A practical approach to the diagnosis and management of chronic urticaria
Urticaria commonly occurs in childhood, affecting up to 15% of British children. It is characterized by the sudden onset of wheals, angioedema, or both. Episodes are usually acute, often triggered by viral infections or antibiotics, with approximately a third progressing to chronic or recurrent urticaria. This review focuses on chronic urticaria subtypes, diagnosis and treatment options for children. The diagnosis is usually made clinically, and a focused history is key. Detailed investigation is usually unnecessary. (Source: Paediatrics and Child Health)
Source: Paediatrics and Child Health - April 3, 2024 Category: Pediatrics Authors: Katherine Fawbert, Susan Leech Tags: Symposium: allergy Source Type: research
Allergen immunotherapy in the UK: what's new?
Allergen immunotherapy, also called desensitisation, is a strategic process by which the immune system is gradually “trained” to tolerate increasing amounts of an allergen, which it previously would have reacted to. In the UK, it is estimated that approximately 20% of the population suffers with at least one allergic disease. The potential to modify the disease process is no longer out of our reach for certai n allergies, with the hope of improved quality of life. Immunotherapy can be offered as a treatment for IgE mediated allergic disease such as allergic rhinoconjunctivitis, immediate type food allergies, bee and wa...
Source: Paediatrics and Child Health - March 30, 2024 Category: Pediatrics Authors: Anjali Rampersad, Fahad Siddiqui, Melvin Lee Qiyu, Donna Traves, Nick Makwana Tags: Symposium: allergy Source Type: research
Editorial Board
(Source: Paediatrics and Child Health)
Source: Paediatrics and Child Health - March 26, 2024 Category: Pediatrics Source Type: research
Food-protein-induced enterocolitis syndrome: the ‘anaphylaxis’ of non-IgE-mediated food allergy
FPIES (food-protein-induced enterocolitis syndrome) is a severe, non-IgE-mediated allergic reaction. Its hallmark is the onset of acute vomiting one to four hours post ingestion of a trigger food. Reactions can result in such significant hypovolaemia as to be end organ or life threatening and require prompt recognition and fluid support. FPIES is a disorder of infancy, and recent BPSU survey data suggests it is still under-recognized within the UK. Its presentation can mimic other more common conditions, such as sepsis and gastroenteritis, leading to under-recognition and diagnostic delay. (Source: Paediatrics and Child Health)
Source: Paediatrics and Child Health - March 20, 2024 Category: Pediatrics Authors: Gary Stiefel, Cherry Alviani, Mich Erlewyn-Lajeunesse Tags: Symposium: allergy Source Type: research
Neurodisability and risk of hypopituitarism: to screen or not to screen?
Children with neurodisabilities are a very diverse group. Endocrine dysfunction is not always anticipated but screening for potential risk of developing hypopituitarism is important in clinical practice. Hypopituitarism in children with neurodisability can be part of an underlying congenital syndrome or acquired. Diagnosis of hypopituitarism on clinical grounds is challenging in some cases. Accurate growth monitoring is more difficult in this group due to orthopaedic factors, such as spasticity, spinal deformities such as scoliosis or joint contractures. (Source: Paediatrics and Child Health)
Source: Paediatrics and Child Health - March 17, 2024 Category: Pediatrics Authors: Theodora Papanikolaou, Jeremy Kirk, Zainaba Mohamed Tags: Occasional review Source Type: research
Self-assessment
(Source: Paediatrics and Child Health)
Source: Paediatrics and Child Health - March 8, 2024 Category: Pediatrics Authors: Clare Leung, Charlotte McCallum, Rebecca Price, Natalie Bee Tags: Self-assessment Source Type: research
Neonatal anaemia
This article provides an overview of the more important aspects of neonatal anaemia. (Source: Paediatrics and Child Health)
Source: Paediatrics and Child Health - February 28, 2024 Category: Pediatrics Authors: Tanoj Gopalan Kollamparambil, Will Carroll, Divianath Kuttiyat Rayaroth Tags: Symposium: neonatology Source Type: research
Editorial Board
(Source: Paediatrics and Child Health)
Source: Paediatrics and Child Health - February 27, 2024 Category: Pediatrics Source Type: research
The long-term indirect impact of Covid-19 on child health
The Covid-19 pandemic created unprecedented circumstances around the world. From the beginning of the pandemic, it became apparent that the direct and acute effects of the infection had a greater impact on the adult population and therefore skewed the care and services available towards adult medicine. Due to the strict social distancing rules enforced, which included school closure, a state of isolation for the young was created. In September 2020 we published a report that suggested the indirect impacts of the pandemic on children which were based on evidence from previous pandemics and small Covid-19 case studies as a m...
Source: Paediatrics and Child Health - February 24, 2024 Category: Pediatrics Authors: Loucia Ashikkali, Andrew John Robertson Seggie, Christine Johnson Tags: Occasional review Source Type: research
Non-invasive ventilation in neonatal care: where are we now?
Survival of extremely preterm infants has improved from enhanced antenatal care and high uptake of antenatal steroids along with early use of surfactant. However, the burden of ventilator-induced lung injury (VILI) and bronchopulmonary dysplasia (BPD) has proportionately increased. Despite a greater understanding of pulmonary graphics and advances in neonatal ventilation techniques such as volume-targeted ventilation, lung morbidities remain high. Since the advent of CPAP in the early 70's, the re have been several attempts to expand the non-invasive ventilation (NIV) techniques to improve survival and reduce morbidity. ...
Source: Paediatrics and Child Health - February 21, 2024 Category: Pediatrics Authors: Tayyaba Yasmeen, Prashant Mallya, Sundaram Janakiraman Tags: Symposium: neonatology Source Type: research
Ear and hearing health in children
Hearing loss is common in childhood. The most common causes of hearing loss varies by age. In childhood this is most frequently due to Otitis Media with Effusion (OME, also known as ‘glue ear’) or Chronic Suppurative Otitis Media (CSOM)). In adolescence hearing loss can result from exposure to loud noise from environmental causes or personal listening devices. Hearing loss has a significant impact upon the ability to learn, socialize and work. Effective early interventions exist and make a difference to speech, access to education, socialization and employment opportunities. (Source: Paediatrics and Child Health)
Source: Paediatrics and Child Health - February 20, 2024 Category: Pediatrics Authors: Tamsin Holland Brown, Shelly Chadha Tags: Occasional review Source Type: research
Acute scrotal conditions in children
This article provides a brief review of all aspects of diagnosis and management of such conditions, highlighting the principles of surgical management and outcome. (Source: Paediatrics and Child Health)
Source: Paediatrics and Child Health - February 19, 2024 Category: Pediatrics Authors: Florin B. Djendov, Anna-May Long Tags: Symposium: Surgery and Orthopaedics Source Type: research
Appendicitis and non-specific abdominal pain in childhood
This article provides an overview of abdominal pain in children, including history and examination, initial management, diagnostic categories, modes of investigation, and definitive treatment. (Source: Paediatrics and Child Health)
Source: Paediatrics and Child Health - February 19, 2024 Category: Pediatrics Authors: Sumita Chhabra, Simon E. Kenny Tags: SYMPOSIUM: SURGERY AND ORTHOPAEDICS Source Type: research
Congenital inguinal hernia, hydrocoele and undescended testis
Congenital inguinal hernias (CIH), hydrocoeles and undescended testes (UDT) are common groin conditions in neonates, infants and children that are encountered by general practitioners, paediatricians, general surgeons and paediatric surgeons. CIH, hydrocoeles and UDT share a common embryological origin. Clinical differentiation between the three conditions can be challenging, particularly as they may exist in isolation or combination in the same patient. Accurate clinical distinction is imperative as the management and outcome is different for each condition. (Source: Paediatrics and Child Health)
Source: Paediatrics and Child Health - February 19, 2024 Category: Pediatrics Authors: A. Kate Khoo, Stewart J. Cleeve Tags: SYMPOSIUM: SURGERY AND ORTHOPAEDICS Source Type: research
Infantile hypertrophic pyloric stenosis
(IHPS) is one of the most commonly encountered paediatric surgical conditions. It is estimated to affect between 1 and 4 infants per 1,000 births, representing the most common cause of surgical intervention in the first 6 months of life. The exact aetiology remains unclear. It is known to be more common in males (4:1), especially those that are first-born. Abdominal examination can sometimes detect visible stomach peristalsis in the left upper quadrant and the pathognomic sign of an “olive shaped” epigastric ma ss may be present. (Source: Paediatrics and Child Health)
Source: Paediatrics and Child Health - February 19, 2024 Category: Pediatrics Authors: David Fawkner-Corbett, Merrill McHoney Tags: SYMPOSIUM: SURGERY AND ORTHOPAEDICS Source Type: research
