Rivista di formazione e aggiornamento professionale del pediatra e del medico di base, fondata nel 1982. In collaborazione con l'Associazione Culturale Pediatri.
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Delayed Diagnosis

49 articoli — 1998-2025

EL Casi indimenticabili
Una diagnosi di malattia di Hirschprung a 14 anni

Trombetta A

2025/10 — pag. 269-270 — DOI

The paper presents the case of a 14-year-old boy with severe microcytic anaemia and lifelong constipation, with imaging showing massive faecal impaction and rectosigmoid dilatation. Poor response to transfusion and iron therapy, together with marked ...

RI Casi contributivi
Un’epifisiolisi misconosciuta

Ranieri M, Discepolo V, Alessio M, Russo M.

2025/7 — pag. 468-470 — DOI

A 15-year-and-7-month-old boy with obesity and delayed pubertal development presents with pain and stiffness in his left hip and knee, to the point of being unable to walk. The symptoms, which began some months earlier as mild knee pain, worsened wit...

EL Caso contributivo
"Che cosa può celarsi dietro un'anemia...": un caso di atresia duodenale a esordio tardivo

Allegra M, Dolce R, Bignone L, Raso E, Caruso A, Giglione E, Putignano L, Alizzi C, Cardella F, Corsello G

2025/5 — pag. 103-106 — DOI

Duodenal atresia (AD) is a congenital malformation characterised by complete or incomplete intrinsic obstruction of the duodenum. Prenatal diagnosis is often possible. Type 1 AD, according to the Gray-Skandalakis classification, consists of transvers...

EL Casi indimenticabili
Mal di testa? Non pensare all’oculista

Campone C, Negro I, Vandone M

2023/6 — pag. 104-104 — DOI

The paper describes the case of a 3-year-old girl presenting with worsening and severe headache initially attributed to astigmatism that was finally diagnosed as cerebellar pilocytic astrocytoma....

RI Pagine elettroniche
Febbre e gengivostomatite: non è sempre solo herpes simplex

Arnaboldi S.

2023/5 — pag. 331-334 — DOI

Gingivostomatitis is a clinical condition frequently diagnosed by the family paediatrician and it generally shows a viral aetiology. In particular, primary herpes simplex infection is the most frequent cause of gingivostomatitis in toddlers and it ty...

RI Casi indimenticabili
Dolore a denti stretti

Grazian F.

2023/5 — pag. 326-328 — DOI

The case of a 3-year-and-8-month-old boy affected by autism spectrum disorder with an unrecognized dental abscess is described....

RI Aggiornamento
Vasculiti facili e difficili: cosa deve sapere e saper fare un pediatra

De Nardi L, Petrone MI, Benvenuto S, Natoli V, Abu-Rumeileh S, Castaldo B, De Benedetti F.

2023/5 — pag. 286-298 — DOI

Vasculitis is defined by a state of inflammation of the blood vessel walls. It can result in formation of either aneurysms or stenosis with ischemia and necrosis. The heterogeneity of clinical presentation depends on the type and size of the vessels ...

RI Pagine elettroniche
Una polmonite a risoluzione troppo lenta

Pecile P.

2023/4 — pag. 261-263 — DOI

The case of a 5-month-old infant initially misdiagnosed as slow-resolving pneumonia is described. The diagnosis of tubercular pneumonia was finally made....

EL Casi indimenticabili
Una polmonite a risoluzione troppo lenta

Pecile P

2023/4 — pag. 70-70 — DOI

The case of a 5-month-old infant initially misdiagnosed as slow-resolving pneumonia is described. The diagnosis of tubercular pneumonia was finally made....

EL I Poster degli specializzandi
Accesso libero
Se il polso non ti colpisce, controlla l’arco

Zago A, D’Agata Mottolese B

2022/6 — pag. 133-133 — DOI

The case of a boy affected by aortic coarctation who remained undiagnosed up to the age of 12 is described. The authors remark the clinical heterogeneity of the aortic coartaction and stress some diagnostic recommendations....

RI Aggiornamento
Malattia di Behçet: una sfida per il pediatra

Levantino L, Pastore S, Corona F, Lepore L, Tommasini L.

2022/5 — pag. 289-297 — DOI

Behçet’s disease (BD) is a rare chronic inflammatory condition associated with variable-vessel vasculitis, systemic involvement and relapsing course. It is characterized by a wide clinical heterogeneity, presenting with mucocutaneous, ocular, articul...

RI Percorsi clinici
Traiettorie evolutive: una lezione dall’ADHD

Narducci C

2021/5 — pag. 321-324 — DOI

A 12-year-old girl was urgently sent by her paediatrician to the Child and Adolescent Neuropsychi-atry ward for behavioural disorders and suicide threat. At the time of the visit the suicide risk was low. Nevertheless, considering a possible underlyi...

EL Caso contributivo
IperCKemia asintomatica: la malattia di Pompe late-onset

Borelli E, Casciana ML, Salemi C, Sordelli S, Fasoli S

2021/4 — pag. 105-108 — DOI

The paper reports the case of a 7-year-old boy who presented with elevated alanine and aspartate transaminases. Further investigations demonstrated elevated creatine kinase (CK), so an underlying metabolic disorder was investigated even in absence of...

EL I Poster degli specializzandi
Accesso libero
Alla conquista della sindrome di West

S. Rosati, S. Di Marco, M. Valiani, A. Bonuccelli, D. Peroni

2020/10 — pag. 260-260 — DOI

The paper presents the cases of two infants affected by the so-called West syndrome. Despite a classical clinical presentation in one of the two cases, the diagnosis was delayed because of a previous erroneous diagnosis of gastroesophageal reflux dis...

EL Il commento
Accesso libero
Gli effetti avversi del Covid-19 in età pediatrica: la pandemia secondaria

F. Marchetti

2020/6 — pag. 115-117 — DOI

The Covid-19 pandemic has been shown to be much milder as to its clinical manifestations in infants and children than in adults. However, because of their isolation, children are having documented risks that we are getting used to calling Covid-19 si...

RI Editoriali
Accesso libero
Danni collaterali

E. Barbi, A. Apicella

2020/4 — pag. 210-212

RI Casi indimenticabili
Sindrome di Guillain-Barré: dolore e pregiudizio

P. Pecile

2020/3 — pag. 185-187

RI Problemi speciali
La narcolessia è una malattia pediatrica: le red flags per riconoscerla

E. Antelmi, L. Vignatelli, I. Ceretelli, et al.

2020/1 — pag. 29-34

Rationale - Narcolepsy is a chronic rare disease that frequently develops in children. It is characterised by excessive daily sleepiness, cataplexy, sleep paralysis, hypnagogic and hypnopompic hallucinations as well as disturbed nocturnal sleep. More...

RI Pagine elettroniche
Un asma persistente… troppo persistente

G. Vergine, F. Venturelli, M. Poloni, B. Filippini, E. Fabbri, P. Gasperini, V. Corazzi, M. Valli, F. Muratore, R. Pericoli

2019/3 — pag. 193-195

Primary lung tumours in children are very rare, but bronchial carcinoid tumours comprise 50-80% of the malignant pulmonary neoplasms diagnosed in children and young adults. Most patients with bronchial carcinoid tumours present with wheezing, cough a...

EL Caso contributivo
Un asma persistente… troppo persistente

G. Vergine, F. Venturelli, M. Poloni, B. Filippini, E. Fabbri, P. Gasperini, V. Corazzi, M. Valli, F. Muratore, R. Pericoli

2019/3 — pag. 36-40

Primary lung tumours in children are very rare, but bronchial carcinoid tumours comprise 50-80% of the malignant pulmonary neoplasms diagnosed in children and young adults. Most patients with bronchial carcinoid tumours present with wheezing, cough a...

RI Casi indimenticabili
Doppia visione… e quattro messaggi

G. Caddeo

2018/7 — pag. 456-458

RI Casi indimenticabili
L’ombelico non tradisce mai

I. Giuseppin, T. Guerrera, F. Narducci, A. Tonetto

2018/6 — pag. 399-400

EL I Poster degli specializzandi
Accesso libero
Latenza diagnostica in un adolescente con morbo di Crohn: esordio insidioso o diagnosi intempestiva?

A. Casertano, M. Martinelli, A. Staiano

2018/5

EL I Poster degli specializzandi
Accesso libero
Una diagnosi di invaginazione intestinale in tre turni

M. Colombo

2018/2

EL I Poster degli specializzandi
Accesso libero
Un neonato con ernia diaframmatica congenita “nato apparentemente sano”

A. Casertano, F. Di Dato, P. Di Costanzo

2017/8

EL I Poster degli specializzandi
Accesso libero
Tempus fugit… e la tumefazione persiste!

C.M. Pini, F. Lorenzoni, R. Consolini

2017/7

RI Casi indimenticabili
“Ha perso 10 chili in due mesi!”

F. Barbieri, T. Montini

2017/6 — pag. 393-394

RI Casi indimenticabili
Una sclerodermia lineare

S. Contorno, F. Barbieri

2016/6 — pag. 390-392

RI Percorsi clinici
Spondilodiscite 2016: lezioni dai casi

M. Minute, A. Ventura

2016/2 — pag. 111-114

Spondylodiscitis is an infectious disease that involves two contiguous vertebrae and the interposed disc; it affects children in the first years of life when the local vascularization is characterized by the persistence of connecting vessels. It is...

RI Casi indimenticabili
Visto il giorno prima!

A. Pelizzoni

2015/4 — pag. 257-258

RI Aggiornamento
Le vasculiti “maggiori” in età pediatrica

M. Pavan, F. Marchetti, L. Lepore

2011/4 — pag. 223-228

The most common vasculitides in children are Schönlein-Henoch purpura and Kawasaki disease, both of which are usually easy to diagnose and treat and have a good prognosis. Nevertheless, the typical adult vasculitides, such as Takayasu arteritis, We...

RI Pagine elettroniche ; Caso Contributivo
Un reflusso gastroesofageo molto maligno

M. Grassi, V. Cecinati, F. De Leonardis, D. Amato, L.P. Brescia, D. De Mattia, N. Santoro

2010/8 — pag. 529-530

We report a case of a 13-year-old boy with recurrent episodes of vomiting. Initially a diagnosis of gastroesophageal reflux with esophagitis was made. The patient also showed bradycardia and deflections of mood. Neurological assessment and examin...

EL Caso contributivo
Un reflusso gastroesofageo molto maligno

M. Grassi, V. Cecinati, F. De Leonardis, D. Amato, L.P. Brescia, D. De Mattia, N. Santoro

2010/8

We report a case of a 13-year-old boy with recurrent episodes of vomiting. Initially a diagnosis of gastroesophageal reflux with reflux esophagitis was made. The patient also showed bradycardia and deflections of mood. Neurological assessment and...

EL Casi indimenticabili
Peggio di così... giovane, inesperta e... terrona!

B. Sacher

2010/4

EL Casi indimenticabili
Sembrava una candida come tante...

M. Mainetti, M. Cappella, P. Banin

2010/1

RI Problemi non correnti
Sintomi comuni per malattie rare Un approccio generale del pediatra ai pazienti con malattie rare

G. Tornese, V. Declich, G. Ciana, F. Marchetti, E. Barbi

2007/4 — pag. 230-236

As a rule many patients with rare diseases report their symptoms at first to a paediatrician or to a general practitioner. These are considered “specialists” in the cure of common problems, but also “common” patients and “common” symptoms can hide ...

RI Casi indimenticabili
La storia vera, ma troppo lunga, di un lattante con ittero

V. Rametta, L. Zancan

2006/6 — pag. 385-386

RI Focus
La celiachia dal vero: dal bambino all’adulto filo conduttore è l’anemia

T. Gerarduzzi, M. Lazzerini, F. De Franco, A. Lenhardt, I. Berti

2005/7 — pag. 434-455

RI Casi indimenticabili
Quando la mamma è come Cassandra (o meglio quando ne sa più del medico)

G. Tuccio, T. Codamo

2004/8 — pag. 513-514

RI Casi indimenticabili
Una diagnosi sofferta

E. Faleschini, L. Lepore, F. Marchetti

2003/8 — pag. 532-534

RI Editoriali
Accesso libero
Malattie maligne e Pediatria di Famiglia

M&B

2002/8 — pag. 483

RI Pagine elettroniche
Accesso libero
Corpo estraneo esofageo

F. Forte, D. Servedio

2001/6 — pag. 402-402

An oesophageal foreign body in a 9 months infant remained undiagnosed for 10 days. The symptoms referred (cry, refusal of solid foods, vomiting) were discontinuous, almost occasional. Finally, direct observation of the infant being fed suggested t...

RI Casi indimenticabili
Accesso libero
Celiachia, celiachia: il testing non basta

D. Sambugaro

2001/5 — pag. 323-324

EL Chirurgia per il pediatra
Accesso libero
Ernia diaframmatica congenita: un caso di diagnosi tardiva.

A. Giannotta, E. Chiella, D. Codrich, M. Monai, L. Paduano, G. Pelizzo, A. Messineo

2001/1

EL Ortopedia per il pediatra
Accesso libero
Una epifisiolisi d'anca trascurata

D. Bello

1999/7

EL Ortopedia per il pediatra
Accesso libero
Una coxalgia che nasconde un Perthes

D. Bello

1998/10