Diagnosis

Un caso di orticaria solare in un’isola del Mediterraneo

Catania M, Saia GF, Longo G.

2024/10 — pag. 635-640 — DOI

Solar urticaria is a rare type of chronic inducible physical urticaria characterised by the immediate (within 1-3 minutes) appearance of erythematous, strongly itchy wheals, following the exposure to sunlight. The pathogenesis is unclear but it is hy...

Parotite ricorrente giovanile: inquadramento clinico e approccio diagnostico-terapeutico

Giuntoli D.G, Galletti A, Pontrandolfo M, Pastore S, Tommasini A, Orzan E, Barbi E.

2024/7 — pag. 443-449 — DOI

Juvenile recurrent parotitis is an uncommon condition characterised by recurrent episodes of parotid swelling that affects school-aged and pre-school children and shows a typical tendency to self-resolution during adolescence. To date, etiopathogenet...

L’otite esterna acuta: dalla diagnosi al trattamento

Lavezzo G, Pietrolati G, Iacono A, Marchetti F.

2024/5 — pag. 289-295 — DOI

Acute otitis externa (AOE) is an infection of the external auditory canal with peak incidence between 5 and 9 years of age. Predisposing factors are the summer period, water sports and duct injuries (e.g. cotton buds). The diagnosis is clinical and t...

Lo stroke neonatale: le cause, i sintomi, la diagnosi e la gestione

Sfeir R, Pelliccia V, Bruno I, Graziani G, Ricciardelli P, Cenni P, Piccinini G, Marchetti F.

2024/2 — pag. 106-112 — DOI

The paper reports the case of a term newborn who presented with focal seizures at 24 hours of age and was diagnosed with neonatal stroke upon the suspicion raised by the cranial ultrasound performed at 24 hours, confirmed by the brain MRI 96 hours pa...

Manifestazioni cutanee anulari e lupus eritematoso neonatale

Tumminello M, Serra G, Bacile D, Di Leto E, Gangemi A, Guardino M, Corsello G.

2024/1 — pag. 33-36 — DOI

Neonatal lupus erythematosus (NLE) is a rare immune-mediated disorder due to the passage of maternal anti-Ro/SSA and anti-La/SSB antibodies through the placenta to the foetus and newborn. Major manifestations include cardiac anomalies and skin lesion...

Sarà veramente PFAPA?

Insalaco A, De Nardi L.

2023/10 — pag. 627-630 — DOI

PFAPA syndrome (Periodic Fever, Aphthous stomatitis, Pharyngitis and cervical Adenitis) is the most common periodic fever in childhood. It is a benign self-limiting condition that may resolve spontaneously during the first years of life or within ado...

LE MALATTIE DEMIELINIZZANTI IN ETÀ PEDIATRICA La sclerosi multipla in età pediatrica e adolescenziale

Carrozzi M, Iacono A, Gortani G, Piscaglia MG, Marchetti F, Barbi E.

2023/4 — pag. 220-230 — DOI

Multiple sclerosis (MS) is a chronic autoimmune disease that affects the myelin of the brain and spinal cord; it is characterized by recurrent episodes of demyelination in the central nervous system. Paediatric-onset multiple sclerosis (POMS) is a ra...

Quando la malaria tarda a farsi riconoscere: un’infezione da Plasmodium ovale

Polenzani I, Lisco L, Cozzolino M, Casolari S, Valenti S, Fontijn S, Uva A, Marchetti F.

2022/6 — pag. 381-385 — DOI

Plasmodium ovale is a cause of non-falciparum malaria infection that is endemic in tropical Western Africa. The life cycle of Plasmodium ovale includes hypnozoites, which are dormant stages in the liver. These stages can be reactivated after weeks, m...

Due anni di MIS-C: peculiarità cliniche e orizzonti terapeutici

Mambelli L, Uva A, Iacono A, Del Vecchio L, Bianchedi I, Nuzzo A, Malta B, Marchetti F.

2022/5 — pag. 299-306 — DOI

Introduction - MIS-C is the most relevant complication of SARS-CoV-2 infection and has an incidence of 1 case / 2,200 children and adolescents with previous infection. The clinical picture is characterized by a multiorgan involvement and an insuffici...

Pericarditi acute e ricorrenti in Pediatria

Della Paolera S, Favaretto E, Bobbo M, Barbi E, Gortani G

2021/7 — pag. 425-431 — DOI

Chest pain in children and adolescents is rarely associated with an underlying heart disease. How-ever, when it does occur, pericarditis is the most common cause. Most cases are of unknown origin (idiopathic) and mild. Up to 15-35% of paediatric pati...

Le sindromi autoinfiammatorie: quando non è solo PFAPA

Tommasini A, Lepore L

2021/4 — pag. 221-225 — DOI

PFAPA (Periodic Fever, Aphthous Stomatitis, Pharyngitis and Adenitis) is the most common self-inflammatory disorder in children. The diagnosis of PFAPA is easy, based on Thomas criteria, and the prognosis is good. Differential diagnosis with heredita...

Quando la febbre non ha una chiara localizzazione: pensa anche alla nefrite focale acuta

Falcioni A, Troisi A, Casadio L, Chiaravalloti A, Minguzzi MT, Marchetti F

2021/3 — pag. 186-188 — DOI

Acute lobar nephronia (ALN) is a non-suppurative focal form of acute bacterial infection, generally affecting one or more renal lobules. In the spectrum of upper urinary tract infection ALN is consid-ered a midpoint between uncomplicated pyelonephrit...

Gestione del Covid-19 in età pediatrica: documento di consenso

Gruppo di Lavoro su Covid-19 in Pediatria della Regione Emilia-Romagna (RE-CO-PED)

2021/2 — pag. 85-101 — DOI

Coronavirus disease 2019 (COVID-19) caused by SARS-CoV-2 has rapidly spread, becoming the first pandemic of the 21st century by death toll. Children appear to be less affected than adults, with a milder clinical presentation and a significantly lower...

Una febbre che… soffia

Borraccetti N, Iacono A, Falcioni A, Nuzzo AC, Currò F, Troisi A, Mambelli L, Prandstraller D, Marchetti F

2021/1 — pag. 31-36 — DOI

The paper describes the case of a 7-year-old child with a ventricular septal defect and a story of 10 weeks of non-periodic recurrent fever repeatedly treated with short course of antimicrobial therapy. All the echocardiographies were negative for va...

La prima infezione urinaria febbrile in bambini di età compresa tra 2 mesi e 3 anni

Gruppo di lavoro sulle infezioni delle vie urinarie della Società Italiana di Nefrologia Pediatrica (SINePe)

2020/8 — pag. 495-504 — DOI

The aim was to update the recommendations for the diagnosis, treatment and follow-up of the first febrile urinary tract infection in young children, which were first published in 2012 and endorsed by the Italian Society of Paediatric Nephrology. The ...

Quando la sindrome di Guillain-Barré è più dolore che ipostenia

F. Marchetti, M. Roveran, F. Currò, M. Mainetti, C. Muratori, L. Casadio, P. Ricciardelli

2020/3 — pag. 179-182

The paper reports the case of a 4-year-old girl who had been suffering from progressive pain in her legs and back and impossibility of walking for 10 days. The presence of a slight hyposthenia but with absence of patellar reflexes was observed. The...

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...

La sindrome nefrosica in età pediatrica

Consensus della Società Italiana di Nefrologia Pediatrica (SINePe)

2019/9 — pag. 577-588

In Italy are not guidelines for the management of idiopathic nephrotic syndrome (NS) in paediatric age. The choice of a treatment with steroids has always been based on the clinical experience of each centre. The present Consensus of the Italian Paed...

Ma che fine fanno gli SGA?

G. Tornese

2019/6 — pag. 355-364

Recombinant human growth hormone (rhGH) is an approved and effective treatment for short children born small for gestational age (SGA). Prevalence of children eligible for treatment as SGA is reported to be 1:1,800. The latest data from the Italian...

Intossicazione da monossido di carbonio

F. Quarantiello, F. Gallicola, L. Timpone

2019/2 — pag. 83-90

Carbon monoxide (CO) poisoning is one of the main causes of poisoning and death due to intoxication in nowadays society because of the characteristics of this gas, which make it unidentifiable in the environment, and of the many possible sources of...

L’idrosadenite suppurativa nella popolazione pediatrica

B. Bossini, M. Mazzolai, A. Tommasini, S. Crovella, I. Berti, E. Barbi

2019/1 — pag. 28-32

Hidradenitis suppurativa (HS) is a chronic and recurrent skin disease affecting apocrine gland-bearing regions. Typical lesions are nodules and abscesses that result in sinus tracts, fistulas and eventually scarring. Prepubertal onset of HS is quit...

Encefalite da Herpes virus in una lattante

A. Fumarola, P. Ricciardelli, S. Dal Bo, I. Moneta, V. Rizzo, M. Stella, P. Cenni, F. Marchetti

2018/8

The paper presents the case of an infant with HSV-1 herpetic encephalitis. The clinical symptomatology, after contact with the virus and the development of typical vesicular lesions, is characterized by involvement of the central nervous system, with...

Il punto sulla sindrome di Silver-Russell dopo il primo Consensus internazionale

G. Patti, N. Di Iorgi, F. Napoli, M. Maghnie

2018/2 — pag. 85-91

Silver-Russell syndrome (SRS) is a heterogeneous syndrome characterised by severe intrauterine and postnatal growth retardation with typical dysmorphic features. SRS is primarily a clinical diagnosis; however molecular testing enables confirmation ...

Coxalgia benigna o artrite settica?

F. Marchetti, G. Papucci, C. Udina, L. Mambelli

2017/7 — pag. 435-439

Children with a painful hip present a diagnostic challenge since clinical differentiation between septic arthritis and transient synovitis may be difficult. Septic arthritis, a potentially life-threatening and debilitating medical emergency, requir...

Una crepa invisibile

A.G. Grasso, C. Radice, F. Marchetti

2017/4 — pag. 247-249

The article reports the case of a three-year-old boy that was brought to the Emergency Unit because of fever and refusal to bear weight on the right leg in the last four days. Blood exams and X-ray scan of the leg were normal without other signs or s...

L’EBV che non mi aspetto: MASe ci penso...!

A. Di Mascio, C. Redice, S. Pusceddu, V. Camelli, F. Marchetti

2016/10 — pag. 637-640

The paper reports the case of a 14-year-old boy who presented to our attention because for three days he had fever, laterocervical lymphadenopathy with limited movements of the neck and cytopoenia. The clinical diagnostic process led to the diagnos...

Piomiosite 2016: ancora una sfida per il pediatra

V. Moressa, S. Naviglio, S. Pastore, A. Taddio, A. Ventura

2016/8 — pag. 495-499

Pyomyositis is a subacute, deep bacterial infection of skeletal muscles. Originally described in tropical areas, mainly in malnourished and immunocompromised subjects (“tropical pyomyositis”), it has been subsequently reported with an increasing fr...

Celiachia senza biopsia: dalle parole ai fatti

E. Benelli, V. Carrato, S. Martelossi, L. Ronfani, T. Not, A. Ventura

2016/3 — pag. 159-176

The aim of the present prospective study is to evaluate the clinical consequences of the last ESPGHAN and BSPGHAN guidelines for the diagnosis of Coeliac Disease (CD). All children (aged 0-18 years) diagnosed with CD from January 2011 to May 2014 a...

Anemia sideropenica: a ragionarci sopra è sempre facile

F. Marchetti, M. Mainetti, L. Mambelli, F. Italiano, V. Domenichelli, S. Federici

2015/4 — pag. 247-251

The paper describes the case of a 14-year-old girl who presented with relapsing chronic anaemia without initial evidence of gastrointestinal bleeding after performing EGDS, colonoscopy, scintigraphy with technetium and marked red blood cell, and en...

L’ecografia nella diagnostica delle fratture

S. Ghirardo, E. Neri, I. Rabach, G. Ventura, V. Guastalla, P. Guastalla, A. Ventura, E. Barbi

2015/1 — pag. 25-30

In the emergency room the current management of the patient with suspected fracture involves a physical examination of the damaged area, an examination by the specialist and the performance of radiographic projections depending on the clinical susp...

Pleurite tubercolare: una diagnosi non sempre immediata

S. Nider, G. Gortani, A. Ventura

2014/10 — pag. 642-646

Tuberculous pleuritis usually presents as an acute illness with fever, cough and pleuritic chest pain. The pleural fluid is an exudate that usually shows predominant lymphocytes. Pleural fluid cultures are positive for Mycobacterium tuberculosis in...

Le osteocondrosi degli arti inferiori

M. Carbone

2014/3 — pag. 165-169

Osteochondrosis is a term used to describe a group of disorders that affect the growing skeleton. The exact etiology of these disorders is unknown, but genetic causes, repetitive trauma, vascular abnormalities, and mechanical factors may all play a...

La nuova diagnostica delle anemie microcitiche

A. Iolascon, A. Gambale, C. Tortora, M. Bruno, L. De Falco

2013/9 — pag. 563-569

Microcytic anaemia is the most common form of anaemia, characterized by reduced MCV, often associated with hypochromia of red blood cells. Among the causes of microcytic anaemia, iron deficiency anaemia is the most common. The latest scientific dis...

La sindrome di Kawasaki nel 2013: casi clinici e novità

T. Giani, G. Simonini, G. Vannucci, D. Moretti, I. Pagnini, E. Marrani, G.B. Calabri, R. Cimaz

2013/6 — pag. 359-366

Kawasaki disease is one of the most common vasculitis in childhood. The typical expression of Kawasaki disease is characterized by persistent fever for at least five days, polymorphous rash, bilateral non-exudative conjunctivitis, changes in the li...

Una strana artrite settica dell’anca

C. Mandato, D. De Brasi, F. Esposito, S. Vetrella, P. Siani

2013/3

The paper reports the case of a 3-year-old girl presenting with septic arthritis of left hip with poor clinical response to treatments. The child had been treated for at least 3 weeks by hip joint drainage and antibiotic therapy based on synovial flu...

La gestione del bambino con gastroenterite acuta

M. Massaro, C. Germani, L. Calligaris, S. Schreiber, R. Bortoluzzi, L. Ronfani, E. Barbi, F. Marchetti

2012/9 — pag. 570-577

Acute gastroenteritis (AG) is a very common disease in children. It causes significant mortality in developing countries and significant economic burden to developed countries. Viruses are responsible for approximately 70% of episodes of acute gast...

La neutropenia autoimmune primitiva del bambino

P. Farruggia, F. Tucci, M. Calvillo, F. Fioredda, C. Dufour

2012/2 — pag. 102-106

Primary autoimmune neutropenia in children is a rather unknown but not an infrequent disease: it is probable that in his career a paediatric practitioner will deal at least with one patient and it is pretty sure that a hospital paediatrician will d...

Lezioni dalla tubercolosi

F.M. De Benedictis, P. Osimani, A. Martino, L. Bardeggia, B. Fabrizzi, C. Piersimoni

2011/9 — pag. 573-580

Tuberculosis is a major cause of morbidity and mortality worldwide. In the last twenty years, changed social conditions due to immigration have largely modified the epidemiology of tuberculosis in western countries. Children with tuberculosis are m...

Diagnosi di celiachia: basta con la biopsia?

E. Benelli, L. Ronfani, O. Radillo, S. Martelossi, A. Ventura

2011/8 — pag. 493-498

Introduction - Intestinal biopsy is still considered the referral test for definitive diagnosis of coeliac disease. Nevertheless, according to the new ESPGHAN guidelines, it seems that avoiding the intestinal biopsy in few selected cases could be a...

L’ipereosinofilia

A. De Cunto, C. Geraci, E. Rubinato, G. Longo, A. Lorenzati, R. Mazzone, U. Ramenghi

2011/8 — pag. 499-504

Blood eosinophilia, especially if found fortuitously, often remains poorly understood. This article provides a diagnostic approach to hypereosinophilia, focusing on the context in which these data are found. The diagnostic evaluation of hypereosino...

Screening neonatale metabolico allargatoIn arrivo una nuova realtà per la pediatria

I. Bruno, A. Ventura, A. Burlina

2010/7 — pag. 429-433

Newborn expanded screening is slowly starting in Italy. The programme will screen some rare, most metabolic, diseases that could be managed and treated better if diagnosed in the first days of life. The program has been adopted in many countries in...

Lo stroke in età pediatrica

E. Franzoni, G.G. Salerno, V. Valenti, C. Garone, I. Cecconi, D.M. Cordelli, V. Marchiani

2009/9 — pag. 566-571

According to the definition given by WHO, stroke is a clinical syndrome characterized by rapid appearance of a focal neurologic deficit lasting more than 24 hours and determined by arterial or venous occlusion or rupture. The incidence of stroke is...

La fistola coronarica in età pediatrica

S. Caputo, F. Quarantiello, G. Vetrano, B. Villari

2009/8

Le infezioni febbrili delle vie urinarie

G. Montini, A. Ammenti, L. Cataldi, R. Chimenz, V. Fanos, A. La Manna, G. Marra, M. Materassi, P. Pecile, M. Pennesi, L. Pisanello, F. Sica, A. Toffolo

2009/6 — pag. 359-370

We present the recommendations, prepared by a working group of the Italian Society of Pediatric Nephrology, for the diagnosis, treatment, imaging protocol and use of antibiotic prophylaxis in children having their first febrile urinary tract infect...

Oncologia pediatrica: dalla diagnosi alla terapia, presente e futuro (parte seconda)

P. Paolucci, I. Mariotti, E. Bigi, S. Schiavo, C. Cano

2009/3 — pag. 156-161

The objective of treatment for more than 70% of children with cancer outlines the successful routes built up by paediatric oncologists over the latest 40 years. In addition to the evolution of diagnostic routes reported in our former article, the sec...

Oncologia pediatrica: le tappe della diagnosi

P. Paolucci, I. Mariotti, E. Bigi, et al.

2009/2 — pag. 85-93

The objective of cure for more than 70% of children with cancer outlines the successful routes built up by paediatric oncologists over the latest 40 years. This successful story stands for the development and evolution of the diagnostic routes wher...

Gestione della sindrome di Turner in età pediatricae durante la vita adulta

R. Salomone, F. Chiarelli

2008/3 — pag. 157-165

This consensus statement arose from an interdisciplinary meeting of geneticists, paediatricians, cardiologists, internists, behavioural health specialists, and gynaecologists involved in the care of and clinical research on patients with Turner Syn...

Corea di Sydenham: descrizione di cinque casi

E. Palumbo, M. Branchi, A. Siani, C. Malorgio, G. Nasca, G. Bonora

2007/3

Sindrome della stanchezza cronica (parte prima)

G. Bartolozzi

2007/1

Un adolescente con dolore addominale e diarreaNon sempre e solo MICI, sino a prova contraria

F. Marchetti e collaboratori

2006/9 — pag. 588-591

Gastro-intestinal nodular lymphoid hyperplasia is a deposit of B lymphocytes which gives a typical endoscopical and histological aspect. It can occur in different tracts of the gastro-intestinal system (stomach, ileum, colon and rectum). It is a non-...

La pediculosi del capo

R. Giroldini

2006/8 — pag. 505-507

Head lice are small parasitic insects adapted to living mainly on the scalp and neck hairs of their human host. They are mainly acquired by direct head-to-head contact with an infested person’s hair. Domestic animals are not vectors of lice infestati...

Le spondiloartropatie in età pediatrica

A. Lenhardt e collaboratori

2006/7 — pag. 429-437

Spondyloarthropathies are a heterogeneous group of morbid conditions, characterized by familiarity, by their association with specific HLA and by extra-articular localisations. In the present article the different morbid conditions, their most recent...

Lo shock settico in età pediatrica

A. Berardi, I. Mariotti, R. Pagano, F. Scirpoli, L. Lugli, E. Garetti, M. F. Roversi, F. Ferrari

2006/5 — pag. 289-297

Septic shock is still a leading cause of mortality and morbidity in children. Even if predominant in the first year of life, it can occur at all ages. Early intervention, including ABC of resuscitation, early and aggressive administration of i.v. flu...

L'anemia falciforme

M. Lazzerini, M. Rabusin

2006/4 — pag. 223-234

Sickle cell disease (SCD) is one of the most prevalent haemoglobinopathies in the world, being related to areas where malaria is or was endemic. In Italy the majority of patients still live in Sicily, where the overall HbS gene frequency is 2%. Domes...

Le valvole uretrali anteriori: descrizione di un caso clinico

A. Borrelli, A. Correra, D. Ummarino

2005/10

Emofilia A e B1° parte

G. Bartolozzi

2004/11

Encefalomielite acuta disseminata (ADEM): descrizione di un caso

C. Locatelli , C Malaventura, R Ciambra R, V Leone, M. Pocecco

2004/6

L’uveite nell’artrite idiopatica giovanile

ME. Zannin, et al.

2004/6 — pag. 383-388

Uveitis is a frequent complication of rheumatic diseases, and represents one of the main causes of visual loss in the pediatric age. In 80% of the cases anterior uveitis is associated with juvenile idiopathic arthritis (JIA) and is chronic and asym...

Il sanguinamento gastrointestinale

C. Romano

2004/2 — pag. 86-93

Among the paediatric emergencies, gastroenterologic conditions have a prominent role. The most frequent are acute abdominal pain, intractable vomiting, foreign body ingestion, caustic ingestion and gastrointestinal bleeding, this last being the one...

DOCUMENTO DI INDIRIZZO Le urgenze endocrinologiche

G. Tonini, et al.

2003/9 — pag. 590-595

Many endocrinological disease represent, in particular conditions, a real emergency. Thireotoxicosis in Graves disease, adrenal insufficiency secondary to acute adrenal dysfunction, surgical intervention or acute disease in a SAG affected patients,...

Le affezioni suppurative dello scheletro: osteomielite, artrite, discite

C. Trevisiol, I. Berti, F. Marchetti

2003/7 — pag. 431-438

Osteomyelitis and suppurative arthritis are infections not extremely common in children, but important because they can lead to severe consequences and permanent disabilities. In this article we face the etiology, pathogenesis, clinical signs, diag...

L’appendicite acuta oggi

B. Cigliano, N. Baltogiannis, A. Settimi

2003/2 — pag. 99-102

Acute appendicitis is caused by the obstruction of the lumen due to coprolytes, mucus, lymphoid hyperplasia. The earliest symptom is periumbilical pain accompanied by vomiting. Later the appendix gets infected, fever develops and the peritoneum get...

Malaria: diagnosi tempestiva

2002/9 — pag. 606-606

Report of a malaria case (temperature, convulsions, anaemia, splenomegaly) back from a trip to Africa....

Il bambino con patologia tumorale. L’esperienza dei pediatri di libera scelta del Friuli-Venezia giulia

M. Devetta per il Gruppo di Ricerca della Società Italiana di Pediatria, Sezione FVG

2002/8 — pag. 503-506

63 family paediatricians (FPs) of the Friuli-Venezia Giulia Region have been involved in a survey aimed at investigating their role in the diagnosis and case-management of 65 cases of childhood cancer, including their relationship with the family a...

La pubertà femminile: come e quando esordisce, con che ritmo procede, quando intervenire

S. Di Maio

2002/1 — pag. 20-26

Over the last century there has been a trend to earlier onset of female puberty and a great variability of the age of onset has been observed. A tendency towards a slower pubertal development, particularly in cases at earlier onset, has also been o...

commento a:Dislessia: indagine epidemiologica in una Scuola Elementare di Palermo

A. Scabar

2001/7

Pielonefrite e reflusso vescico-ureterale

L. Peratoner, G. Manzoni

1999/9 — pag. 550-554

There is no consensus on the most cost-effective approach to the diagnosis of acute pyelonephritis (APN) and on the best therapeutic approach to vesicoureteral reflux (VUR). Not enough attention is payed to the diagnosis of urinary tract infection,...

Un'osteomielite multifocale

D. Bello

1998/9