The incidence of multiple gestations is increasing worldwide and many studies have shown higher perinatal morbidity mortality rates in monochorionic twins compared to dichorionic. aim this study was assess the twin population born at a tertiary center evaluate impact chorionicity on outcomes pregnancies.Retrospective all from January 2004 December 2013.In period, 1051 were born, related 540 (26.7% monochorionic; 73.3% dichorionic). There no statistical significant difference between groups...

Resumo Em pediatria oncológica, a taxa de sobrevivência tem sofrido um aumento acentuado, sendo considerável probabilidade cura. Não obstante, o processo confronto com doença pode sofrer alguns contratempos, nomeadamente uma recidiva. Esta última é responsável por elevado sofrimento, qual poderá ser ainda maior que diagnóstico. Procurando conhecer as perceções dos profissionais oncologia, relativamente às principais dificuldades experienciadas pelas crianças e adolescentes cuja recidivou,...

Na sindrome de nutcracker (sindrome quebra-nozes) ocorre compressao da veia renal esquerda entre a aorta abdominal e arteria mesenterica superior. maioria dos casos assintomatica, mas pode ocorrer hematuria, proteinuria, dor lombar e/ ou varizes periuretericas gonadais. Apresentam-se tres clinicos nutcracker, todos em adolescentes. Em dois forma apresentacao foi proteinuria no outro hematuria macroscopica contexto atividade fisica. O exame objetivo avaliacao laboratorial podem nao revelar...

3) In this disease, basal cells in the epidermis lose melanin that is collected dermis. (2,3)3) Extracutaneous involvement occurs 80% of patients. (1)3)(4) A female full-term newborn presented with multiple vesicular lesions first 12 hours life.Given suspicion neonatal herpes, she was initiated on acyclovir.Detection herpes simplex virus by culture and polymerase chain reaction were negative (blood skin lesions).Within 36 hours, hyperpigmented linear apparent, distributed along Blaschko...

Congenital deafness or early acquired affects 1 to 3 out of 1000 newborns without risk factors and 20 40 with factors. The universal newborn hearing screening enables its identification. Children congenital deafness/early have a higher prevalence other conditions, especially ophthalmologic neurodevelopmental ones, at least 30% 40% one associated comorbidity.We carried cross-sectional, multicenter study in which 83% (n = 30) the hospitals/maternity hospitals National Health Service...

Tubulointerstitial Nephritis and Uveitis Syndrome (TINU Syndrome) is a rare entity of unknown origin. Most cases described affect adolescents women. It often implies renal biopsy established upon the presence uveitis tubulointerstitial nephritis in same patient, after all possible causes are excluded. The authors report case 12-year-old teenage boy with nausea, vomiting, weight loss lasting two weeks, taken to his local hospital acute kidney injury, oliguria, high blood pressure. After...

A tuberculose mesenterica e/ou peritoneal constitui uma manifestacao rara de em pediatria. Apresenta-se o caso crianca dez anos com dor abdominal, anorexia, hipersudorese, emagrecimento e massa no flanco direito cujo estudo imagiologico revelou presenca ascite, densificacao da gordura multiplas adenopatias intra-abdominais. Realizou prova tuberculinica Interferon Gamma Realease Assay (IGRA), ambos positivos doseamento Adenosina Desaminase (ADA) liquido ascitico, que estava aumentado. Apos...

Introduction: The birth of a child is challenge for parents. Thus, during the neonatal period many questions arise to parents, leading frequent visits Emergency Department (ED), often unjustified from clinical point view. Objectives: Characterization newborn paediatric ED 12 months’ period, and evaluation need emergency care.. Material methods: Retrospective study all neonates’ in our hospital January December 2011, analysing demographic data. Results: During total 394 neonates were admitted...

Hypomagnesemia type I is a rare autosomal recessive disorder characterized by severe hypomagnesemia, often accompanied hypocalcemia.This disease caused mutations in the TRPM6 gene (which encodes respective channel), leading to reduced intestinal absorption of magnesium and increased renal excretion due defect reabsorption distal convoluted tubule.It usually manifests itself first months life, with symptoms neuromuscular hyperexcitability seizures, refractory antiepileptic therapy.Treatment...

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1. Catarina S. Oliveira, MD, MMed* 2. Ines Pessanha, MMed† 3. Liliana Santos, MMed† 4. Marta Machado, MMed* 5. Raquel Zenha, MD* 1. *Department of Pediatrics, Baixo Vouga Medical Center, Aveiro, Portugal 2. †Department Pediatric Surgery, Coimbra Hospital and Universitary Centre, Coimbra, Portugal A 21-day-old boy presents to the emergency department for third time in 24 hours due a 2-day history an umbilical mass noted be draining fluid. The is growing size increasing its drainage....