Meeting the challenge of rheumatologic diseases in teens
December 1st 2000This troublesome group of diseases—from juvenile rheumatoid arthritis to lupus to fibromyalgia—presents problems for pediatricians and patients alike. A guided tour will help you make an accurate diagnosis and initiate effective management.
PEDIATRIC PUZZLER Delayed growth and sexual development in a 15-year-old:A rose by any other name
December 1st 2000The 15 1/2-year-old seated in your office is obviously uncomfortable. He has been referred for evaluation by his physician because of decreased growth and failure to develop secondary sexual characteristics, or, as he puts it, "not developing like the other boys."
New Products for pediatricians: 2000
December 1st 2000This year's innovations include a hearing screener, a glucose monitor, new rapid optical immunoassays, and a CD-ROM version of the Red Book. Meanwhile, technologies that could revolutionize your practice are getting more sophisticated and affordable all the time.
Artificial fingernails: Too hot to handle
November 1st 2000Artificial fingernails are all the rage among adolescents, but those who wear them may be playing with fire?literally. Educating yourself and your patients about the health and safety risks of acrylic nails, including the previously undocumented danger reported here, could prevent potentially disfiguring complications.
Recognizing and treating the nephrotic syndrome: Avoid unnecessary delays
November 1st 2000Prompt screening for proteinuria can bring this uncommon condition to light in children who present with periorbital edema. Close consultation with a pediatric nephrologist offers the best hope for minimizing complications.
Four controversies in pediatric asthma care
October 1st 2000Asthma management has come a long way in recent years, but many dilemmas remain: When is the right time to make the diagnosis and start anti-inflammatory therapy? What about growth suppression from steroids? Is an inhaler or nebulizer best for acute attacks?
Amenorrhea and acne in the adolescent girl: Is it polycystic ovary syndrome?
October 1st 2000Hyperandrogenism, most notably polycystic ovary syndrome, is a common cause of acne and menstrual difficulties in teenage girls, yet many pediatricians fail to recognize the condition. Prompt diagnosis and treatment can relieve a significant source of distress for patients, while helping to prevent serious complications later in life.