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Arch Argent Pediatr 2022 Jun;120(3):209-216

Servicio de Endoscopia Respiratoria, Hospital de Pediatría S.A.M.I.C. "Prof. Dr. Juan P. Garrahan", Ciudad Autónoma de Buenos Aires, Argentina.

The larynx is at the aerodigestive crossroads; any pathology that involves it will have an impact on breathing, swallowing and/or the voice. It`s divided into three regions: supraglottis (includes epiglottis, ventricular bands and laryngeal ventricles), glottis (space limited by the vocal cords) and subglottis (narrowest area of pediatric airway and the only point of larynx completely surrounded by cartilage: the cricoid ring). Laryngeal obstruction can present as a potentially fatal acute condition or as a chronic process. Read More

Arch Argent Pediatr 2022 Jun;120(3):e147-e150

Coordinación General de Guardias, Hospital de Pediatría "Prof. Dr. Juan P. Garrahan", Ciudad Autónoma de Buenos Aires, Argentina.

The multisystem inflammatory syndrome in children temporally related to COVID-19 (MIS-C) is a rare disease in pediatrics, which emerges related to the SARS-CoV-2 pandemic and was initially described in May 2020. Given the short time of evolution of this disease, little is known about the pathophysiology, prognosis, and the possibility of recurrence. We present a clinical case of a 12-year-old patient who presented symptoms compatible with MIS-C in January 2021, with good subsequent clinical evolution. Read More

Arch Argent Pediatr 2022 Jun;120(3):e142-e146

Servicio de Nefrología Pediátrica, Hospital de Niños Dr. Ricardo Gutiérrez, Ciudad Autónoma de Buenos Aires, Argentina.

Nephronophthisis is an autosomal recessive cystic kidney disease caused by mutations in genes that encode proteins involved in the primary cilia function, resulting in kidney disease and extrarenal manifestations such as retinal degeneration and liver fibrosis. According to the age of development of end-stage chronic kidney disease, three clinical forms of presentation are described: infantile, juvenile and adolescent. Diagnosis is made by a positive genetic test, or a kidney biopsy demonstrating chronic tubulointerstitial changes with thickening of the tubular basement membranes. Read More

Arch Argent Pediatr 2022 Jun;120(3):e137-e141

Hospital de Pediatría S.A.M.I.C. "Prof. Dr. Juan P. Garrahan, Ciudad Autónoma de Buenos Aires, Argentina.

Scurvy is a disease caused by vitamin C deficiency. Although it is currently rare, risk groups in the pediatric population are described in the bibliography, including patients with eating disorders. We report the case of an 11-year-old male adolescent who developed the disease due to a selective eating habit, without fruits or vegetables. Read More

Arch Argent Pediatr 2022 06;120(3):e133-e136

Servicio de Cirugía Infantil, Sección Endoscopia Respiratoria, Hospital Nacional Posadas, El Palomar, Argentina.

The ring-sling complex is an association between pulmonary artery sling and congenital tracheal stenosis. Pulmonary artery sling is a rare form of vascular ring in congenital heart disease. The clinical case of a child with inspiratory laryngeal stridor associated with respiratory distress is presented, evaluated in another center where respiratory endoscopy was performed, observing extrinsic tracheal compression. Read More

Arch Argent Pediatr 2022 06;120(3):e128-e132

Servicio de Dermatología, Hospital de Pediatría S.A.M.I.C. Prof. Dr. Juan P. Garrahan, Ciudad Autónoma de Buenos Aires, Argentina.

Microsporum gypseum is a geophilic fungus that can cause inflammatory skin lesions in heathy people. More extensive lesions have been described in immunocompromised patients. We present a patient with extensive dermatophytosis, which mycological examination led the identification of Candida sp, Epidermophyton Floccosum and Trichophyton tonsurans and showed poor response to treatment with griseofulvina and itraconazol at usual doses. Read More

Arch Argent Pediatr 2022 06;120(3):e123-e127

Hospital Público Materno Infantil, Salta, Argentina.

Familial chylomicronemia syndrome (FCS) is a rare autosomal recessive disease, prevalence 1:200,000 - 1:1,000,000, and is characterized by fasting chylomicrons and very high triglycerides > 880 mg/dl. LPL is the most frequently affected gene, then APOC2, GPIHBP1, APOA5, LMF1, all of them compromising the function of lipoproteinlipase. FCS commonly presents in childhood with recurrent abdominal pain, eruptive xanthomas, failure to thrive, pancreatitis, and sometimes asymptomatic. Read More

Arch Argent Pediatr 2022 Jun;120(3):200-206

Consultorio interdisciplinario de Alergia Alimentaria, Departamento de Pediatría, Hospital Italiano de Buenos Aires, Argentina.

In recent decades, a higher prevalence, persistence, and severity of cow's milk protein allergy (CMPA) have been observed. Different hypotheses have been proposed in relation to potential responsible mechanisms, with emphasis on the role of the microbiota in the induction and maintenance of immune tolerance as well as the importance of establishing a healthy microbiota in an early manner through the promotion of breastfeeding, vaginal delivery, rational use of antibiotics and proton pump inhibitors, along with an early introduction of varied foods. The use of probiotics and allergenspecific immunotherapy (AIT) come up as the treatment strategies with the greatest evidence in favor of tolerance acquisition. Read More

Arch Argent Pediatr 2022 Jun;120(3):195-199

Equipo de Cuidados Integrales del Hospital de Infecciosas Francisco Javier Muñiz, Ciudad Autónoma de Buenos Aires, Argentina.

The digital revolution resulting from the emergence of the Web 2.0 and the arrival of social media have changed how human beings communicate, and the physicianpatient relationship is not an exception to this new environment. The origin of a digital identity is critical for our participation in social media as social communicators, but digital professionalism should be framed within good practice recommendations with well-defined legal and ethical outlines. Read More

Arch Argent Pediatr 2022 Jun;120(3):187-194

Sanatorio Otamendi y Miroli, Ciudad Autónoma de Buenos Aires, Argentina.

Introduction: Introduction. The evidence about the effectiveness of fathers' or partners' involvement in breastfeeding interventions to promote initiation, duration, and exclusiveness rates has increased in recent years.

Objectives: To identify the perspectives and assessments of breastfeeding among partners of breastfeeding women and develop information to create adequate interventions that favor the inclusion of fathers in care spaces and in the support of breastfeeding. Read More

Arch Argent Pediatr 2022 Jun;120(3):180-186

Servicio de Crecimiento y Desarrollo, Hospital de Pediatría S.A.M.I.C. "Prof. Dr. Juan P. Garrahan", Ciudad Autónoma de Buenos Aires, Argentina.

Introduction: Hereditary osteochondromatosis is an uncommon, autosomal, dominant condition characterized by the presence of multiple bone growths.

Objective: To analyze factors associated with health-related quality of life (HRQoL) among children > 2 years and adults receiving follow-up at a tertiary care children's hospital in Argentina.

Population And Methods: Cross-sectional study of a follow-up cohort. Read More

Arch Argent Pediatr 2022 Jun;120(3):174-179

Departamento de Farmacología Otto Orsingher, Facultad de Ciencias Químicas, Universidad Nacional de Córdoba, Argentina.

Introduction: Environmental exposure to lead is still a major public health problem, especially in children. Oxidative stress may be a primary mechanism associated with toxicity. The objective of this study was to measure blood lead levels (BLLs) in children aged 1 to 6 years exposed to lead in La Plata and suburban areas and their relation to oxidative stress biomarkers. Read More

Arch Argent Pediatr 2022 Jun;120(3):167-173

Servicio de Terapia Intensiva, Hospital de Pediatría S.A.M.I.C. "Prof. Dr. Juan P. Garrahan", Ciudad Autónoma de Buenos Aires, Argentina.

Objective: Describe ultrasound-guided central venous catheterization use comparing the number of attempts (1 versus 2 or more attempts) in relation to catheters placed in the internal jugular vein (IJV) versus the femoral vein (FV).

Material And Methods: Descriptive, prospective study of central venous catheters (CVCs) inserted via ultrasound-guided puncture in patients aged 1 month to 18 years. A multivariate regression model was done considering the primary endpoint, first puncture success in relation to the insertion site (IJV versus FV), and predictors of success. Read More

Arch Argent Pediatr 2022 Jun;120(3):158-166

Consultorio externo vespertino, Hospital de Niños Dr. Ricardo Gutiérrez, Ciudad Autónoma de Buenos Aires, Argentina.

Introduction: Several studies have reported on the widespread use of traditional medicine (TM) in different countries. Pediatricians receive scarce training in this field.

Objective: To describe the characteristics of TM used by patients attending a children's hospital in the City of Buenos Aires. Read More

Arch Argent Pediatr 2022 Jun;120(3):152-157

Consejo Nacional de INvestigaciones CIentíficas y Técnicas (CONICET). Centro de Investigaciones en Epidemiología y Salud Pública, Consejo Nacional de Investigaciones Científicas y Técnicas de Argentina, Ciudad Autónoma de Buenos Aires, Argentina.

Introduction: Breastfeeding reduces the risk for morbidity and mortality in children and also provides environmental and financial advantages. Breastfeeding monitoring is critical for public policies.

Objectives: The objectives of this study were to estimate the prevalence of breastfeeding in the population seeking care in the public sector, compare this prevalence to data from 2015, and assess associated outcome measures. Read More

Arch Argent Pediatr 2022 Jun;120(3):150-151

Hospital Italiano de Buenos Aires.

Arch Argent Pediatr 2022 Jun;120(3):148-149

Arch Argent Pediatr 2022 Jun;120(3):146-147

Arch Argent Pediatr 2022 04 14;120(2):140-144. Epub 2022 Jan 14.

Secretaría de Salud de la Municipalidad de La Plata, La Plata, Argentina.

Receiving a child in foster home care needs the strength to face complex situations, gives care and support, and be aware of the temporary nature of that position. The pediatrician plays a decisive role not only in the health care of children and adolescents with lost rights, but also in the early detection of cases, based on an attentive and committed attitudes facing each child circumstances. We present the experience of 5 siblings with lost rights in which the Promotion and Integral Protection of Children's Rights System intervened through a program of foster families, with the aim of clarifying the current legal situation and raising awareness about this alternative. Read More

Arch Argent Pediatr 2022 Apr 28;120(2):136-139. Epub 2022 Jan 28.

Dirección Asociada de Docencia e Investigación, Hospital de Pediatría S.A.M.I.C. Prof. Dr. Juan P. Garrahan, Ciudad Autónoma de Buenos Aires, Argentina.

Health communication is an essential medical activity for quality clinical practice. The ability to communicate properly is a professional competence that can and should be learned. The objective of this work is to describe the experiences of teaching, learning and evaluation of effective communication skills in pediatric residents and specifically, to report its design and curricular integration to the academic program, as well as the characteristics of its implementation. Read More

Arch Argent Pediatr 2022 Apr 4;120(2):e98-e101. Epub 2022 Feb 4.

Departamento de Pediatría, Universidad Nacional de Colombia, Bogotá, Colombia.

Prucalopride has been used in adults with gastroparesis, accelerating gastric emptying. There are no studies with this drug in gastroparetic children. An 8-year-old boy is presented who consulted for a month of postprandial symptoms, with a diagnosis of gastroparesis by gastric emptying scintigraphy. Read More

Arch Argent Pediatr 2022 Apr 4;120(2):e93-e97. Epub 2022 Feb 4.

Servicio de Oftalmología, Hospital Infantil Universitario Niño Jesús de Madrid, España.

Infectious myositis, whether viral or bacterial, is frequent in pediatric age. It causes muscle pain and weakness, associated with fever and general malaise. One cause is Bartonella henselae, responsible for cat scratch disease, which sometimes causes systemic symptoms. Read More

Arch Argent Pediatr 2022 Apr 4;120(2):e89-e92. Epub 2022 Feb 4.

Departamento de Neonatología, Fundación Valle del Lili, Cali, Colombia.

Down syndrome predisposes to haematological disorders. It is estimated that 5-30% of neonates with this condition will develop transient abnormal myelopoiesis. Treatment is not standardized; exchange transfusion and the use of cytarabine could be effective. Read More

Arch Argent Pediatr 2022 Apr 4;120(2):e85-e88. Epub 2022 Feb 4.

Servicio de Neonatología, Hospital Italiano de Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina.

Spontaneous intrauterine depressed skull fractures are a rare entity. They can appear secondarily to head trauma (before or during birth) or due to unknown etiology. They usually require a complete evaluation from pediatric neurosurgery specialists. Read More

Arch Argent Pediatr 2022 Apr 4;120(2):e80-e84. Epub 2022 Feb 4.

Department of Child Health and Diseases, Division of Pediatric Neurology, University of Health Sciences Turkey, Gülhane Training and Research Hospital, Department of Child Health and Diseases, Ankara, Turkey.

Drug reaction with eosinophilia and systemic symptoms (DRESS), also known as drug-induced hypersensitivity syndrome, is a potentially life-threatening rare reaction that causes a severe rash and can lead to multiorgan failure. As in other severe drug eruptions, drug-specific T lymphocytes play a crucial role in DRESS. The hapten/pro-hapten model, pharmacological interaction model, and altered peptide repertoire model are three different models developed to describe the relationship/interaction between a medication or its metabolites and the immune system. Read More

Arch Argent Pediatr 2022 Apr 4;120(2):e75-e79. Epub 2022 Feb 4.

Unidad de Medicina de Familia y Comunitaria del Centro de Salud Biescas. Huesca.

Linear morphea in coup de sabre is a dermatological entity characterized by progressive, sclerosing inflammation of the skin tissue in the frontal region and on the scalp. Headache and seizures are two of the most frequent extracutaneous symptoms and they are caused by the growth of the lesion towards underlying structures. An early diagnosis is important to stop cranial progression and try to avoid secondary complications, mainly neurological. Read More

Arch Argent Pediatr 2022 Apr 4;120(2):e71-e74. Epub 2022 Feb 4.

Servicio de Pediatría, Hospital Universitario Infanta Cristina, Madrid, España.

Drug intoxication is a common reason for pediatric emergency department (ED) visits and one of the leading causes of death among teenagers. Early diagnosis and treatment are essential for a proper management of these patients. We present a 13-year-old girl attended at the ED showing excessive sleepiness and gastrointestinal symptoms after taking an unknown drug. Read More

Arch Argent Pediatr 2022 04 28;120(2):129-135. Epub 2022 Jan 28.

Unidad de Recuperación Cardiovascular (UCI 35), Hospital de Pediatría S.A.M.I.C. "Prof. Dr. Juan P. Garrahan", Ciudad Autónoma de Buenos Aires, Argentina.

Near infrared spectroscopy (NIRS) is a non-invasive optical technique for the evaluation of regional tissue oxygenation using transcutaneous detectors. In recent years, publications about this topic have increased exponentially; this reflects the growing interest among investigators and clinicians about this new technology and its potential benefits for pediatric patients. The objective of this review is to know the functioning and potential uses of regional saturation measured by NIRS and establish future challenges. Read More

Arch Argent Pediatr 2022 04 25;120(2):122-128. Epub 2022 Jan 25.

Programa de Prevención en Salud para Centros de Cuidado Infantil, Fundación para la Salud Materno Infantil (FUNDASAMIN), Ciudad Autónoma de Buenos Aires, Argentina.

An adequate child care helps to mitigate the effects of social adversity. Health prevention is a part of it. This is an innovative training program for health referents in child care centers that cater to vulnerable populations in Buenos Aires, Argentina. Read More

Arch Argent Pediatr 2022 04 25;120(2):118-121. Epub 2022 Jan 25.

Hospital de Pediatría S.A.M.I.C. Dr. Juan P. Garrahan, Ciudad Autónoma de Buenos Aires, Argentina.

An observational, prospective study was carried out at Hospital Garrahan. Its objectives were to establish the rate of asymptomatic severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) among children with cancer and/or their caregivers during hospitalization for chemotherapy, and describe the impact of ongoing treatment among those positive for SARS-CoV-2 or with symptoms compatible with infection during hospitalization. Patients with onco-hematological disease and their caregivers were included. Read More