75(3-4)
  • Resumen_ingles
    Introduction: In the recent decades, children overweight have been tripled in our living conditions.  Sociocultural factors as parents’ background may become a risk agent.  
    Purpose: To estimate the influence of mother’s background on overweight risk at the age of 6. 
    Procedure: Longitudinal study of Aragonese children population-representative cohort from birth to 6 years old (n= 1,560). Sociocultural and family anthropometric features, type of feed and postnatal growth according to mother’s background were evaluated.  High overweight incidence at the age of 6 and the mother’s immigrant background was analyzed after being adjusted by different covariants.
    Results: 23.4% of the cross section were children of immigrant background mothers. The sociocultural and family anthropometric features, the type of feed and the postnatal growth differed in the immigrant background group (underage mothers, lower smoking habits during pregnancy, greater weight gain during pregnancy, a lower educational level of parents, greater habitat incidence in urban areas and a lower percentage of low birthweight children). The overall incidence of 6 years old overweight was 30.3% (15% overweight and 15.3% obesity): from a 39.4% (18.1% overweight and 21.3% obesity) in the immigrant background group, and from 28.4% (14.4% overweight and 14% obesity) in the Spanish group (p= 0.001; relative risk= 1.63; confidence interval of 95%: 1.21-2.22). Immigrant mother’s background remained as an overweight separate risk factor after adjusting the analysis by the remaining covariants. 
    Conclusions: The overweight incidence in immigrant mothers’ children is higher than those of Spanish mothers’ at the age of 6. This fact may become a separate risk factor for obesity development since childhood. 
     
  • Palabras_clave_ingles Childish Overweight Obesity Immigration
  • Todos_autores L. Escartín1, E.A. Mayor1, M.P. Samper1, I. Labayen2, M.L. Álvarez3, L.A. Moreno1,3, G. Rodríguez1,3; CALINA Collaborative Group1*
  • autores listados L. Escartín, E.A. Mayor, M.P. Samper, I. Labayen, M.L. Álvarez, L.A. Moreno, G. Rodríguez; CALINA Collaborative Group
  • Correspondecia
    G. Rodríguez Martínez. Departmento de Pediatría, Radiología y Medicina Física. Facultad de Medicina. Universidad de  Zaragoza. Domingo Miral, s/n. 50009 Zaragoza.
    Correo electrónico: gerard@unizar.es
  • Titulo_ingles Immigration and risk of overweight and obesity in school children
  • Centros_trabajo 1IIS Aragón. Universidad de Zaragoza. Retic SAMID (CISCIII). 2Department of Nutrition and Food Science. Universidad del País Vasco. UPV/EHU. Vitoria. 3GENUD (Growth, Exercise, Nutrition and Development) Research Group. Universidad de Zaragoza
  • Publicado en Acta Pediatr Esp. 2017; 75(3-4): 36-42
  • copyright ©2017 Ediciones Mayo, S.A.
  • Fecha recepcion 25/10/16
  • Fecha aceptacion 31/10/16
  • Tipo de Artículo Clínico (Microdatos) Review
Publicado en Nutrición infantil

Información adicional

  • Num_publicacion 72(8)
  • Resumen_ingles

    Fibrous hamartoma of infancy is a rare benign subcutaneous proliferation, predominantly in males younger than 2 years. Its anatomical location is variable, highlighting the axilla and upper limb. It rarely occurs in the genital region. Diagnosis is difficult, due to its limited symptoms, and should be considered in the differential diagnosis of malignant soft tissue masses. Complete excision is curative and prevents recurrences. We report a case of fibrous hamartoma of infancy located in the scrotum. Clinical, histological characteristics and management are discussed, focus on the uncommon cases of genital involvement reported in the literature.

  • Palabras_clave_ingles Hamartoma Child Scrotum Soft tissue neoplasm
  • Todos_autores C. Montalvo Ávalos, A. Gómez Farpón, V. Álvarez Muñoz, N. Vega Mata, M.S. Fernández García1
  • autores listados C. Montalvo Ávalos, A. Gómez Farpón, V. Álvarez Muñoz, N. Vega Mata, M.S. Fernández García
  • Correspondecia
    C. Montalvo Ávalos. Concejo de Caso, 2, bloque 6, 2.º C. 33204 Gijón (Asturias).
    Correo electrónico: cristinamontalvo_avalos@hotmail.com
  • Titulo_ingles Fibrous hamartoma of infancy in the genital region
  • Centros_trabajo Servicio de Cirugía Pediátrica. 1Servicio de Anatomía Patológica. Hospital Central de Asturias (Oviedo)
  • Publicado en Acta Pediatr Esp. 2014; 72(8): e288-e293
  • copyright ©2014 Ediciones Mayo, S.A.
  • Fecha recepcion 3/09/13
  • Fecha aceptacion 6/11/13
Publicado en Notas clínicas

Información adicional

  • Num_publicacion 72(6)
  • Resumen_ingles

    Introduction: With an overall prevalence of 0,13 to 1,9% in pediatric patients, gallstone disease differs from adult.
    Aim: To analyzed several epidemiological, clinical, diagnostic, etiologic and therapeutic aspects of this disease in our area and revise available casuistry.
    Method: Retrospective review of gallstone disease recorded at Jerez de la Frontera Hospital (Cádiz, Spain) between 1994 to 2011 in patients <14 years of age. Patients ≤24 months of age were analyzed separately.
    Results: Fifty-one patients with cholelithiasis were diagnosed in our department between 1994 and 2011 (29 male and 22 female). Idiophatic gallstone were found in 39.2%, infectious disease with or without antibiotic use in 35.2%, hemolytic disease, obesity, dyslipidemia or family history in 5.8% respectively. 64.7% were symptomatic and 13.7% had complicated disease (choledocholithiasis with cholestasis as more often).
    Conclusions: The therapeutic strategies were extremely heterogeneous. It depends on age, lithogenic disease, symptomatic and/or complicated disease associated.

  • Palabras_clave_ingles Cholelithiasis Childhood Therapy
  • Todos_autores N. Quirós Espigares, J. Rubio Santiago, S. Rodríguez Barrera, J. Ortiz Tardío1
  • autores listados N. Quirós Espigares, J. Rubio Santiago, S. Rodríguez Barrera, J. Ortiz Tardío
  • Correspondecia
    N. Quirós Espigares. UGC Pediatría. Hospital de Jerez de la Frontera. Ronda de Circunvalación, s/n. 11407 Jerez de la Frontera (Cádiz).
    Correo electrónico: nataliaquirosespigares@gmail.com
  • Titulo_ingles Cholelithiasis in children. Report of 51 new cases and literature review.
  • Centros_trabajo Pediatras de la Unidad de Gestión Clínica de Pediatría. 1Jefe de la Unidad de Pediatría. Hospital de Jerez de la Frontera (Cádiz)
  • Publicado en Acta Pediatr Esp. 2014; 72(6): e194-e201
  • copyright ©2014 Ediciones Mayo, S.A.
  • Fecha recepcion 21/01/13
  • Fecha aceptacion 13/03/13
Publicado en Originales

Información adicional

  • Num_publicacion 72(4)
  • Resumen_ingles

    Changes in gait are a common reason for consultation in pediatric emergencies, however cases of true gait ataxia are rare in pediatric patients. The main concern of professional emergency lies in the exclusion of serious causes of this clinical syndrome, fortunately in most cases the origin in childhood is usually benign and self-limiting process.
    Among the acquired ataxias, the most common form of presentation in the pediatric emergency is usually that of acute ataxia, which are those whose evolution is less than 72 hours in a previously healthy child. In this review we have analyzed the cases of acquired ataxia evaluated in our pediatric emergency department during a period of 11 years and what was the diagnostic approach. In our series of cases the most common cause of acute ataxia was postinfectious (39.13% of total), followed by the tumoral origin (17.39%) and secondary to ingestion of toxic agents (13.04%).

  • Palabras_clave_ingles Acute ataxia Acute cerebellar ataxia Pediatric emergency Childhood
  • Todos_autores M.Á. Molina Gutiérrez, B. Fernández Caamaño, G. López Sobrino, S. García García
  • autores listados M.Á. Molina Gutiérrez, B. Fernández Caamaño, G. López Sobrino, S. García García
  • Correspondecia
    M.Á. Molina Gutiérrez. Servicio de Urgencias Pediátricas. Hospital Universitario Infantil «La Paz». P.º de la Castellana, 261. 28046 Madrid.
    Correo electrónico: drmolinagutierrez@yahoo.es
  • Titulo_ingles Etiology of acute ataxia in pediatric emergencies: 11 years experience
  • Centros_trabajo Servicio de Urgencias Pediátricas. Hospital Universitario Infantil «La Paz». Madrid
  • Publicado en Acta Pediatr Esp. 2014; 72(4): 88-91
  • copyright ©2014 Ediciones Mayo, S.A.
  • Fecha recepcion 19/09/12
  • Fecha aceptacion 8/12/12
Publicado en Originales

Información adicional

  • Num_publicacion 71(9)
  • Resumen_ingles

    Obesity and metabolic syndrome are two of the major child health problems in Western society. During the last years, it has been also noticed a decline in sleeping hours among children. Since 1992, many epidemiological studies, both cross-sectional and longitudinal, have shown that chronic sleep deprivation in children relates to an increasing risk of developing overweight-obesity and/or metabolic syndrome (hypertension, increasing resistance to insulin and dyslipidemia). Although precise proccess that make obesity leads to a reduction of sleeping hours are currently unknown, a number of proccess that seem to be somehow involved have been identified. Among others, we may mention the alterations in the hypothalamic-pituitary (several neuropeptides such as leptin and ghrelin), an increasing appetite with special foods high avidity energy, a greater sense of fatigue with consequent reduction in physical activity, and changes in sleep-wake cycle (melatonin rhythm disturbances). This work contains a review of current evidence on the relationship between sleep and obesity within the pediatric population. It is now accepted that children who sleep less hours are more likely to develop overweight and metabolic syndrome, but it has not been possible to demonstrate a clear causality yet. It is necessary to promote adequate sleep among children, not only due to the many beneficial effects already known (cognitive, immunological, behavioral, metabolic and even decrease mortality), but also given its potential ability to prevent obesity and metabolic syndrome.

  • Palabras_clave_ingles Infancy Melatonin Obesity Sleep deprivation Metabolic syndrome Sleep
  • Todos_autores V. Soto Insuga1, M. Merino2, R. Losada del Pozo1, C. Castaño de la Mota3, A. Pérez Villena4, M. Prados Álvarez5
  • autores listados V. Soto Insuga, M. Merino, R. Losada del Pozo, C. Castaño de la Mota, A. Pérez Villena, M. Prados Álvarez
  • Correspondecia
    V. Soto Insuga. Neuropediatría. Servicio de Pediatría. Fundación Jiménez Díaz. Avda. Reyes Católicos, 2. 28040 Madrid.
    Correo electrónico: victorsotoinsuga@gmail.com
  • Titulo_ingles Sleep and obesity in childhood
  • Centros_trabajo 1Neuropediatría. Servicio de Pediatría. Fundación Jiménez Díaz. 2Unidad de Sueño Infantil. Hospital La Paz. 3Neuropediatría. Servicio de Pediatría. Hospital Infanta Leonor. 4Neuropediatría. Servicio de Pediatría. Hospital Moraleja. Madrid. 5Neuropediatría. Servicio de Pediatría. Hospital Infanta Elena. Valdemoro (Madrid)
  • Publicado en Acta Pediatr Esp. 2013; 71(9): 191-198
  • copyright ©2013 Ediciones Mayo, S.A.
  • Fecha recepcion 5/01/12
  • Fecha aceptacion 14/06/12
Publicado en Originales

Información adicional

  • Num_publicacion 71(9)
  • Resumen_ingles

    Nasal obstruction is a frequent symptom of consultation in pediatric otolaryngology, and its most common etiology is adenoidal hypertrophy. Antrochoanal polyps are an uncommon clinical entity that represents 28-33% of the sinonasal polyposis in children. We report the case of an 8-year-old child, with previous adenoidectomy, with symptoms of nasal obstruction, purulent rhinorrhea, headache frontoorbitarias without epistaxis. The nasal endoscopy and imaging tests diagnosed the presence of a polypoid lesion occupying both nostrils and choanae, being treated by endoscopic sinus surgery. Histology disclosed an antrochoanal polyp and allergy study by prick-test ruled out the existence of allergies. Today, we have not yet sufficient histological and/or allergological evidence to determine the etiology of polyps antrochoanal.

  • Palabras_clave_ingles Sinonasal polyposis Childhood Nasal obstruction
  • Todos_autores J. Martín-Lagos1, J. García-Valdecasas Bernal1, F. Girón Caro2, E. Díaz Moreno3
  • autores listados J. Martín-Lagos, J. García-Valdecasas Bernal, F. Girón Caro, E. Díaz Moreno
  • Correspondecia
    J. Martín-Lagos Martínez. Avda. Divina Pastora, 7, bloque 4, 6-C. 18012 Granada. Correo electrónico: juanmartinlagos@hotmail.com
  • Titulo_ingles Antrochoanal polyp. Case report and review
  • Centros_trabajo 1Servicio de Otorrinolaringología. 2Servicio de Pediatría. Hospital Universitario «San Cecilio». 3Servicio de Cirugía Pediátrica. Hospital Universitario «Virgen de las Nieves». Granada
  • Publicado en Acta Pediatr Esp. 2013; 71(9): e287-e292
  • copyright ©2013 Ediciones Mayo, S.A.
  • Fecha recepcion 30/10/12
  • Fecha aceptacion 30/11/12
Publicado en Notas clínicas

Información adicional

  • Num_publicacion 71(6)
  • Resumen_ingles

    Angiokeratomas are vascular malformations characterized by vascular ectasia in the papillary dermis with reactive epithelial hyperplasia and hyperkeratosis, which can occur in isolation or as widespread systemic form associated with metabolic diseases. The solitary angiokeratoma of the oral mucosa is a rare injury, which to Sipponen communication in 2006, always believed typical of systemic forms and very rare in localized. Its occurrence in childhood is likewise rare, having been described to date only 5 cases in children under 18, although some authors suggest that this may be an underdiagnosed disease, hence the importance of adequate study and diagnosis. We report a 7 years with a reddish lesion on the dorsum of the tongue, no pain, no history of trauma, in which physical examination showed a lesion of 14 mm in diameter in right right edge of the tongue with multiple erythematous papules, showing no other changes in the oral mucosa. Excision was performed under general anesthesia and the diagnosis was verified by histopathological examination of the resected specimen.

  • Palabras_clave_ingles Angiokeratoma lonely Tongue Childhood
  • Todos_autores E. Díaz Moreno, J. Castejón Casado, E. Liceras Liceras, M. García Gómez, M.A. Muñoz Miguelsanz, R. Fernández Valadés
  • autores listados E. Díaz Moreno, J. Castejón Casado, E. Liceras Liceras, M. García Gómez, M.A. Muñoz Miguelsanz, R. Fernández Valadés
  • Correspondecia
    J. Castejón Casado. Tomillo, 5. 18198 Huétor Vegar (Granada).
    Correo electrónico: javiercastejonster@gmail.com
  • Titulo_ingles Solitary angiokeratoma of the tongue in a girl 7 years old
  • Centros_trabajo Servicio de Cirugía pediátrica. Hospital «Virgen de las Nieves». Granada
  • Publicado en Acta Pediatr Esp. 2013; 71(6): e139-e143
  • copyright ©2013 Ediciones Mayo, S.A.
  • Fecha recepcion 13/02/12
  • Fecha aceptacion 28/06/12
Publicado en Notas clínicas

Información adicional

  • Num_publicacion 70(11)
  • Resumen_ingles

    In recent decades there have been imposing new forms of food consistent with a social model based on consumption and in which the idea of healthy eating has become a huge commercial interests. Often referring to fast food and the Mediterranean diet, both media and professionals make some general assessments, inaccurates and which ignore the cultural and economic system in which both concepts have been established. In this article we do a recap of various technical information on the subject and offer an overview of these two modes of feeding and its main determinants. We also note the critical importance of education from early childhood intervention and the role of the primary care pediatrician in the prevention of diet-related diseases.

  • Palabras_clave_ingles Fast food Mediterranean diet healthy diet childhood nutrition
  • Todos_autores V. Martínez Suárez1, I. Vitoria Miñana2, J. Dalmau Serra2
  • autores listados V. Martínez Suárez, I. Vitoria Miñana, J. Dalmau Serra
  • Correspondecia
    V. Martínez Suárez. Centro de Salud «El Llano». Juan Alvargonzález, 95. 33209 Gijón.
    Correo electrónico: venancio.martinez@sespa.princast.es
  • Titulo_ingles Fast food versus Mediterranean diet
  • Centros_trabajo 1Centro de Salud «El Llano». Gijón. 2Unidad de Nutrición y Metabolopatías. Hospital Infantil «La Fe». Valencia
  • Publicado en Acta Pediatr Esp. 2012; 70(11): 410-417
  • copyright ©2012 Ediciones Mayo, S.A.
  • Fecha recepcion 2/10/11
  • Fecha aceptacion 19/10/11
Publicado en Nutrición infantil

Información adicional

  • Num_publicacion 70(9)
  • Resumen_ingles

    Acute pancreatitis (AP) in childhood is used to present with high levels of amylase, although in certain situations it usually occurs with normal values.

    We present the case of a patient who was admitted with a nonspecific symptom of fever, irritability and drowsiness, whose diagnosis of pancreatitis was an intraoperative finding. Serum amylase levels were normal, remaining high, however, levels of lipase.

    From this case, we reviewed the literature of the elevation of amylase ad lipase levels in the context of AP in pediatric age.

  • Palabras_clave_ingles acute pancreatitis childhood amylase lipase
  • Todos_autores O.D. Gómez Beltrán, R. Granero Cendón, J.I. Garrido Pérez, V. Vargas Cruz, C.E. Lasso Betancor, R.M. Paredes Esteban
  • autores listados O.D. Gómez Beltrán, R. Granero Cendón, J.I. Garrido Pérez, V. Vargas Cruz, C.E. Lasso Betancor, R.M. Paredes Esteban
  • Correspondecia
    R. Granero Cendón. Servicio de Cirugía Pediátrica. Hospital Universitario «Reina Sofía». Hospital Materno-Infantil 1.ª planta. Avda. Menéndez Pidal, s/n. 14004 Córdoba.
    Correo electrónico: rociogranero3@yahoo.es
  • Titulo_ingles Acute pancreatitis with normal amylase levels
  • Centros_trabajo Servicio de Cirugía Pediátrica. Hospital Universitario «Reina Sofía». Hospital Materno-Infantil. Córdoba
  • Publicado en Acta Pediatr Esp. 2012; 70(9): e8-e10
  • copyright ©2012 Ediciones Mayo, S.A.
  • Fecha recepcion 01/03/11
  • Fecha aceptacion 20/06/11
Publicado en Notas clínicas

Información adicional

  • Num_publicacion 70(7)
  • Resumen_ingles

    Introduction and aim: We have perceived an increased frequency and earlier onset of child overweight and obesity. Our objetive is to prove this hypothesis by identifying the age of higher risk of child obesity onset and by studying its association to gender and birth weight.

    Material and methods: Birth weight was expressed as z-score and yearly Body Mass Index (BMI) from the first year to the age of eight were collected from all clinical records of 660 children of three Primary Health Centers of Tenerife. Data were classified into three cohorts by their birth year (1989, 1997 and 2000). BMI progression plots were done by gender and cohort. BMI evolution by gender, so intra as among cohorts, has been tested using a multivariate generalized linear model for iterated measurements. ANOVA test was used to estimate at which age the cohorts show a different BMI. The independent predictive power of birth year, birth weight z-score and gender on BMI at the age of eight was evaluated using multiple linear regression models, whereas the influence of these variables on the risk of obesity at eight years old was evaluated using binary multivariable logistic regression models.

    Results: Birth year, birth weight z-score and gender show predictive power on BMI at eight years of age, being the former which implies as significant risk of obesity at that age. Obesity onset is more frequent at the age of four years.

    Conclusions: a) obesity onset occur at earlier age in our children; b) obesity begins at four years of age in average and is more frequent in boys, and c) a higher birth weight is associated with an increased BMI, at least until the age of eight.

  • Palabras_clave_ingles Overweight obesity prevalence infant child preschool child body mass index age of onset birth weight male
  • Todos_autores E. Sánchez Almeida1, M.L. Torres Álvarez de Arcaya2, M. Monge Zamorano3, L. Martín Martín2, R. Gómez González3, F. Díaz Sánchez2, A. Aguirre-Jaime4
  • autores listados E. Sánchez Almeida, M.L. Torres Álvarez de Arcaya, M. Monge Zamorano, L. Martín Martín, R. Gómez González, F. Díaz Sánchez, A. Aguirre-Jaim
  • Correspondecia
    E. Sánchez Almeida. Consultorio Periférico de San José. Consuelo Reyes Gil, s/n. 38420 San José, San Juan de la Rambla (Santa Cruz de Tenerife).
    Correo electrónico: elenasanmeida@yahoo.es
  • Titulo_ingles Children obesity progression in Tenerife Island
  • Centros_trabajo 1Centro de Salud La Guancha-San Juan de la Rambla. 2Centro de Salud La Orotava-Dehesa. 3Centro de Salud de Tacoronte. 4Unidad de Investigación. Hospital Universitario Nuestra Señora de La Candelaria. Tenerife. Islas Canarias
  • Publicado en Acta Pediatr Esp. 2012; 70(7): 275-281
  • copyright ©2012 Ediciones Mayo, S.A.
  • Fecha recepcion 04/04/2011
  • Fecha aceptacion 16/05/2012
Publicado en Nutrición infantil

Información adicional

  • Num_publicacion 70(5)
  • Resumen_ingles

    Nutritional rickets has re-emerged in our country because of increased immigration in recent decades, concentrating risk factors in children and adolescents. With the aim of warning about the diversity of presentation of this entity are presented four cases of rickets and recall the main clinical, biochemical and radiological as well as its treatment and prevention.

  • Palabras_clave_ingles Rickets vitamin D deficiency prevention of rickets childhood
  • Todos_autores A. Cabot Dalmau1, J. Martínez-Baylach2, M. Trabazo del Castillo1, D. Voss1, R. Díez Martín1
  • autores listados A. Cabot Dalmau, J. Martínez-Baylach, M. Trabazo del Castillo1, D. Voss1, R. Díez Martín
  • Correspondecia

    A. Cabot Dalmau. Rocar d'en Serra, 8. 08310 Argentona (Barcelona).
    Correo electrónico: annacabot@telefonica.net

  • Titulo_ingles Rickets: different forms of presentation for the same emergent physiopathogenic entity
  • Centros_trabajo 1Hospital de Mataró. 2CAP Cirera-Molins. Hospital de Mataró. Consorci Sanitari del Maresme. Mataró (Barcelona)
  • Publicado en Acta Pediatr Esp. 2012; 70(5): 221-225
  • copyright ©2012 Ediciones Mayo, S.A.
  • Fecha recepcion 19/04/11
  • Fecha aceptacion 07/06/11
Publicado en Notas clínicas

Información adicional

  • Num_publicacion 70(5)
  • Resumen_ingles

    Objective: To evaluate parents' knowledge about asthma.

    Material and methods: We delivered the Spanish version of the Newcastle Asthma Knowledge Questionnaire to parents of children with an asthma attack.

    Results: The questionnaire was administered to 95 parents (average age of 32.1; 77.7% mothers). The mean score was 16/31. We did not find statistically significant between the score and severity of the asthma attack, need to stay in hospital, previous hospitalization or use of preventive treatment.

    39.4% of parents identified correctly the symptoms of an asthma exacerbation. The implication of the bronchospasm and bronchial inflammation in this exacerbation was recognized by 76.6% and 63.8%, respectively. Nevertheless, 47.9 % thought that asthma is a "nervous problem", and 91.5% could not name three triggered factors.

    68.1% did not know the names of two medicines useful for an asthma exacerbation, and 41.5% answered that short action 2-agonist are "control medications". 31.9% of these parents did not know about "control medications", 73.4% could not name two of these medicines, and 51.1% answered that antibiotics are an important part in the treatment of asthma.

    In addition, 63.8% of these parents believed that cow's milk increases the mucosity, and 25.6% that these patients should not consume dairy produce.

    Conclusions: The knowledge of these progenitors was poor; they have false beliefs about the pathogenesis of this disease. Nevertheless, we did not find statistically significant between this low knowledge and the severity of the asthma exacerbation, previous hospitalization or use of "control medications".

  • Palabras_clave_ingles Asthma exacerbations educational programme risk factors emergency department children
  • Todos_autores M.R. García-Luzardo, A.J. Aguilar-Fernández, N. Rodríguez-Calcines, S. Pavlovic-Nesic
  • autores listados M.R. García-Luzardo, A.J. Aguilar-Fernández, N. Rodríguez-Calcines, S. Pavlovic-Nesic
  • Correspondecia
    M.R. García-Luzardo. Avda. Marítima del Sur, s/n. 35001 Las Palmas de Gran Canaria.
    Correo electrónico: saragarlu@telefonica.net
  • Titulo_ingles Knowledge about asthma of parents of asthmatic children who come to Emergency Department
  • Centros_trabajo Servicio de Urgencias Pediátricas y Unidad de Neumología Pediátrica. Hospital Universitario Materno-Infantil de Canarias. Las Palmas de Gran Canaria
  • Publicado en Acta Pediatr Esp. 2012; 70(5): 196-203
  • copyright ©2012 Ediciones Mayo, S.A.
  • Fecha recepcion 05/05/11
  • Fecha aceptacion 20/06/11
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(3)
  • Resumen_ingles

    Objective: To study the epidemiological and clinical characteristics of migraine and tension-type headache in paediatrics, and to analyze the validity of criteria used to diagnose migraine.

    Patients and methods: Information on epidemiological and clinical characteristics, physical examination and complementary examinations, when performed, were collected from medical records of 300 children with acute recurrent headache. The criteria defined by the International Headache Society (IHS) were used in the diagnostic. The sensitivity, specificity and likelihood ratio of the Vahlquist, Prensky and IHS criteria for migraine were all calculated.

    Results: A total of 98.3% of the patients had primary headache: migraine (50%) and tensional-type headache (48.3%). Thirty two percent of those with migraine had migraine with aura. The mean age at onset was 8.7 years in migraine and 9.7 years in tensional-type headache (p <0.05), with no differences between sexes. Nevertheless, in migraine aura the age of onset (9.8 years) and prevalence of females (63.3%) were significantly higher (p <0.05). Children with tensional-type headache showed a higher prevalence (p <0.05) of female sex, urban origin and excellent academic performance. Children with migraine had a higher prevalence (p <0.05) of positive family history. In migraine, the pain was unilateral (44.4%) or bilateral (55.9%), pulsatile (87.5%), aggravated by physical activity (68.8%), caused lost days at school (65.3%) and were usually accompanied by vomiting (71%) and photophobia/phonophobia (67%). In the tension-type headaches were bilateral (81.8%) and oppressive (85.3%), they were less frequently aggravated by physical activity (22.3%) or inhibited activities (12.1%) and occasionally accompanied by vomiting (7.3%) and photophobia/phonophobia (18.9%). The pulsating quality, vomiting, one-sidedness and moderate to severe intensity were the items that displayed the greatest discriminating capacity and the IHS criteria were those with the highest diagnostic validity. Diagnosis was not altered by the complementary examinations.

    Conclusions: Migraine and tension-type headache are a common cause of recurrent headache in paediatric age. Onset usually occurs in school-age children. The IHS criteria for the differential diagnosis of headache in children are useful, although monitoring its progress would be the gold standard to validate diagnostic criteria.


  • Palabras_clave_ingles Headache migraine paediatric age tension type headache
  • Todos_autores T. Durá Travé, M.E. Yoldi Petri, F. Gallinas Victoriano, I. Garralda Torres
  • autores listados T. Durá Travé, M.E. Yoldi Petri, F. Gallinas Victoriano, I. Garralda Torres
  • Correspondecia
    T. Durá Travé. Avda. Pío XII, 10, 8.º C. 31008 Pamplona.
    Correo electrónico: tduratra@cfnavarra.es
  • Titulo_ingles Acute recurrent headaches in childhood and adolescence: a critical study of the diagnostic criteria for migraine
  • Centros_trabajo Unidad de Neuropediatría. Servicio de Pediatría. Hospital «Virgen del Camino». Servicio Navarro de Salud/Osasunbidea. Pamplona
  • Publicado en Acta Pediatr Esp. 2008; 66(3): 121-129
  • copyright ©2008 Ediciones Mayo, S.A.
  • Fecha recepcion 21/11/07
  • Fecha aceptacion 3/12/07
Publicado en Originales

Información adicional

  • Num_publicacion 66(8)
  • Resumen_ingles

    The incidence of thromboses among the childhood population is 0.07/10,000, in 5.3/10,000 of the cases during the stay in hospital and in 2.4% of the cases of admissions to the Intensive Care Unit. During the first year of life, the prevalence of venous thromboembolism is 40 times higher that at other child¬hood ages. Spontaneous thrombosis, without a justifying etiological cause, requires one or more prothrombotic risk factors for its onset. There are certain congenital risk factors, due to alterations of the haemostasis, that imply a greater risk if they are associated with other genetic factors. The correct diagnosis through a study of the clinical signs and of the non-invasive and invasive diagnostic techniques, as well as the laboratory tests, in which the D-dimer has proven to be highly sensitive, are indispensable before starting any type of antithrombotic treatment.

  • Palabras_clave_ingles Arterial thrombosis venous thrombosis 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, A. Velasco Lerones4
  • 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, A. Velasco Lerones
  • Correspondecia
    J.A. Iriarte. Fundación para la Investigación y Docencia de las Enfermedades Cardiovasculares (FIDEC). C/ Gurtubay, s/n. 48013 Bilbao.
    Correo electrónico: marta_vacas@ehu.es
  • Titulo_ingles Arterial and venous thromboses in childhood (I): incidence, etiopathogeny and diagnosis
  • 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. 3Servicio de Cardiología. 4Servicio de Angiología y Cirugía Vascular. Hospital de Basurto. Bilbao
  • Publicado en Acta Pediatr Esp. 2008; 66(8): 381-384
  • copyright ©2008 Ediciones Mayo, S.A.
  • Fecha recepcion 22/12/07
  • Fecha aceptacion 25/06/08
Publicado en Revisión

Información adicional

  • Num_publicacion 65(8)
  • Resumen_ingles

    Introduction: Transient global amnesia (TGA) is a clinical condition characterized by sudden loss of anterograde memory and a varying degree of retrogade amnesia. Immediate memory is preserved and the neurological examination is normal. The memory deficit resolves within a few hours. This condition is frequent in middle-aged or elderly patients.

    Case report: A 9-year-old girl developed sudden anterograde amnesia with preserved immediate memory and a certain degree of retrogade memory deficit, associated with a mild headache. The neurological examination was normal. The clinical condition resolved spontaneously in 4 hours. The patient was left with a mild headache and no memory of the attack. As the brain computed tomographic (CT) scan was normal, the clinical condition suggested a case of TGA.

    Discussion: The clinical features reported here are characteristic of TGA. This neurological disorder appears spontaneously, but several precipitating factors may exist. The pathogenetic hypotheses include a vascular etiology with transient vertebrobasilar ischemia, an epileptic phenomenon or a migraine-related event. Acute confusional migraine, typical of childhood, presents with clinical manifestations similar to TGA. The diagnosis of this process is based on clinical findings. It has an excellent prognosis and little tendency to recur. Given the fact that TGA is not frequent in childhood, we performed a CT scan to rule out the possibility of a cerebral ischemic attack. The presence of the typical clinical symptoms and a normal neuroimaging study should lead us to consider this diagnosis in childhood as well.

  • Palabras_clave_ingles Transient global amnesia childhood hippocampal hypoperfusion acute confusional migraine epilepsy
  • Todos_autores G. Sebastiani, M. Simó Nebot, C. Luaces Cubells, M. Pineda Marfá1, J.J. García García
  • autores listados G. Sebastiani, M. Simó Nebot, C. Luaces Cubells, M. Pineda Marfá, J.J. García García
  • Correspondecia
    G. Sebastiani. Buenos Aires, 9, 5.º 3.ª. 08029 Barcelona.
    Correo electrónico: gsebastiani@hsjdbcn.org
  • Titulo_ingles Transient global amnesia: an uncommon disorder in child­hood
  • Centros_trabajo Sección de Urgencias. Servicio de Pediatría. 1Servicio de Neurología. Unitat Integrada Hospital «Sant Joan de Déu»-Hospital Clínic. Universitat de Barcelona. Barcelona
  • Publicado en Acta Pediatr Esp. 2007; 65(8): 409-412
  • copyright ©2007 Ediciones Mayo, S.A.
  • Fecha recepcion 05/03/07
  • Fecha aceptacion 05/03/07
Publicado en Notas clínicas

Información adicional

  • Num_publicacion 66(2)
  • Resumen_ingles

    Objectives: emotional and behavioural disorders can interfere with children's performance at school. In this study the differences between the psychological characteristics of children with an educational delay and children without an educational delay are assessed.

    Materials and methods: the Strengths and Difficulties Questionnaire (SDQ) is administered to 73 randomly chosen 9-year-old children who attend a primary school. The SDQ detects psychological and psychiatric disturbances in childhood and is made up of 5 scales: prosocial behaviour, hyperactivity, emotional symptoms, conduct problems and peer relationship problems. The SDQ scores of children with and without an educational delay are compared.

    Results: differences are found in the scores when considering the variables of educational delay and gender. There are significant differences between the scores of males with and without an educational delay in the scales of prosocial behaviour and behavioural problems (more symptoms are present in males with an educational delay). Differences are found between the scores of females with and without an educational delay in the scales of hyperactivity, emotional symptoms and behavioural problems (more symptoms are present in females with an educational delay).

    Conclusions: there is a link between the educational delay and the presence of emotional symptomatology and behavioural problems in the series studied.


  • Palabras_clave_ingles Childhood educational delay psychiatric disorder Strengths and Difficulties Questionnaire
  • Todos_autores M. Delgado Guerrero1, P.J. Rodríguez Hernández2, V. Mahtani Chugani3, A. Aguirre4
  • autores listados M. Delgado Guerrero, P.J. Rodríguez Hernández, V. Mahtani Chugani, A. Aguirre
  • Correspondecia
    M. Delgado Guerrero. Departamento de Pediatría. Hospital Universitario «Nuestra Señora de Candelaria». Ctra. del Rosario, s/n. 38010 Santa Cruz de Tenerife.
    Correo electrónico: serluna28@hotmail.com
  • Titulo_ingles Behaviour, emotional symptomatology and educational delay: is there a link?
  • Centros_trabajo 1Departamento de Pediatría. Hospital Universitario «Nuestra Señora de Candelaria». Tenerife. 2Hospital de Día Infantil y Juvenil «Diego Matías Guigou y Costa». Servicio de Psiquiatría. Hospital Universitario «Nuestra Señora de Candelaria». Tenerife. 3Servicio de Evaluación y Planificación. Servicio Canario de Salud. 4Unidad de Investigación Clínico-Experimental. Hospital Universitario «Nuestra Señora de Candelaria». Tenerife
  • Publicado en Acta Pediatr Esp. 2008; 66(2): 67-70
  • copyright ©2008 Ediciones Mayo, S.A.
  • Fecha recepcion 31/10/07
  • Fecha aceptacion 15/11/07
Publicado en Originales

Información adicional

  • Num_publicacion 65(7)
  • Resumen_ingles

    The giant congenital melanocytic nevus is a large pigmented lesion that is present at birth. Its incidence ranges between 1/1000-500000 newborns. The most common sites are posterior trunk, face, scalp and extremities. They can have a curious morphology, for example, "bathing trunk" or cape-like.

    The authors present the case of a newborn girl with a giant congenital "garment" nevus, which occupies the entire genital and inguinal regions and buttocks, as well as the upper thighs and lower thorax. It has a dark brown and black pigmentation and hypertrichosis, and there are three smaller nevi in the left parietal region, the forearm and the chin. Furthermore, there are flat, pigmented lesions in extremities and thorax. The results of laboratory tests, abdominal and cerebral ultrasound, radiography of the bony spine and nuclear magnetic resonance imaging of the spinal column were normal. The biopsy of the affected skin revealed the presence of an intradermal nevus.

    The major complication of a giant congenital melanocyte nevus, apart from the cosmetic problem, is its malignant transformation. These nevi can be associated with neurocutaneous melanosis in up to 25% of the cases. It is essential to initiate treatment as soon as possible.

  • Palabras_clave_ingles Giant congenital nevus melanocytic nevus childhood
  • Todos_autores S. León García, M.T. Cerdán Vera, E. Tornador Gaya, R. Aguilera Olmos, A. Pitarch Archelos1
  • autores listados S. León García, M.T. Cerdán Vera, E. Tornador Gaya, R. Aguilera Olmos, A. Pitarch Archelos
  • Correspondecia
    M.T. Cerdán Vera. Sección de Neonatología. Servicio de Pediatría. Hospital General de Castellón. Avda. de Benicàssim, s/n. 12004 Castellón.
    Correo electrónico: vera2000@eresmas.com
  • Titulo_ingles Newborn girl with giant congenital melanocytic “garment” nevus
  • Centros_trabajo Sección de Neonatología. Servicio de Pediatría.1Servicio de Dermatología. Hospital General de Castellón
  • Publicado en Acta Pediatr Esp.2007; 65(7): 346-348
  • copyright ©2007 Ediciones Mayo, S.A.
Publicado en Notas clínicas

Información adicional

  • Num_publicacion 65(2)
  • Resumen_ingles

    We report a case of serum sickness in a 3-year-old patient who presented urticaria and arthralgias after seven days of treatment with amoxicillin-clavulanic.

  • Palabras_clave_ingles Serum sickness childhood penicillin
  • Todos_autores S. Pérez Bustamante, M. Vázquez de la Torre, E. Alonso-Lebrero, L. Zapatero, M.I. Martínez Molero
  • autores listados S. Pérez Bustamante, M. Vázquez de la Torre, E. Alonso-Lebrero, L. Zapatero, M.I. Martínez Molero
  • Correspondecia
    S. Pérez Bustamante. Servicio de Alergia. Hospital Materno-Infantil «Gregorio Marañón». Dr. Castelo, 47. 28009 Madrid.
    Correo electrónico: cocopbustamante@hotmail.com
  • Titulo_ingles Pharmacological reaction like serum sickness
  • Centros_trabajo Servicio de Alergia. Hospital Materno-Infantil «Gregorio Marañón». Madrid
  • Publicado en Acta Pediatr Esp. 2007; 65(2): 87-88
  • copyright ©2007 Ediciones Mayo, S.A.
Publicado en Imagen del mes

Información adicional

  • Num_publicacion 67(9)
  • Resumen_ingles

    Background: Several papers related to the medical mistakes have been published over the past years. The Pediatrics Emergency Services are specially susceptible as regards to the prescription mistake but there are few specific articles.

    Objectives: To determine the frequency and variables associated to the deviations of good medical practice in medical prescriptions in our Pediatrics Emergency Service.

    Methods: Retrospective observational study. We revised the prescriptions done during fifty eight days on a random basis (from July 2003 to March 2004). From every prescription: legibility, dose assessment, units, intervals and drug allergies were evaluated. The day of the week, shift and level of training of the prescribing physician were documented.

    Results: During the revised 58 day, 3,143 prescriptions were made. One or more deviations to the good medical practice were detected in 1,348 (43%) of the prescriptions. None of the mistakes were classified as severe. The variable where more deviations were detected was the legibility and dosage assessment. In 11% at least one of the elements were considered illegible. Statistical significant differences were found when analyzing the day of the week variables (week-end vs. Monday-Friday, p= 0.0036) and to the level of training (resident vs. pediatricians, p

    Conclusions: Medical prescription mistakes are very common in our Pediatrics Emergency Service. None of them were severe but limited the good compliance of the treatment. Some characteristics that make deviations more frequent can be identified in order to design interventions to improve the quality.

     

  • Palabras_clave_ingles Prescription medication mistakes childhood Pediatrics Emergency Service
  • Todos_autores Y. Ballestero Díez, P. Rojo Conejo, J. de la Cruz Bértolo1, D. Lora Pablos1, A. Malalana Martínez2, M. del Moral Pumarega2, C.R. Pallás Alonso2
  • autores listados Y. Ballestero Díez, P. Rojo Conejo, J. de la Cruz Bértolo, D. Lora Pablos, A. Malalana Martínez, M. del Moral Pumarega, C.R. Pallás Alonso
  • Correspondecia
    Y. Ballestero Díez. Paseo Yeserías, 29, piso 1.º, puerta 13. 28005 Madrid.
    Correo electrónico: yballestero@yahoo.es
  • Titulo_ingles Study on the quality of the medical prescriptions in a Pediatrics Emergency Service
  • Centros_trabajo Servicio de Urgencias Pediátricas. 1Unidad de Epidemiología Clínica. 2Servicio de Neonatología. Hospital Universitario «12 de Octubre». Madrid
  • Publicado en Acta Pediatr Esp. 2009; 67(9): 427-431
  • copyright ©2009 Ediciones Mayo, S.A.
  • Fecha recepcion 17/10/08
  • Fecha aceptacion 23/04/09
Publicado en Originales

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 68(7)
  • Resumen_ingles

    Eating disorders (ED) are one of the psychopathologies with more growing incidence and prevalence in recent decades. Moreover, this growth is expanding towards age segments different from the traditional ones. Specifically, ED is being found with more frequently, in adults with absence of prior pathology, and children beginning from 8-9 years. This work focuses on the latter, analyzing the causes of appearance, the role of the family and the new forms of conceptualization of ED, as well as prevention, making a special emphasis on the fundamental role of the pediatrician regarding early detection.

  • Palabras_clave_ingles Eating disorders anorexia bulimia childhood adolescence
  • Todos_autores C. Valle
  • autores listados C. Valle
  • Correspondecia
    C. Valle Trabadelo. Departamento de Psicología. Universidad San Pablo CEU. Campus Montepríncipe. 28668 Boadilla del Monte (Madrid).
    Correo electrónico: cvalle@ceu.es
  • Titulo_ingles Eating disorders during childhood and adolescence: the role of the pediatrician to be able to prevent and detect at an early stage
  • Centros_trabajo Departamento de Psicología. Universidad San Pablo CEU. Boadilla del Monte (Madrid)
  • Publicado en Acta Pediatr Esp. 2010; 68(7): 335-340
  • copyright ©2010 Ediciones Mayo, S.A.
  • Fecha recepcion 05/12/09
  • Fecha aceptacion 22/12/09
Publicado en Revisión

Información adicional

  • Num_publicacion 68(9)
  • Resumen_ingles

    We present the case of an auriculotemporal syndrome or Frey syndrome in an unweaned baby who was delivered with the assistance of forceps. Frey syndrome in childhood is characterized by recurrent episodes of facial erythema along the distribution of the auriculotemporal nerve. It appears to be a mild condition that tends to disappear spontaneously with time and no specific therapy is needed in affected children. It is important for pediatricians to be familiar with this syndrome that can be interpreted as a food allergy and to avoid unnecessary investigations.

  • Palabras_clave_ingles Frey syndrome auriculotemporal nerve childhood
  • Todos_autores C. Madrigal Díez
  • autores listados C. Madrigal Díez
  • Correspondecia
    C. Madrigal Díez. Centro de Salud Cazoña. Avda. Leonardo Torres Quevedo, s/n. 39011 Santander.
    Correo electrónico:c.madrigaldiez@yahoo.es
  • Titulo_ingles Unilateral facial erythema in response to gustatory stimuli in an unweaned baby: Frey syndrome
  • Centros_trabajo Pediatra de atención primaria. Centro de Salud Cazoña. Santander
  • Publicado en Acta Pediatr Esp. 2010; 68(9): 468-470
  • copyright ©2010 Ediciones Mayo, S.A.
  • Fecha recepcion 30/09/09
  • Fecha aceptacion 09/10/09
Publicado en Notas clínicas

Información adicional

  • Num_publicacion 68(8)
  • Resumen_ingles

    The upper respiratory airways infections in childhood have a high incidence and they are a frequent source of consultation whose management sometimes is controversial because of the use of excessive treatment. The Waldeyer's tonsillar ring is the umbrella protector to prevent many times the infection's progress to the whole organism. Sometimes due to less known circumstances this protection can be lost and therefore cause an important pathology in the health of the child.

    We show a girl with a very infrequent process during childhood and which is necessary to diagnose rapidly to avoid its progress. The peritonsilar phlegmon is the first step for an abscess and even though the first intention is to hospitalize hospital, intravenous treatment, complex complementary exams, in many cases a a more conservative attitude could be adopted than the one we used in this case.

    We review the bibliography to learn the last changes in how to act in the presence of this disease.

  • Palabras_clave_ingles Peritonsilar phlegmon Streptococcus pyogenes child
  • Todos_autores M.T. Serrano León, J.M. García Puga1, J.I. Santaella Sáez2
  • autores listados M.T. Serrano León, J.M. García Puga, J.I. Santaella Sáez
  • Correspondecia
    J.M. García Puga. Apartado de Correos 160. 18080 Granada.
    Correo electrónico: jmgpuga@telefonica.net
  • Titulo_ingles Peritonsillar phlegmon
  • Centros_trabajo Médico Especialista en Formación de Medicina Familiar y Comunitaria. Granada.1Pediatra EBAP. Centro de Salud «Salvador Caballero».2Adjunto ORL. Hospital Universitario «Virgen de las Nieves». Granada
  • Publicado en Acta Pediatr Esp. 2010; 68(8): 414-416
  • copyright ©2010 Ediciones Mayo, S.A.
  • Fecha recepcion 04/09/09
  • Fecha aceptacion 10/09/09
Publicado en Notas clínicas

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