The authors report the case of an eight-year-old boy who presented to the Pediatric Emergency Department for severe oral mucositis, fever, purulent conjunctivitis, and skin rash. The diagnosis of Mycoplasma pneumoniae-induced rash and mucositis (MIRM) was established. Extrapulmonary complications of Mycoplasma pneumoniae infections are increasingly recognized. Over the years, patients with mucocutaneous manifes...
Objective: To identify factors associated with C-peptide levels at the diagnosis of type 1 diabetes mellitus (T1DM). Material and Methods: Retrospective review of the clinical records of patients with newly diagnosed T1DM admitted to a Portuguese reference center between August 2010 and July 2019. Results: The study included 109 subjects, with a mean age at T1DM diagnosis of 8.6 years and 29.4% already showing ...
Introduction: The incidence of childhood type 1 diabetes is increasing worldwide, especially in young children. According to international guidelines, continuous subcutaneous insulin infusion is the preferred method of insulin delivery for preschool children. This study aimed to evaluate the efficacy and safety of continuous subcutaneous insulin infusion treatment soon after diagnosis in preschool children with...
As feridas complexas constituem um desafio para a pessoa e família, bem como para os profissionais de saúde por apresentarem elevada prevalência e serem responsáveis por internamentos prolongados, diminuição da qualidade de vida e consequente aumento dos custos de saúde. A terapia por pressão negativa (TPN) revolucionou o tratamento das feridas tornandose uma importante opção terapêutica pela qualidade dos resu...
Posterior reversible encephalopathy syndrome (PRES) is a reversible clinical-radiographic abnormality. It is characterized by headache, altered consciousness, seizures, and visual disruption, in addition to characteristic white matter edema lesions in the parieto-occipital areas of the brain. Early detection and treatment are crucial to prevent irreversible damage. This paper presents the cases of three patient...
The authors report the case of an eight-year-old boy who presented o the Pediatric Emergency Department for severe oral mucositis, fever, purulent conjunctivitis, and skin rash. The diagnosis of Mycoplasma pneumoniae-induced rash and mucositis (MIRM) was established. Extrapulmonary complications of Mycoplasma pneumoniae infections are increasingly recognized. Over the years, patients with mucocutaneous manifest...
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Introduction: Paragangliomas are rare tumors in pediatric age, derived from sympathetic tissue of extra-adrenal location or parasympathetic tissue. Some of these tumors secrete catecholamines, being a rare cause of hypertension. Clinical Case: A female adolescent, with 14 years old and unremarkable medical history, was referred to the Pediatric consultation due to episodes of holocranial headache associated wit...
A Síndrome de Wilkie é uma doença rara em que há compressão do duodeno por um ângulo aortomesentérico excessivamente agudo. Tem apresentação compatível com obstrução intestinal alta e o diagnóstico definitivo requer exames imagiológicos. Os autores descrevem um caso clínico de um adolescente de 17 anos, sem antecedentes patológicos, com história de 3 anos de evolução de enfartamento, vómitos pós-prandiais ocasi...