The Turkish Journal of Pediatrics
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An unusual presentation of gastrointestinal obstruction in a three-year-old boy.
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We report a case presenting with severe intermittent intestinal obstruction, most probably due to enteric nervous system abnormality associated with megacystis and micturition difficulty. Medical treatment consisting of pyridostigmine was very successful in our patient. The clinicopathologic features of this very rare entity and its medical treatment are discussed with a brief review of the etiopathogenesis.
PMID: 19480337 [PubMed - indexed for MEDLINE]
Source: The Turkish Journal of Pediatrics - March 1, 2009 Category: Pediatrics Authors: Boybeyi O, Ciftçi AO, Topaloğlu H Tags: Turk J Pediatr Source Type: journals
Incontinentia pigmenti: a case report and literature review.
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Incontinentia pigmenti (IP) is a rare, X-linked dominant disorder that presents at or soon after birth with characteristic cutaneous signs. The eyes and central nervous system are the next most commonly affected systems. We aimed to describe the ophthalmological, neurological and radiodiagnostic findings of a patient with IP and bilateral retinal detachment. Clinical and laboratory findings of a four-month-old female baby who did not have light fixation and had neurological maturation retardation are presented. Characteristic skin lesions of IP were noted especially at the extremities, bilaterally. On neurological exam...
Source: The Turkish Journal of Pediatrics - March 1, 2009 Category: Pediatrics Authors: Emre S, Firat Y, Güngör S, Firat AK, Karincaoğlu Y Tags: Turk J Pediatr Source Type: journals
A rare cause of mental motor retardation: recessive congenital methemoglobinemia type II.
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This report presents two siblings with central cyanosis, growth retardation, mental retardation, microcephaly, dystonia and hypertonia diagnosed as RCM type II.
PMID: 19480335 [PubMed - indexed for MEDLINE]
Source: The Turkish Journal of Pediatrics - March 1, 2009 Category: Pediatrics Authors: Yüksel D, Senbil N, Yilmaz D, Yarali N, Gürer YK Tags: Turk J Pediatr Source Type: journals
Type 1 diabetes mellitus associated with autoimmune thyroid disease, celiac disease and familial Mediterranean fever: case report.
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We present the second patient with type 1 DM associated with FMF who also had ATD and CD.
PMID: 19480334 [PubMed - indexed for MEDLINE]
Source: The Turkish Journal of Pediatrics - March 1, 2009 Category: Pediatrics Authors: Baş F, Kabataş-Eryilmaz S, Günöz H, Darendeliler F, Küçükemre B, Bundak R, Saka N Tags: Turk J Pediatr Source Type: journals
Neonatal suppurative submandibular sialadenitis.
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This report presents a rare case of isolated suppurative submandibular sialadenitis in a full-term newborn without any risk factors. Possible etiology, diagnosis and management of this uncommon disease are discussed.
PMID: 19480333 [PubMed - indexed for MEDLINE]
Source: The Turkish Journal of Pediatrics - March 1, 2009 Category: Pediatrics Authors: Tapisiz A, Belet N, Ciftçi E, Fitöz S, Ince E, Doğru U Tags: Turk J Pediatr Source Type: journals
A report of a patient with duplication of 7p13-->pter and deletion of 2p23-->pter due to a maternal 2p;7p translocation.
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We report a patient with severe developmental delay, failure to thrive, microbrachycephaly, large anterior fontanel, ocular hypertelorism, broad nasal bridge, low-set ears, long philtrum, micrognathia, partial cleft palate, broad distal digits, abnormal palmar creases, joint contractures, and cardiovascular anomaly. Cytogenetic analysis with high resolution chromosome banding showed an unbalanced karyotype of 46,XX, der(2)t(2;7)(p23;p13) originating from a maternal balanced translocation. Our patient showed a duplication of 7p13-->pter and a deletion of 2p23-->pter. Our analysis suggests that duplication 7p is associ...
Source: The Turkish Journal of Pediatrics - March 1, 2009 Category: Pediatrics Authors: Türköver BB, Sayar C, Toksoy G, Elçioğlu N Tags: Turk J Pediatr Source Type: journals
Tick infestation of the eyelid: a case report in a child.
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A three-year-old girl presented with a small brown lesion on the right upper eyelid margin. Close examination revealed an insect body attached to the eyelid margin. Microscopic examination of the specimen identified the species of the organism as Ixodes ricinus. The tick was completely removed with blunt forceps. She was treated with lid toilet, irrigation, and application of topical 0.3% ciprofloxacin four times daily to the affected eye. The lesion healed without scarring after one week. No systemic symptoms were observed. Mechanical removal with blunt forceps may be a quick, easy, safe and effective treatment for ti...
Source: The Turkish Journal of Pediatrics - March 1, 2009 Category: Pediatrics Authors: Keklikçi U, Unlü K, Cakmak A, Akdeniz S, Akpolat N Tags: Turk J Pediatr Source Type: journals
Early congenital syphilis with isolated bone involvement: a case report.
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Congenital syphilis is the oldest recognized congenital infection and still represents a serious healthcare problem in the 21st century. It is important to be fully informed regarding the early diagnosis and treatment of congenital syphilis to prevent its devastating complications leading to death. In this manuscript, we report a newborn infant with unusual clinical findings of congenital syphilis such as a non-fluctuant mass surrounding the left calf. She did not have any additional system involvement such as hepatic or skin involvement or lymph nodes. To our best knowledge, there are only a few case reports presented...
Source: The Turkish Journal of Pediatrics - March 1, 2009 Category: Pediatrics Authors: Armangil D, Canpolat FE, Yiğit S, Demir HA, Ceyhan M Tags: Turk J Pediatr Source Type: journals
A novel mutation of the GLUT2 gene in a Turkish patient with Fanconi-Bickel syndrome.
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Fanconi-Bickel syndrome is a rare inherited disorder of carbohydrate metabolism. The disease is characterized by the association of a massive hepatomegaly due to glycogen accumulation, severe hypophosphatemic rickets and marked growth retardation due to proximal renal tubular dysfunction. Fanconi-Bickel syndrome is a single gene disease and is caused by defects in the facilitative glucose transporter 2 (GLUT2) gene (SLC2A2) on chromosome 3q26.1-26.3, which encodes for the glucose transporter protein 2 expressed in hepatocytes, pancreatic beta-cells, enterocytes, and renal tubular cells. Several mutations in a gene enco...
Source: The Turkish Journal of Pediatrics - March 1, 2009 Category: Pediatrics Authors: Simşek E, Savaş-Erdeve S, Sakamoto O, Doğanci T, Dallar Y Tags: Turk J Pediatr Source Type: journals
Pantothenate kinase-associated neurodegeneration (PKAN): molecular confirmation of a Turkish patient with a rare frameshift mutation in the coding region of the PANK2 gene.
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Here we report the clinical, neuroimaging, and molecular findings of a classic pantothenate kinase-associated neurodegeneration (PKAN) patient of Turkish origin. Our patient is the first reported case of PKAN in Turkey with molecular genetic confirmation of the diagnosis. The frameshift mutation c.821_822delCT of the PANK2 gene detected in our patient has only been described in such classic patients to date, and our case provides further evidence of the association of this mutation with the classic PKAN phenotype. Since this mutation is a rare disease-causing mutation in other populations, further studies of more Turki...
Source: The Turkish Journal of Pediatrics - March 1, 2009 Category: Pediatrics Authors: Cangül H, Ozdemir O, Yakut T, Okan M, Morgan NV, Baytan B, Kurian MA, Spiegel R, Maher ER Tags: Turk J Pediatr Source Type: journals
Validity and reliability of the Turkish translation of the Pediatric Asthma Quality of Life Questionnaire.
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The aim of this study was to adapt the Pediatric Asthma Quality of Life Questionnaire (PAQLQ) into Turkish and to demonstrate its psychometric performance. After Turkish adaptation of the PAQLQ, this study was conducted on 122 children with asthma aged between 7 and 16 years. A sociodemographic form and PAQLQ and KINDL (a generic health-related quality of life instrument developed for children) questionnaires were applied. Reliability analysis consisted of internal consistency and item-total score correlations, while validity was tested by construct validity. Cronbach alpha scores for Activity (0.80), Symptoms (0.90), ...
Source: The Turkish Journal of Pediatrics - March 1, 2009 Category: Pediatrics Authors: Yüksel H, Yilmaz O, Kirmaz C, Eser E Tags: Turk J Pediatr Source Type: journals
Chronic constipation in Turkish children: clinical findings and applicability of classification criteria.
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We aimed to evaluate general features of children with chronic constipation and classified them according to the Iowa criteria and Rome II criteria in order to analyze applicability of these criteria in our population. The medical records of 485 children who were referred for chronic constipation over a six-year period were evaluated retrospectively. We found that 7.7% of the cases had an organic pathology, and short segment Hirschsprung disease was the leading cause. Other children (92.3%) were classified as functional constipation, with a mean age of 6.4 +/- 4 years and with slight male dominance. Encopresis was foun...
Source: The Turkish Journal of Pediatrics - March 1, 2009 Category: Pediatrics Authors: Aydoğdu S, Cakir M, Yüksekkaya HA, Arikan C, Tümgör G, Baran M, Yağci RV Tags: Turk J Pediatr Source Type: journals
Perinatal risk factors affecting the maternal and fetal asymmetric dimethylarginine levels.
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The aim of this study was to investigate the relationship between maternal risk factors, neonatal demographic features and asymmetric dimethylarginine (ADMA) levels in a randomly selected group of pregnancies during delivery. The subjects were categorized into five groups as having: no maternal risk factor, maternal hypertension, gestational diabetes, maternal smoking history, and meconium staining. Blood samples were taken from the mothers before delivery and from the umbilical vein after delivery. Mean ADMA levels were significantly lower in the cord blood when compared with maternal levels in all groups. Mean ADMA l...
Source: The Turkish Journal of Pediatrics - March 1, 2009 Category: Pediatrics Authors: Kul M, Demirkaya E, Ipçioğlu OM, Karadeniz RS, Tunç T, Vurucu S, Yeşil FG, Oztin H, Cakir E Tags: Turk J Pediatr Source Type: journals
Comparison of acute bloody and watery diarrhea: a case control study.
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The clinical and laboratory findings of 290 cases of bloody diarrhea who presented to the department of Diarrhea Training and Treatment between June 1998 and May 2002 were investigated, and compared to those of two consecutive cases who had watery diarrhea. The bloody diarrhea group had higher mean age, higher frequencies of diarrhea, lower frequencies of vomiting, and shorter durations of diarrhea at the time of admission as compared to the watery diarrhea group. The number of cases using antibiotics before the onset of diarrheal attacks was higher in the bloody diarrhea group, and sulbactam-ampicillin had been used m...
Source: The Turkish Journal of Pediatrics - March 1, 2009 Category: Pediatrics Authors: Kuşkonmaz B, Yurdakök K, Yalçin SS, Ozmert E Tags: Turk J Pediatr Source Type: journals
Foreign body ingestion in Turkish children.
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Foreign body ingestion (FBI) is a common problem in the pediatric population. Even though morbidity and mortality due to foreign body ingestion are rare in childhood, they may cause serious anxiety in parents. We aimed to analyze the clinical presentation, etiology and management strategy of FBI in children in our country. Records of children admitting with a history of FBI over a three-year period were reviewed retrospectively. Data regarding gender, age, type of the ingested body, management strategy and outcome of the patients were recorded. Of 176 children, 98 (55.6%) were male. Mean age +/- SD of the patients was ...
Source: The Turkish Journal of Pediatrics - March 1, 2009 Category: Pediatrics Authors: Aydoğdu S, Arikan C, Cakir M, Baran M, Yüksekkaya HA, Saz UE, Arslan MT Tags: Turk J Pediatr Source Type: journals
Seroprevalence of hepatitis B infection in the Turkish population in Northern Cyprus.
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This study was conducted to determine the seroprevalence of hepatitis B virus (HBV) infection in the Turkish population in Northern Cyprus. The secondary aim of this study was to assess the impact of the universal infant hepatitis B vaccination program, which started in 1998. A total of 600 persons 1- to 30-years-old were selected for the study with cluster sampling. The information on sociodemographic characteristics was gathered for each participant and in 585 of them, hepatitis B surface antigen (HBsAg), anti-hepatitis B surface antigen antibody (anti-HBs) and anticore antibody (anti-HBc) were tested. The overall preval...
Source: The Turkish Journal of Pediatrics - March 1, 2009 Category: Pediatrics Authors: Kurugöl Z, Koturoğlu G, Akşit S, Ozacar T, , Kayimbaşoğlu S, Ozbalikçi S, Erçal G, Güllüelli E, Bakkaloğlu F, Doğan E, Garabli H, Erçal H, Mert C Tags: Turk J Pediatr Source Type: journals
Endovascular stent implantation for coarctation of the aorta in children and young adults: intermediate follow-up results from Turkey.
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The aim of this study was to report the intermediate follow-up results of stent implantation for coarctation of the aorta in children from Turkey. Patients with native or postoperative coarctation, who had abnormal flow at the descending aorta exceeding diastolic phase on Doppler echocardiography or upper extremity hypertension, underwent endovascular stent implantation. Ten patients with a mean age of 12.4 +/- 5.5 years (6-23 years) underwent stent implantation between January 2001 and September 2006. Of these, three had previous surgical repair, and the remainder were native coarctation. Palmaz, Genesis and Numed CP ...
Source: The Turkish Journal of Pediatrics - March 1, 2009 Category: Pediatrics Authors: Baykan A, Karagöz T, Celiker A Tags: Turk J Pediatr Source Type: journals
Early and severe presentation of vitamin D deficiency and nutritional rickets among hospitalized infants and the effective factors.
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Nutritional rickets is re-emerging as a significant health problem among children. We determined the frequency of nutritional rickets and vitamin D deficiency among hospitalized children and the effective factors. During a one-year period, 305 hospitalized children (ages between 0 to 3 years) were evaluated for clinical and biochemical markers of vitamin D deficient rickets and related factors. Twenty-one of them (6.8%) were diagnosed as nutritional vitamin D deficiency and rickets. Most of the children diagnosed were under one year old (16/21, 76.2%). Fourteen vitamin D deficient rachitic children were admitted to the...
Source: The Turkish Journal of Pediatrics - March 1, 2009 Category: Pediatrics Authors: Tezer H, Siklar Z, Dallar Y, Doğankoç S Tags: Turk J Pediatr Source Type: journals
Determinants of allergic signs and symptoms in 24- 48-month-old Turkish children.
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This study was performed to document the factors determining allergic signs and symptoms in early childhood in a group of Turkish children. Children followed at the Well-Baby Clinic who were 2 to 4 years were invited and re-evaluated. In addition to face-to-face questionnaire for allergic signs and symptoms and review of files, skin prick test was performed. The associations between risk factors and different aspects of atopy were analyzed. One hundred and nine patients (mean age: 31.6 +/- 3.5 months) were included in the study. All had been breast-fed with mean exclusive and total breastfeeding durations of 3.3 +/- 2.7 an...
Source: The Turkish Journal of Pediatrics - March 1, 2009 Category: Pediatrics Authors: Ozmert EN, Kale-Cekinmez E, Yurdakök K, Sekerel BE Tags: Turk J Pediatr Source Type: journals
Molecular genetics of maple syrup urine disease in the Turkish population.
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In maple syrup urine disease (MSUD), disease-causing mutations can affect the BCKDHA, BCKDHB or DBT genes encoding for the E1alpha, E1beta and E2 subunits of the multienzyme branched-chain alpha-keto acid dehydrogenase (BCKDH) complex. Here we summarize the MSUD genotypes of a cohort of 32 unrelated Turkish patients in whom both alleles at a single gene locus harbored presumable disease-causing nucleotide changes. The patients had different forms of MSUD, ranging from the severe classical form (26 patients) to severe and mild variants (6 patients). In all except two patients (92%), the mutations occurred homozygously. ...
Source: The Turkish Journal of Pediatrics - March 1, 2009 Category: Pediatrics Authors: Gorzelany K, Dursun A, Coşkun T, Kalkanoğlu-Sivri SH, Gökçay GF, Demirkol M, Feyen O, Wendel U Tags: Turk J Pediatr Source Type: journals
A case of Hirschsprung disease: does thyroid hormone have any effect?
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Hirschsprung disease, the colonization defect of neural crest cells through the colon, is one of the reasons for functional obstruction in neonates. Furthermore, hypothyroidism has been known to be one of the causes of bowel hypomotility and pseudoobstruction. These two diseases are generally considered in the differential diagnosis. Although defective thyroid function has been found to be responsible for inappropriate neuronal migration in the brain, the effect of thyroid hormone on neural crest cell migration to the bowel has not yet been evaluated. Here, we report a case with Hirschsprung disease and congenital hypo...
Source: The Turkish Journal of Pediatrics - January 1, 2009 Category: Pediatrics Authors: Eren M, Celik M, Kinik S, Arda IS Tags: Turk J Pediatr Source Type: journals
Management of central diabetes insipidus with oral desmopressin in a patient with ectrodactyly and cleft lip/palate (ECP) syndrome.
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We present a female infant with facial abnormalities such as bilateral cleft lip and palate, ectrodactyly and central diabetes insipidus. She had a history of recurrent hypernatremic attacks and she was treated successfully with oral desmopressin. As an alternative to the nasal route, long-term management was achieved using oral route and she had a favorable growth and development during infancy.
PMID: 19378901 [PubMed - indexed for MEDLINE]
Source: The Turkish Journal of Pediatrics - January 1, 2009 Category: Pediatrics Authors: Ozaydin E, Aycan Z, Yusufoğlu AM, Cetinkaya E, Ergen S, Unal S, Köse G Tags: Turk J Pediatr Source Type: journals
Postherpetic pruritus in a child with retinoblastoma.
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Herpes zoster is a painful neurocutaneous disease caused by the reactivation of the varicella zoster virus, and it can develop any time after a primary infection, which usually occurs during childhood. A variety of immunocompromised patient populations are known to be at increased risk for herpes zoster. Postherpetic pruritus is a serious complication, which may last after the infection, and has the potential to cause injury and disability. The medical literature on postherpetic pruritus is very limited. This is a case report of a six-year-old child who developed postherpetic pruritus lasting three months, which respon...
Source: The Turkish Journal of Pediatrics - January 1, 2009 Category: Pediatrics Authors: Akgül S, Küpeli S, Yalçin B, Demir HA, Büyükpamukçu M Tags: Turk J Pediatr Source Type: journals
Aneurysmal bone cyst of rib presenting as a huge chest wall mass.
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Aneurysmal bone cyst is a rare benign tumor of the bone that can be difficult to distinguish from malignant tumors, especially when it presents in an unusual location. Herein, we report a six-year-old girl with a primary aneurysmal bone cyst in an uncommon location. It originated from the 4th rib and she presented with a huge chest wall mass. Despite the large size of the cyst, the only symptom was persistent cough. She was successfully treated with total excision of tumor without any complication. The patient has been followed up for 56 months without any recurrence.
PMID: 19378899 [PubMed - indexed for MEDLINE]
Source: The Turkish Journal of Pediatrics - January 1, 2009 Category: Pediatrics Authors: Güneş D, Mutafoğlu-Uysal K, Sarialioğlu F, Cakmakçi H, Olgun N Tags: Turk J Pediatr Source Type: journals
A case report with type II pleuropulmonary blastoma: successful treatment with surgery and chemotherapy.
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We present a case with PPB type II successfully treated with complete surgical resection following neoadjuvant chemotherapy. She has been free of disease for 33 months of follow-up. Complete surgical resection of the tumor at the time of diagnosis is the cornerstone of PPB management, but in the majority of patients, initial surgery is incomplete because a large tumor may involve vital structures. For this reason, patients with initially unresectable tumors should be treated with neoadjuvant chemotherapy to reduce the lesion to the point that it becomes resectable.
PMID: 19378898 [PubMed - indexed for MEDLINE]
Source: The Turkish Journal of Pediatrics - January 1, 2009 Category: Pediatrics Authors: Corapçioğlu F, Liman T, Aksu G, Inan N, Deveci M, Gürbüz Y, Topçu S Tags: Turk J Pediatr Source Type: journals
Antiepileptic hypersensitivity and DRESS syndrome due to phenytoin in two pediatric cases.
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We report here two children with AHS due to phenytoin. Both cases were under treatment with phenytoin: the first case was a seven-year-old boy who was referred with the classic form of AHS. The second patient was a five-year-old girl who manifested with DRESS. The manifestations in both cases improved after withholding the phenytoin. Clinical presentations of adverse drug reactions are highly variable and must therefore be suspected in any patient who develops any unusual manifestation after taking antiepileptic drugs. Early recognition of AHS and withholding and/or changing the medication are necessary to prevent potentia...
Source: The Turkish Journal of Pediatrics - January 1, 2009 Category: Pediatrics Authors: Armin S, Chavoshzadeh Z, Mohkam M, Rezaei N Tags: Turk J Pediatr Source Type: journals
Cerebral vasculitis and obsessive-compulsive disorder following varicella infection in childhood.
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We report a previously healthy eight-year-old boy who presented with acute hemiplegia and obsessive-compulsive disorder secondary to a lesion in lentiform nuclei associated with a history of recent varicella infection. The child was treated with sertraline for obsessive-compulsive disorder symptoms and made a full recovery.
PMID: 19378896 [PubMed - indexed for MEDLINE]
Source: The Turkish Journal of Pediatrics - January 1, 2009 Category: Pediatrics Authors: Yaramiş A, Hergüner S, Kara B, Tatli B, Tüzün U, Ozmen M Tags: Turk J Pediatr Source Type: journals
Successful treatment with gemtuzumab ozogamicin monotherapy in a pediatric patient with resistant relapse of acute myeloid leukemia.
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There are few therapeutic options in relapsed or refractory acute myeloid leukemia patients. CD33 antigen is expressed on approximately 90% of myeloblasts, and gemtuzumab ozogamicin, as a monoclonal antibody directed against the CD33 surface antigen, may be a good target for these patients. Herein, we present a 15-year-old acute myeloid leukemia patient who was resistant at relapse and could achieve remission with gemtuzumab ozogamicin at a total dose of 9 mg/m2, divided into three doses and delivered to hematopoietic stem-cell transplantation; however, the patient relapsed in a short time without application of transp...
Source: The Turkish Journal of Pediatrics - January 1, 2009 Category: Pediatrics Authors: Unal S, Cakir M, Kuşkonmaz B, Cetin M, Tuncer AM Tags: Turk J Pediatr Source Type: journals
Animal carcass and eyelid anthrax: a case report.
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In this report, we present a 13-year-old boy who developed eyelid anthrax after contact with a sheep carcass during his summer holiday that resulted in eyelid anthrax and cicatricial ectropion.
PMID: 19378894 [PubMed - indexed for MEDLINE]
Source: The Turkish Journal of Pediatrics - January 1, 2009 Category: Pediatrics Authors: Devrim I, Kara A, Tezer H, Cengiz AB, Ceyhan M, Seçmeer G Tags: Turk J Pediatr Source Type: journals
Laryngeal foreign body mistreated as recurrent laryngitis and croup for one year.
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We present the case of a 20-month-old girl with laryngeal foreign body unrecognized for one year. She was treated for recurrent laryngitis and infectious croup several times. A triangular-shaped, red plastic material with sharp edges was removed from the larynx by direct laryngoscopy. The clinical presentation and management are discussed.
PMID: 19378893 [PubMed - indexed for MEDLINE]
Source: The Turkish Journal of Pediatrics - January 1, 2009 Category: Pediatrics Authors: Atmaca S, Unal R, Seşen T, Kiliçarslan H, Unal A Tags: Turk J Pediatr Source Type: journals
Interactions between exhaled CO, smoking status and nicotine dependency in a sample of Turkish adolescents.
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This study was a cross-sectional research conducted among high school students of Erzurum province (n=536). The level of exhaled CO of all participants who accepted to participate in the study was measured by Microbio CO Analyzer (Microbio Med). Nicotine dependency was measured by a six-item version of the Fagerstrom Tolerance Questionnaire. Mean age of the adolescents was 17.0 +/- 1.6 (median: 17) and 77.1% were male. Of the study population, 30.2% and 11.4% of the students were regular and occasional smokers, respectively. Non-smokers who were exposed to environmental tobacco smoke had significantly (p<0.01) higher ex...
Source: The Turkish Journal of Pediatrics - January 1, 2009 Category: Pediatrics Authors: Vançelik S, Beyhun NE, Acemoğlu H Tags: Turk J Pediatr Source Type: journals
Factors affecting onset of puberty in Denizli province in Turkey.
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The relationship between the possible factors affecting pubertal onset and pubertal timing was investigated in the Denizli province in Turkey. A total number of 3311 subjects (1562 girls, 1749 boys) aged 6-16.5 years participated in this study. Body mass index (BMI) was calculated. Pubertal stages were assessed according to methods of Marshall and Tanner. Testicular volume was determined using Prader orchidometer. Menarcheal age was recorded. All parents and students completed different questionnaires on demographic variables affecting pubertal timing such as socioeconomic conditions, psychosocial factors, exercise, nu...
Source: The Turkish Journal of Pediatrics - January 1, 2009 Category: Pediatrics Authors: Semiz S, Kurt F, Kurt DT, Zencir M, Sevinç O Tags: Turk J Pediatr Source Type: journals
Pilomatricoma: a review of six pediatric cases with nine lesions.
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In this study, we performed a retrospective review of the records of our pediatric patients with pilomatricoma. We discuss herein the diagnosis and management of this uncommon skin tumor, and compare our experience with the previous literature. Pilomatricoma should be included in the differential diagnosis of superficial pediatric head and neck masses by any physician involved with pediatric tumors.
PMID: 19378890 [PubMed - indexed for MEDLINE]
Source: The Turkish Journal of Pediatrics - January 1, 2009 Category: Pediatrics Authors: Turhan-Haktanir N, Demir Y, Sahin O, Bükülmez A, Tüzüner M Tags: Turk J Pediatr Source Type: journals
Effect of pacifier use on exclusive and any breastfeeding: a meta-analysis.
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The objective of this meta-analysis was to determine with cross-sectional and cohort trails whether the use of pacifier increases the risk of early weaning from exclusive breastfeeding before six months of age or cessation of breastfeeding from any breastfeeding before 24 months of age. Additionally, the effect of the age for starting pacifier use on breastfeeding duration was analyzed in the cohort trails. The Medline database was searched (1980 to 2006) with "breastfeed, breastfeeding, or breast feed" and "pacifier, dummy, or soother" as individual keywords. Only human studies published in English were included. Unpublis...
Source: The Turkish Journal of Pediatrics - January 1, 2009 Category: Pediatrics Authors: Karabulut E, Yalçin SS, Ozdemir-Geyik P, Karaağaoğlu E Tags: Turk J Pediatr Source Type: journals
Characterization of extended-spectrum beta-lactamase-producing Salmonella isolates in a children's hospital in Ankara--first report of SHV-2a and SHV-9 in Salmonella spp. from Turkey.
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The rate of in vitro resistance to various antimicrobials in 179 consecutive isolates of Salmonella spp., which included serogroups D (109), B (52), C1 (10) and C2 (8) isolated from children, was investigated. Production of extended-spectrum beta-lactamase (ESBL) was studied in ampicillin-resistant isolates. Antimicrobial susceptibilities were determined by disk diffusion tests and by BIOMIC video reader system. Overall resistance rates to ampicillin and amoxicillin/clavulanate were 26.3% and 10.6%, respectively. Resistance to ceftriaxone and ceftazidime was 3.3%. Resistance rates for chloramphenicol, trimethoprim-sulf...
Source: The Turkish Journal of Pediatrics - January 1, 2009 Category: Pediatrics Authors: Budak F, Nordmann P, Girlich D, Gür D Tags: Turk J Pediatr Source Type: journals
Carvedilol therapy in pediatric patients with dilated cardiomyopathy.
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The objective of this study was to determine the dosing, efficacy and side effects of carvedilol for the management of dilated cardiomyopathy in children. Sixteen children with idiopathic dilated cardiomyopathy, aged 7 months to 138 months and with an ejection fraction less than 40%, were treated with carvedilol. The average initial dose was 0.1 mg/kg/day and it was uptitrated to 0.4 mg/kg/day. After six months on carvedilol, there were improvements in clinical scoring system from an average of 2.94 to 2.50 (p<0.05), in mean fractional shortening from 17.2 +/- 6.1% to 22.7 +/- 5.1% (p<0.05), and in ejection fraction ...
Source: The Turkish Journal of Pediatrics - January 1, 2009 Category: Pediatrics Authors: Askari H, Semizel E, Bostan OM, Cil E Tags: Turk J Pediatr Source Type: journals
Pediatricians' knowledge about recent advances in anaphylaxis treatment in Istanbul, Turkey.
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Severe anaphylactic reactions are medical emergencies in children and require immediate recognition and treatment. Many advances have been reported recently in the treatment of anaphylaxis. Despite this, little is known about whether or not these advances are known by all pediatricians. To evaluate the knowledge of pediatricians on the recent advances in the treatment of anaphylaxis, some pediatricians from istanbul were asked to complete an anonymous questionnaire. A total of 124 pediatricians agreed to participate in the study. Most attendants (92%) knew epinephrine as the first drug in the treatment of anaphylaxis, ...
Source: The Turkish Journal of Pediatrics - January 1, 2009 Category: Pediatrics Authors: Cetinkaya F, Zübarioğlu AU, Göktaş S Tags: Turk J Pediatr Source Type: journals
The effect of kangaroo care on pain in premature infants during invasive procedures.
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In conclusion, KC starting 30 minutes before and continuing 10 minutes after an invasive procedure was found to be effective in decreasing pain during and after the invasive procedure in premature infants.
PMID: 19378885 [PubMed - indexed for MEDLINE]
Source: The Turkish Journal of Pediatrics - January 1, 2009 Category: Pediatrics Authors: Akcan E, Yiğit R, Atici A Tags: Turk J Pediatr Source Type: journals
Reference values for urinary calcium, sodium and potassium in healthy newborns, infants and children.
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The urinary calcium/creatinine ratio (UCa/Cr) in spot urine samples has been used extensively for screening and diagnosis of hypercalciuria (HC). The aim of this study was to determine the normal values for UCa/Cr, urinary sodium/creatinine (UNa/Cr), urinary potassium/creatinine (UK/Cr) and urinary sodium/potassium (UNa/K) ratios in healthy Turkish children aged 0-5 years. A total of 425 children were enrolled in the study. The urine samples were obtained from the second morning urine in children after breakfast and the first urine after feeding in infants. Urine Ca, Cr, Na and K levels were studied. A positive correla...
Source: The Turkish Journal of Pediatrics - January 1, 2009 Category: Pediatrics Authors: Erol I, Buyan N, Ozkaya O, Sahin F, Beyazova U, Söylemezoğlu O, Hasanoğlu E Tags: Turk J Pediatr Source Type: journals
Visceral childhood leishmaniasis in southern Turkey: experience of twenty years.
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One hundred and one children with visceral leishmaniasis (VL) who admitted to Akdeniz University Hospital during a 20-year period were analyzed. Median age of the patients was 3 years (range: 5.5 months-13 years). The most common symptoms at presentation were fever, pallor and abdominal distension. Splenomegaly was found in all of the patients while hepatomegaly was present in 98%. Anemia (96%), leukopenia (74%) and thrombocytopenia (56%) were the main laboratory abnormalities. Thirty-three (33%) of the patients were pancytopenic on admission. Bone marrow smear was positive for leishmania in 91% of the patients. Sevent...
Source: The Turkish Journal of Pediatrics - January 1, 2009 Category: Pediatrics Authors: Dursun O, Erişir S, Yeşilipek A Tags: Turk J Pediatr Source Type: journals
Abstracts of the 14th Pediatric Rheumatology European Society Congress, 5-9 September 2007, Istanbul, Turkey.
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Authors:
PMID: 19093320 [PubMed - indexed for MEDLINE]
Source: The Turkish Journal of Pediatrics - December 22, 2008 Category: Pediatrics Tags: Turk J Pediatr Source Type: journals
Guillain-Barré syndrome in an immunocompromised patient with Wiskott-Aldrich syndrome.
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Guillain-Barré syndrome in an immunocompromised patient with Wiskott-Aldrich syndrome.
Turk J Pediatr. 2008 Jul-Aug;50(4):412-3
Authors: Olmez A, Turul T, Tezcan I, Turanli G
PMID: 19014062 [PubMed - in process]
Source: The Turkish Journal of Pediatrics - July 1, 2008 Category: Pediatrics Authors: Olmez A, Turul T, Tezcan I, Turanli G Tags: Turk J Pediatr Source Type: journals
Bacterial tracheitis--not always primary.
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A child presented with features of bacterial tracheitis with complete response to therapy. He presented with a recurrence one week later. A foreign body in the tracheal wall was diagnosed and removed by bronchoscopy. Tracheal intubation for airway management and tracheal toileting are not enough in bacterial tracheitis; bronchoscopy should be considered to diagnose any underlying cause.
PMID: 19014061 [PubMed - in process]
Source: The Turkish Journal of Pediatrics - July 1, 2008 Category: Pediatrics Authors: Narchi H, Basak R Tags: Turk J Pediatr Source Type: journals
Severe sepsis in a premature neonate: protein C replacement therapy.
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We report the case of a preterm neonate who developed severe sepsis on the 28th day of life, who was successfully treated with the inactivated form of protein C for a period of 96 hours.
PMID: 19014060 [PubMed - in process]
Source: The Turkish Journal of Pediatrics - July 1, 2008 Category: Pediatrics Authors: De Carolis MP, Polimeni V, Papacci P, Lacerenza S, Romagnoli C Tags: Turk J Pediatr Source Type: journals
Massive fetomaternal hemorrhage and late-onset neutropenia: description of two cases.
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We describe two cases of chronic massive fetomaternal hemorrhage with favorable outcome. During the follow-up, both infants showed late-onset neutropenia, which was not previously reported in healthy, growing infants with history of massive FMH.
PMID: 19014059 [PubMed - in process]
Source: The Turkish Journal of Pediatrics - July 1, 2008 Category: Pediatrics Authors: Zuppa AA, Scorrano A, Cota F, D'Andrea V, Fracchiolla A, Romagnoli C Tags: Turk J Pediatr Source Type: journals
Prenatally diagnosed lethal type Larsen-like syndrome associated with bifid tongue.
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In this report, we present a 24-week-old female fetus with a possible prenatal diagnosis of thanatophoric dysplasia in whom postmortem examination revealed lethal type Larsen-like syndrome associated with bifid tongue, severe micrognathia and non-immune hydrops fetalis. These findings have not been reported previously in the lethal type Larsen syndrome.
PMID: 19014058 [PubMed - in process]
Source: The Turkish Journal of Pediatrics - July 1, 2008 Category: Pediatrics Authors: Orhan D, Balci S, Deren O, Utine EG, Başaran A, Kale G Tags: Turk J Pediatr Source Type: journals
A case of postganglionic horner syndrome after catheterization of internal jugular vein confirmed with pharmacological tests.
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Horner syndrome, consisting of ipsilateral miosis, upper eye lid ptosis, and facial anhidrosis, has been reported as a rare complication of internal jugular vein catheterization. In this paper, we describe a nine-year-old girl presenting with postganglionic Horner syndrome, in whom right-sided ptosis and miosis occurred after ipsilateral percutaneous internal jugular venous catheterization.
PMID: 19014057 [PubMed - in process]
Source: The Turkish Journal of Pediatrics - July 1, 2008 Category: Pediatrics Authors: Büyüktortop N, Gürbüz-Köz O, Atalay T, Kural G Tags: Turk J Pediatr Source Type: journals
Hyperprostaglandin E syndrome: use of indomethacin and steroid, and death due to necrotizing enterocolitis and sepsis.
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We report a one-month-old infant with HPS with a 15-year-old sister with Bartter syndrome. The infant's birth weight was 2750 g and she had severe dehydration on the 2nd day of life. She had hypercalcemia, hyponatremia, hypokalemia, metabolic alkalosis and elevated plasma renin and aldosterone levels. We instituted indomethacin therapy accompanied by steroid therapy for hypercalcemia. However, the patient developed abdominal distention on the 30th day, which was due to diffuse pneumatosis in sigmoid colon revealed by a subsequent surgical intervention. Following surgery, the patient developed fever, electrolyte abnormaliti...
Source: The Turkish Journal of Pediatrics - July 1, 2008 Category: Pediatrics Authors: Cetinkaya M, Köksal N, Ozkan H, Dönmez O, Sağlam H, Kiriştioğlu I Tags: Turk J Pediatr Source Type: journals
Cystic fibrosis in a boy with meconium ileus and mild clinical phenotype associated with 2183AA-G/D1152H genotype.
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We report a 16-year-old boy with cystic fibrosis presenting with meconium ileus in the neonatal period who showed mild clinical phenotype later. He had sufficient pancreatic function, mild lung involvement and borderline sweat chloride levels. Analysis of the cystic fibrosis transmembrane regulator protein gene revealed the rare mutation: 2183AA-G/D1152H. To our knowledge, this is the first report concerning such a mutation combination in cystic fibrosis.
PMID: 19014055 [PubMed - in process]
Source: The Turkish Journal of Pediatrics - July 1, 2008 Category: Pediatrics Authors: Yalçin E, Ozçelik U, Yilmaz E, Doğru D, Kiper N, Ferec C Tags: Turk J Pediatr Source Type: journals
Relapsing Herpes simplex virus encephalitis despite high-dose acyclovir therapy: a case report.
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In this report, we present our experience in a 36-month-old child with relapse of HSV encephalitis after 14-day acyclovir therapy. A 36-month-old boy who was presented with deterioration in speech and motor functions and fluctuation of consciousness was treated with acyclovir for 14 days for HSV encephalitis. He was discharged since his cerebrospinal fluid findings returned to normal range and clinical improvement was seen. Ten days later, he was readmitted to our clinic with acute fever, focal convulsions and choreoathetoid movements, and altered consciousness. Acyclovir was started immediately, but he died on the 17th da...
Source: The Turkish Journal of Pediatrics - July 1, 2008 Category: Pediatrics Authors: Devrim I, Tezer H, Haliloğlu G, Kara A, Seçmeer G Tags: Turk J Pediatr Source Type: journals
