A Collage of Genital Lesions, Part 5
December 20th 2010Premature Adrenarche: A 7-year-old girl had growth of pubic hair for the past 6months. The hair was initially limited to the labia majoraand then extended gradually into the pubic area. Isolated Scrotal Hair of Infancy: Infant was born at term to a 32-year-old gravida 2 para 3 after a normal vaginal delivery. Scrotal hair developedat age 1 month.
Transient Neonatal Pustular Melanosis
December 20th 2010This benign but impressive neonatal eruption progresses through several stages, beginning with pustules that quickly rupture and leave flat macules with collarettes of scale. The pustules may rupture in utero, and the neonate may present at birth with the macules, as was the case in this baby boy.
FDA issues warning about cough drug risk for young children
December 15th 2010FDA is adding new information to the Warning and Precaution section of the benzonatate drug label to warn physicians and healthcare professionals that accidental ingestion can result in overdose and death among patients younger than 10 years.
Child Maltreatment Study Findings-Not Surprising
December 8th 2010It is quite frustrating for all of us as children’s advocates to see little change in a high-risk family’s situation, despite the provision of available resources. Most pediatric health care providers and Child Protective Services (CPS) professionals would probably be able to share some uplifting accounts of families improving. However, I assume they could recall many more instances in which nothing seemed to change...
Adenovirus 36 may be associated with obesity
December 1st 2010Investigators assessed the relationship between adenovirus 36-specific antibodies and obesity in children to test the hypothesis that this type of viral infection may play a role in the epidemic increase in prevalence of pediatric obesity.
Catalyst, coach, or legislation
December 1st 2010Recognition and treatment of disease remain important responsibilities of pediatricians, but increasingly we've come to understand that significant improvements in child health in the 21st century will require changes in behavior that are as pivotal as advances in drugs and technology.
Molecular test detects tuberculosis, screens for rifampin resistance
December 1st 2010In response to a need for simple and rapid diagnostic tools for tuberculosis in high-burden countries, investigators assessed the performance of Xpert MTB/RIF, a fully automated molecular test, for the presence of Mycobacterium tuberculosis and resistance to rifampin in 1,730 patients with suspected drug-sensitive or multidrug-resistant pulmonary tuberculosis.
Importance of Immunization: A Serious Disease Is Just a Plane Ride Away
November 10th 2010Parents can express their doubts about vaccination in various ways: they can have their child vaccinated, although they are not sure it is the best thing to do; they can delay immunization; or they can simply refuse to have their child vaccinated. The most frequent reason for nonvaccination is concern that the vaccine might be harmful.
No More Antipyretics Before Vaccines
November 10th 2010A year has passed since publication of the Pyrmula et al study, which concluded that prophylactic antipyretics before vaccination should not be routine. The researchers came to this conclusion because they found reduced antibody responses to several vaccine antigens in children who received antipyretics, even though the vast majority of children studied (those given antipyretics and those not given antipyretics) had antibody titers well within the protective ranges.
“Sweet” Solution for the Pain of Vaccinations
November 8th 2010The frequent visits that pediatricians have with infants are bittersweet. While they are wonderful opportunities to form lasting relationships with families, they are also times when babies suffer through the necessary pain of multiple immunizations.