Diagnosis, Differential

Cinque casi, un unico messaggio: quando il neuroblastoma si presenta in modo atipico

Grassi C.

2026/26 — pag. 192-192 — DOI

Neuroblastoma is the most common extracranial solid tumour in children, yet its diagnosis is frequently delayed due to a highly heterogeneous clinical presentation at onset. While over 50% of cases originate in the adrenal medulla causing abdominal m...

Colite eosinofila in età pediatrica: una sfida diagnostica illustrata da due casi clinici

Gallo F.

2026/26 — pag. 190-191 — DOI

Eosinophilic colitis (EC) is a rare disease belonging to the group of non-esophageal eosinophilic gastrointestinal disorders (non-EoE EGIDs). The paper reports two paediatric cases that highlight the clinical heterogeneity of intestinal eosinophilia....

Quando l'intestino parte con calma: meconium plug syndrome

Marino C, Farruggia P, Imparato S, Guida M, Saia GF, Menager S, Mescolo F, Guida Rutilio T, Sciortino MG, Torrente B, Volpe F, Guccione G, Caruso AM, Corsello G.

2026/26 — pag. 175-177 — DOI

Meconium plug syndrome (MPS) is a usually benign cause of delayed meconium passage in neonates. The paper reports the case of a term female newborn who, at 18 hours of life, passed a dense, tubular meconium mass with a membrane-like appearance reprod...

Un lattante immobile

2026/6 — pag. 357-359 — DOI

This case-based teaching article, part of the 'Binomi e diagnosi a colpo d'occhio' series and framed as a dialogue between an experienced pediatrician and an AI (ChatGPT), presents a 6-month-old infant brought to the emergency department for persiste...

La tosse (quella vera) non dorme

Riva MC, Longo G.

2026/6 — pag. 352-352 — DOI

This letter to the editor presents the case of a 12-year-old boy with a chronic cough persisting for over two years following a mild Covid infection. The cough was violent, dry, barking, exclusively daytime, and disappeared during sleep and while pla...

Non una semplice polmonite

Battistella N, De Carlo C.

2026/6 — pag. 394-395 — DOI

A 5-year-old boy presented to the Paediatric Emergency Room with a 9-day fever and crepitant rales at the right lung base, unresponsive to oral antibiotics. Chest ultrasound revealed a 6.5 cm consolidation containing rounded hypoechoic fluid structur...

Quando il vomito diventa un appuntamento fisso

Fioretto A, Falcone M, Esposito S, Fiorenza G

2026/6 — pag. 168-168 — DOI

Recurrent vomiting in children presents a significant diagnostic challenge and requires differentiation among organic, metabolic and functional disorders. This report details the case of an 8-year-old boy with a two-year history of stereotypical, sev...

Quando il ferro non basta: l’anemia che nasconde altro

Marchiori M.

2026/5 — pag. 326-328 — DOI

The paper describes the case of a 10-year-old boy with iron deficiency anaemia refractory to oral therapy. The condition was indicative of chronic H. pylori gastritis, which hindered iron absorption....

In carrozzella per il dolore alle ginocchia

2026/5 — pag. 287-290 — DOI

Non tutto ciò che sibila è wheezing: dispnea persistente da massa cervico-mediastinica

Perna M, Pugliese F, Gatti S

2026/5 — pag. 129-130 — DOI

The paper presents the case of a 13-month-old girl admitted to the Emergency Unit with progressive respiratory failure, initially misdiagnosed as asthmatic bronchitis or foreign body aspiration. Due to her rapid clinical deterioration and an exceptio...

Oltre al wheezing, c'è di più: una storia da approfondire

Virgili F, Nenna R, Di Mattia G, Mancino E, Matera L, Midulla F

2026/5 — pag. 124-126 — DOI

Recurrent wheezing in preschool children is frequently linked to infectious causes, yet it may also indicate underlying structural anomalies such as bronchogenic cysts (BC), which are rare congenital thoracic malformations. This report presents the c...

Il blu che guarisce il blu: un caso di metaemogolbinemia e la sua terapia

Lemmi D, Strati MF, Tardini G

2026/5 — pag. 115-116 — DOI

Methemoglobinemia should be considered in the differential diagnosis of a cyanotic child, particularly in infants. This condition may be either congenital or acquired and is characterised by an excess of methemoglobin, a haemoglobin fraction incapabl...

Ma le gambe, ma le gambe… a me piacciono di più

Barabino A.

2026/4 — pag. 223-224 — DOI

Saper riconoscere la dermatomiosite giovanile

Gennaro B, Marino S, Marino S, Tardino L, Sciuto C, Privitera G, Barone P, La Spina M

2026/4 — pag. 104-105 — DOI

The case reports the diagnostic process of an 8-year-old girl presenting with progressive proximal muscle weakness, fatigue and frequent falls. The clinical challenge required a careful differential diagnosis between metabolic myopathies, muscular dy...

Un caso di LES con decorso atipico "cerebellare" in una bambina di 7 anni

Alizzi CG, Guccione G, La Malfa G, Maggio MC, Cernigliaro M, Corsello G

2026/4 — pag. 88-92 — DOI

Neuropsychiatric manifestations of childhood-onset systemic lupus erythematosus (cSLE), yet rare, are often severe and may precede the systemic diagnosis. Their diagnosis and recognition may represent a significant challenge due to clinical overlap w...

Una brucellosi che mima una malattia linfoproliferativa

Minute M, Borgo S

2026/4 — pag. 97-98 — DOI

The paper reports the case of a 13-year-old boy presenting with abdominal pain, weight loss and fever. Imaging (US and CT) revealed widespread lymphadenopathy, initially suggesting a lymphoproliferative disorder. Diagnostic workup excluded malignancy...

Due ulcere… proprio lì

2026/3 — pag. 155-157 — DOI

Raro, atipico e simulatore: l’osteoma osteoide che non ti aspetti

Caridi C, Rosina S.

2026/3 — pag. 184-187 — DOI

An 11-year-old girl presented with limping and right hip pain, initially mistaken for a rheumatological disease (i.e. arthritis) due to the presence of joint fluid. Further investigations showed the real cause: an osteoid osteoma....

L'avulsione della spina iliaca anteriore

Zerjal K

2026/3 — pag. 80-81 — DOI

The paper describes the case of a 14-year-old male presenting to the Emergency Unit with continuous pain in the right iliac fossa and a slight limp. Initially suspected to be acute appendicitis, the clinical picture was reconsidered due to negative i...

Impetigine, eczema coxsackium o varicella?

2026/2 — pag. 125-126 — DOI

Artrite e osteomielite in età pediatrica: un esordio insidioso di drepanocitosi?

Di Marcoberardino F, Camelli V, Filice E, Stera G, De Agostini M, Mengozzi E, Guerra L, Ghizzi C

2026/2 — pag. 43-44 — DOI

This report describes the case of a 13-month-old boy presenting with fever, pain and functional limitation of the right elbow. Initial findings suggested septic arthritis and led to empirical antibiotic treatment. Subsequent diagnostic evaluation, wh...

La tosse che faceva... tic: quando il sintomo inganna il pediatra

Falcone M, Fioretto A, Fiorenza G, Esposito S

2026/2 — pag. 42-42 — DOI

Chronic paediatric cough may often have psychogenic origins when organic causes are excluded. This report describes the case of a 13-year-old boy with a persistent, metallic, diurnal cough that lasted for one year and was unresponsive to treatments f...

Astasia-abasia psicogena a 13 anni... è possibile?

Menghi A, Addeo A, Radice C, Vignutelli L, Marchetti F.

2026/1 — pag. 53-56 — DOI

Anna, a 13-year-old girl with a family background of separation and fluctuating academic performance, manifested sudden gait disturbances and muscle weakness. Despite the alarming symptoms, all clinical investigations (CT scan, EEG, blood tests) w...

Il fiuto della caposala

Barabino A.

2026/1 — pag. 27-29 — DOI

Storie di pazienti con ADHD

Skabar A.

2025/10 — pag. 661-663 — DOI

When is a child’s liveliness excessive or at least should it make the paediatrician think of ADHD? The answer is in some of the stories of hyperactive children that have been collected over the years....

In caso di dubbio, consulta l'appendice

Campanile C, Russo R, Ambrosio G, Basilio P

2025/9 — pag. 236-238 — DOI

This article reports the case of a newborn admitted to the Neonatal Intensive Care Unit (NICU) for prematurity and perinatal distress. At thirteen days of age, he presented with reduced nutritional intake, vomiting, a globular abdomen, and blood test...

La clinica: quando i geni hanno bisogno di un traduttore

Ferrara A

2025/9 — pag. 243-244 — DOI

The paper reports the case of a 17-year-old boy initially diagnosed with facioscapulohumeral muscular dystrophy, whose clinical course was unexpectedly severe. Despite near-normal CK levels, he showed transient strength improvement after salbutamol. ...

È viola ma non fa paura: l'orticaria multiforme post-infettiva

Casali S, Bellini E, Rocca A, Andreozzi L, Lanari M

2025/8 — pag. 222-223 — DOI

The paper describes an 18-month-old girl who developed purpuric urticarial lesions during amoxicillin therapy for pulmonary consolidation. Differential diagnosis included vasculitis, systemic drug reactions and incomplete Kawasaki disease. The transi...

Una Kawasaki che mima una Guillain-Barré

Miotto D

2025/8 — pag. 220-221 — DOI

A 19-month-old boy presented with gait instability and lower limb weakness, initially suggestive of Guillain-Barré syndrome or transverse myelitis. Clinical features including fever, rash, conjunctivitis, sterile pyuria and elevated inflammation mark...

Non sentire i piedi e non essere capace di camminare

Guala A

2025/8 — pag. 211-212 — DOI

The paper reports the case of an 11-year-old boy with sudden onset of stocking-like anaesthesia and inability to walk, without objective neurological or systemic abnormalities. Laboratory and imaging studies were unremarkable. Following a suggestive ...

Febbre persistente, malessere, congiuntive e lieve cheilite: quando c’entra l’Adenovirus

Lorefice A, Troisi A, Fontijn S, Marchetti F.

2025/7 — pag. 465-466 — DOI

A 5-and-a-half-year-old child presents with a 10-day history of fever, upper respiratory tract inflammation, conjunctivitis and diarrhoea. Clinical examination reveals inflammatory signs in the pharyngeal, ocular and tympanic areas, but no rash or pe...

Fratture patologiche: dal sospetto di rachitismo a una diagnosi oncologica

Lacovara A, Pepino C, Covini S, Mazza F, Incolingo C, Ferrecchi M, Franzone D.

2025/7 — pag. 462-464 — DOI

The clinical case described highlights an unusual presentation of metastatic-stage neuroblastoma, with a femoral fracture that initially led to a clinical suspicion of rickets....

Evoluzione singolare di un rash cutaneo

Stagi C

2025/7 — pag. 192-193 — DOI

A 3-month-old infant, born small for gestational age (SGA), presented with fever, irritability and a progressively spreading rash initially on palms and soles. Despite antibiotics and IV immunoglobulin therapy, the clinical condition worsened, with c...

Splenomegalia e malattia di Gaucher

Piccioni A, Santoro L, Bruschi B, Lionetti ME, Pugliese F

2025/7 — pag. 187-187 — DOI

A 4-year-old girl, asymptomatic and in good general health, is referred to a paediatric Haemato-Oncology centre for splenomegaly associated with mild anaemia and thrombocytopenia. Initial suspicion of leukaemia is ruled out after thorough clinical, l...

Una micobatteriosi non così tanto “atipica”

Sfeir R.

2025/6 — pag. 393-394 — DOI

In the presence of unilateral lymph node swelling that has persisted for more than 3 weeks, in the absence of suspicious signs of malignancy, unresponsive to first-line antibiotic therapy, it is appropriate to consider a non-tuberculous mycobacterial...

Mal di schiena (e... null'altro) Dolore e "rumore"

2025/4 — pag. 225-228 — DOI

L'adolescente non è un "bambino cresciuto": quando il pediatra si dimentica di pensare alle malattie sessualmente trasmesse

Bellani I, Petrela S, Colella G, Zuin G, Lazzerotti A

2025/4 — pag. 93-94 — DOI

Sexually transmitted infections (STI) are an important global public health problem, affecting adolescents and young adults in 50% of the cases. Considering their wide clinical variability, they are often misdiagnosed and, unfortunately, might be res...

Psoriasi Psoriasi in placche

2025/3 — pag. 191 — DOI

C'è mal di testa... e mal di testa

Barachino A.

2025/3 — pag. 186-190 — DOI

The paper reports two paediatric headache cases with initially negative clinical findings but vastly different outcomes. The first regarded a girl subjected to excessive medical evaluations, reflecting parental anxiety and overmedicalization. The sec...

Non tutte le tumefazioni cervicali sono linfoadenopatie

Spacco G, Santaniello M, Bondi E, Castagnola E.

2025/1 — pag. 52-55 — DOI

Cervical masses are predominantly due to lymphadenopathy secondary to infectious or inflammatory processes, with congenital anomalies being less common. The paper describes the case of a 15-year-old girl presenting with a progressively enlarging, ten...

Cisti mediana del collo: cisti del dotto tireoglosso o cisti dermoide? Tumefazione delle dita e verruche

2024/10 — pag. 665 — DOI

Monoartrite: artrite idiopatica giovanile o malattia reumatica?

Barachino A.

2024/10 — pag. 660 — DOI

A 9-year-old child presents to the emergency room with fever, pain, and swelling in the right knee. Based on the tests, the onset of pauciarticular rheumatoid arthritis is hypothesized. After further medical history assessment and a cardiology consul...

Manifestazioni parossistiche non epilettiche: tonic upgaze

Tratta E, Piacentini F, Pelosi P, Cupone R, Mirri S, Bini R, Mirri G, Ferrara G.

2024/9 — pag. 594-596 — DOI

A 2-year-old girl was hospitalized for suspected febrile seizures, but after a neurological reassessment, the episodes were classified as non-epileptic paroxysmal manifestations of the tonic upgaze type and required no treatment. ...

Manifestazioni parossistiche non epilettiche: shuddering attaks

Fusco F.

2024/9 — pag. 594-596 — DOI

The paper describes a case of shuddering attacks in an 8-month-old girl. These are benign, definitely non-epileptic manifestations characterized by rapid tremors of the head and subsequently of the shoulders and trunk. They are non-pathological movem...

Le manifestazioni parossistiche non epilettiche

Tratta E, Piacentini F, Pelosi P, Cupone R, Mirri S, Bini R, Mirri G, Ferrara G.

2024/8 — pag. 532-534 — DOI

A 9-month-old infant, under follow-up for neonatal sepsis due to Streptococcus agalactiae, presented to the Emergency Department with episodes of head drooping, sometimes accompanied by blinking. During the clinical examination, the infant showed nor...

Le manifestazioni parossistiche non epilettiche

Tratta E, Piacentini F, Pelosi P, Cupone R, Mirri S, Bini R, Mirri G, Ferrara G

2024/8 — pag. 166-166 — DOI

A 9-month-old infant, under follow-up for neonatal sepsis due to Streptococcus agalactiae, presented to the Emergency Department with episodes of head drooping, sometimes accompanied by blinking. During the clinical examination, the infant showed nor...

Il bambino che ritorna perché ha sempre la febbre: capire, sapere e saper fare

De Nardi L, Insalaco A, De Benedetti F.

2024/6 — pag. 355-363 — DOI

Fever is a very common symptom in children, mostly due to infections. It is a physiological body defence mechanism against damage. However, when it is recurring, it is difficult to understand which are the underlying causes. Recurrent fever is most c...

Pomfi e flushing: non sempre è allergia

Foglio F.

2024/6 — pag. 397-399 — DOI

The diagnosis of isolated mastocytoma was eventually made in a 5-month-old infant who presented with hives and flushing on the face and trunk right after meals. The erroneous diagnosis of cow's milk protein allergy had been previously made....

Zoppia e stipsi

Cocomero F

2024/6 — pag. 118-118 — DOI

The diagnosis of adrenal tumour was eventually made in a two-year-old child who presented with limping and constipation for a few weeks....

Emergenze neurologiche: caccia all'imitatrice

Corona L, Mazza S, Cualbu A

2024/3 — pag. 189-192 — DOI

The case of a 13-year-old girl presenting with a panic attack following a sudden onset of headache and weakness in the lower right limb is described. Hemiplegic migraine was eventually diagnosed....

Tutta la tosse in una figura

Longo G.

2024/2 — pag. 87-93 — DOI

Cough is the most common cause of unscheduled paediatric visits. The figure in the article shows the main causes of paediatric coughs differentiated by duration, quality (dry or wet) and night-time coughing. With these few simple key anamnestic eleme...

Un vomito insidioso

Tranchese S, Fiorenza G, Donnarumma B, De Luca L, Coppola D, Occhiati L, Ponte G, Ciccarelli GP, Acampora E, Tarallo L

2024/2 — pag. 35-35 — DOI

The authors describe the case of a 7-year-old boy presenting with morning vomiting eventually diagnosed as idiopathic epilepsy of childhood....

Un rash... simpatico

Coslovich S.

2023/10 — pag. 662-663 — DOI

The diagnosis of self-induced disorder was eventually made in a 9-year-old girl with malar rash and frequent absences from school....

La diagnosi differenziale del dolore osseo in età pediatrica: quando preoccuparsi

Barolo R, Asaftei SD.

2023/9 — pag. 581-587 — DOI

Bone pain is a common cause of admission to the Paediatric Emergency Department. Although in most cases it is associated with benign processes, this symptom should be investigated thoroughly when anamnestic and clinical features suggest the possible ...

Una fosfatasi alcalina non fa rachitismo

Ballaben A

2023/9 — pag. 198-198 — DOI

The case of an 18-month-old asymptomatic girl with isolated high alkaline phosphatase blood levels is described. The diagnosis of benign, transient hyperphosphatasemia was finally made....

Tubercolosi vertebrale atipica: un caso clinico e revisione della letteratura

Del Bono C, Francavilla R, Ghizzi C

2023/9 — pag. 177-184 — DOI

Background - Rates of Extrapulmonary Tuberculosis (TB) are higher in paediatric patients, especially in those from endemic areas. Bone TB is mostly located in the spine and in children may cause rapid bone destruction with severe deformity and neurol...

Una cisti troppo repentina

Buschini MP.

2023/5 — pag. 326-328 — DOI

The incredible story of a candy mistaken for a cyst is described....

Febbre e gengivostomatite: non è sempre solo herpes simplex

Arnaboldi S

2023/5 — pag. 76-77 — 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...

Il bambino con anemia severa: proposta di gestione diagnostico-terapeutica

Muratore E, Ruggi A, Abram N, Zanaroli A, Pierantoni L, Lanari M, Zama D.

2023/3 — pag. 159-168 — DOI

Anaemia is a common issue in the paediatric age group and it is not uncommon to encounter severe cases of anaemia in the Paediatric Emergency Unit. The correct identification of patients requiring urgent care is of central importance to provide timel...

Kawasaki? Adenovirus? Kawasaki da adenovirus o con adenovirus?

Accomando F, Aricò MO, Valletta E.

2023/1 — pag. 55-58 — DOI

Kawasaki disease (KD) still represents a challenge for differential diagnosis because it shares clinical features with other infectious diseases. Adenovirus infection has many symptoms that can be found among the diagnostic criteria of KD. However, t...

Kawasaki? Adenovirus? Kawasaki da adenovirus o con adenovirus?

Accomando F, Aricò MO, Valletta E

2023/1 — pag. 6-10 — DOI

Kawasaki disease (KD) still represents a challenge for differential diagnosis because it shares clinical features with other infectious diseases. Adenovirus infection has many symptoms that can be found among the diagnostic criteria of KD. However, t...

Pitiriasi lichenoide e varioliforme acuta Nevo melanocitario acquisito

2022/10 — pag. 660 — DOI

Sintomi gastroenterologici come esordio nei disturbi del comportamento alimentare. Un caso di purging disorder

Gaeta F, Valitutti F, Melis D

2022/10 — pag. 214-214 — DOI

Ossa rotte e diagnosi difficili

Malni I

2022/9 — pag. 190-191 — DOI

The Author describes the case of a 5-year-old boy with recurrent bone fractures without blue sclera eventually diagnosed as osteogenesis imperfecta due to a mutation in BMP1 gene....

Un mal di schiena fastidioso

Trombetta A, Corona F, Cozzi C, Barbi E.

2022/8 — pag. 519-520 — DOI

A 7-year-old boy was admitted to the Emergency Unit for a one-month history of low back pain, which got worse and resulted in a refusal to walk. On physical examination, the patient refused to stand, and palpation of the spinous processes of the lumb...

Indovina chi? Uno dei due “mente”

Sette C, Ricci M.

2022/6 — pag. 396-398 — DOI

Two intriguing cases in which a somatic disease has been suspected are presented. The diagnosis of a functional disorder was confirmed for only one of them....

Lesioni perineali benigne nel neonato

D’Agostin M.

2022/6 — pag. 393-395 — DOI

The authors present the case of a term newborn with a perineal groove and the case of a newborn with a so-called Infantile Perianal Pyramidal Protrusion (IPPP). The differential diagnosis of perineal lesions in newborns is also discussed....

Indovina chi? Uno dei due “mente”

Sette C, Ricci M

2022/6 — pag. 136-136 — DOI

Two intriguing cases in which a somatic disease has been suspected are presented. The diagnosis of a functional disorder was confirmed for only one of them....

Una tosse… a clacson

Colussi L

2022/5 — pag. 113-113 — DOI

The case of a ten-year-old boy with persistent cough is presented. The diagnosis of bizarre disruptive honking cough was eventually made. The possible clinical features of the somatic cough are discussed....

Una formazione esofitica della parete toracica anteriore: quando la diagnosi è solo istologica

Miceli A, Guidi B, Perrini S, Ceccarelli P.

2022/4 — pag. 259-262 — DOI

The paper describes the case of a newborn child presenting with an exophytic thoracic lesion since birth, with no common features described before in infants. All exams made at the initial process of diagnosis were negative. The long follow-up confir...

Una zoppia persistente

Costantino A.

2022/4 — pag. 255-258 — DOI

The authors describe the case of an eleven-year-old girl with a complex vascular malformation of the right thigh presenting with moderate oedema and lameness that were previously misinterpreted as a post-traumatic condition....

Un’adolescente con uno strano e persistente gonfiore alle caviglie

Corona F, Trombetta A, Genovese MR, Gortani G, Barbi E.

2022/4 — pag. 249-250 — DOI

A fourteen-year-old girl presented with a history of intermittent bilateral swelling in her ankles associated with moderate but progressively worsening pain that lasted for two years. The patient had been previously investigated and ankle X-rays, US ...

Lesioni osteolitiche multiple: osteomielite cronica non batterica o istiocitosi?

Natale MF, Celani C, Messia V, Pardeo M, De Benedetti F, Insalaco A

2022/4 — pag. 96-96 — DOI

A case of a 7-year-old girl finally diagnosed with Langerhans cell histiocytosis (LCH) is presented. The differential diagnosis between LCH and chronic nonbacterial osteomyelitis (CNO) is discussed....

A volte ritornano: l’esordio subdolo della malattia di Crohn

Balestra E, Bramuzzo M

2022/3 — pag. 73-73 — DOI

The case of a 12-year-old boy with diffuse arthralgia initially misdiagnosed as systemic onset juvenile idiopathic arthritis is described. The diagnosis of Crohn disease was eventually posed based on high faecal calprotectin level and suggestive ultr...

Un pianto stridulo che confonde: non è sempre laringomalacia

Posocco F, Trafojer UMT, Baraldi E

2022/3 — pag. 72-72 — DOI

The case of a young infant with congenital stridor eventually diagnosed as unilateral idiopathic paralysis of vocal cords is described. The differential diagnosis of congenital stridor is discussed....

Scrocchiarsi le dita: osteocondrosi della testa metacarpale

Cortellazzo Wiel L, Gortani G, Pastore S, Sanabor D, Barbi E

2022/3 — pag. 71-71 — DOI

The case of a metacarpal head osteochondrosis in a 13-year-old girl is described. The differential diagnosis and the therapeutic approach of this rare condition are discussed....

Una bambina con sanguinamento perineale ricorrente

Corona F, Trombetta A, Barbi E.

2022/2 — pag. 117-118

A four-year-old girl is evaluated for 8 recurrent episodes of perineal bleeding of undefined origin appeared six months before. Physical examination is normal except for a small anal fissure and a mild congestion of external haemorrhoids during Valsa...

Quando non trascurare la splenomegalia nel lattante

Zama D, Parladori R, Muratore E, Melchionda F, Baronio F, Pession A

2021/8 — pag. 501-507 — DOI

Splenomegaly in children is really common and its main cause is infectious disease. The aetiology in newborns and older children is well established, while it is less defined in suckling infants. The paper describes three cases of splenomegaly in inf...

Tra reflussi e torcicolli

Brocchi S, Mambelli L, Mainetti M, Cenni P, Romeo C, Zucchelli M, Marchetti F

2021/7 — pag. 464-465 — DOI

The paper descibes the cases of a 10-year-old girl and a 3-year-old boy with CNS neoplasia. The girl presented with acute vomiting and cervicalgia while in the boy vomiting persisted for three months as the only symptom and was iniatially misinterpre...

Larva migrans cutanea

Raffaele CGL

2021/6 — pag. 397-397 — DOI

The paper describes the case of an 8-year-old girl with a one-year history of erythematous lesion and pain in her left foot. At first she was evaluated by an orthopaedic who recommended a throat swab that was positive for beta-haemolytic streptococcu...

Curiosa pigmentazione cutanea

Migliarino V, Berti I

2021/6 — pag. 387-388 — DOI

The paper describes the case of a girl with a benign skin condition named terra firma-forme dermatosis. Terra firma-forme dermatosis is easy to recognize and treat though it has many differential diagnoses such as acanthosis nigricans, tinea versicol...

Dermatite a IgA lineari Tinea

2021/4 — pag. 261 — DOI

Una PFAPA che diventa un Behçet

Cafolla C, Iacono A, Guiducci C, Mambelli L, Marchetti F

2021/4 — pag. 226-229 — DOI

PFAPA syndrome (periodic fever, aphthous stomatitis, pharyngitis and cervical adenitis) is the most common periodic fever syndrome in children. The disease appears to cluster in families, but the pathogenesis is unknown. The paper reports the descrip...

Un asma sine asma: la SIRT

Contorno S

2021/2 — pag. 57-57 — DOI

The paper describes the case of a girl with recurrent cough attributable to the so-called Cough Hypersensitivity Syndrome (CHS). The cough was misdiagnosed as drug resistant asthma for long time. CHS should be considered in all cases where recurrent,...

Herpes zoster Pitiriasi rosea di Gibert

2021/1 — pag. 60 — DOI

Corea, artrite, eritema marginato: malattia reumatica e diagnosi differenziali

A.M.Q. Alberio, F. Pieroni, G. Bini, A. Bonuccelli, A. Orsini, D. Peroni, R. Consolini

2020/10 — pag. 643-650 — DOI

The revision of the Jones criteria by the American Heart Association allowed the identification and diagnosis of a greater number of cases of Rheumatic Disease (RD); however, the higher incidence of RD is associated with "pathomorphic" phenotypic pic...

Malato! Non pazzo

E. Dei Rossi

2020/10 — pag. 256-256 — DOI

An adolescent with persistent abdominal pain and stipsis, previously diagnosed as Gastrointestinal Functional Disorders (FGD), was finally diagnosed as affected by ulcerative colitis. The author underlines that the diagnosis of FGD should always be q...

Sindrome di Tourette: alla faccia della PANDAS!

D. Ferrara

2020/9 — pag. 601-604 — DOI

The paper describes the clinical case of a ten-year-old boy with Tourette’s syndrome, initially classified as PANDAS. The persistence, the complexity of the symptoms and the comorbidity with obsessive-compulsive disorders (OCD) have framed the case a...

A tutta bier spots

F. Panin

2020/7 — pag. 461-463 — DOI

Una anoressia “infiammatoria”

G. Savarino, C. Romano, M. Giuffrè, G. Corsello

2020/5 — pag. 321-322

Crohn’s disease (CD) is an inflammatory disease with a chronic relapsing course and a wide spectrum of manifestations that sometimes overlaps the symptoms of other pathologies. The paper describes the case of a girl with anorexia and a following diag...

Non era una MICI

F. Graziano, R. Ganci, M. Di Pisa, et al.

2020/5 — pag. 319-320

The paper describes a case of colorectal adenocarcinoma (CRC) in a twelwe-year-old girl, at first diagnosed as IBD. CRC represents 1-2% of paediatric cancers. Generally, it occurs after the age of 10 years of life. Symptoms of presentation include ab...

Indagare cum “granuloma” salis: malattia granulomatosa cronica vs malattia di Crohn

C. Pantuso, M. Citrano, M. Giuffrè, G. Corsello

2020/5 — pag. 315-316

Chronic granulomatous disease (CGD) is a rare inherited disorder of phagocyte oxidative metabolism that, in addition to infectious complications, is characterized by abnormal inflammatory response leading to the formation of granulomas in multiple ti...

Un eritema tossico neonatale… pruriginoso

L. Cortellazzo Wiel, I. Bruno, I. Berti, E. Barbi

2020/5 — pag. 103-105 — DOI

A 3-month-old male infant was evaluated for the persistence of erythema toxicum neonatorum. Physical examination was remarkable for a papulopustular rash on his hands and feet, with similar lesions on his trunk. The baby was irritable and continuousl...

Idronefrosi intermittente, dolore addominale e vomito: non è vomito ciclico!

M. Palazzo, F. Pugliese, L. Caponi

2020/4 — pag. 90-90 — DOI

Una polmonite troppo complicata

S. Benvenuto

2020/4 — pag. 255-257

L’iperostosi corticale infantile (malattia di Caffey)

M. Minute, P. Moras, E. Lelio

2020/4 — pag. 255-257

Sembrava una Kawasaki, era una panarterite nodosa

J. Trombatore, R. Gallizzi

2020/3 — pag. 58-58

Lesioni cutanee all’arto inferiore sinistro... quale diagnosi?

2020/1 — pag. 57-58

Un neonato con una “impronta” sul braccio e paralisi del nervo radiale

A. Troisi, V. Carrato, I. Berti, L. Travan, M. Starc, F.M. Risso

2019/10 — pag. 663

The paper describes the case of a term newborn with isolated radial nerve palsy, wrist drop and a localized area of erythema on the same arm. This condition has an excellent prognosis and its spontaneous recovery is the norm. Moreover, it must be dis...

Un neonato con una “impronta” sul braccio e paralisi del nervo radiale

A. Troisi, V. Carrato, I. Berti, L. Travan, M. Starc, F.M. Risso

2019/10 — pag. 238-240

The paper describes the case of a term newborn with isolated radial nerve palsy, wrist drop and a localized area of erythema on the same arm. This condition has an excellent prognosis and its spontaneous recovery is the norm. Moreover, it must be dis...

Un peso sullo stomaco… un bel groviglio da sbrogliare!

A. Rizzo, S. Arrigo, P. Gandullia, I. Negro, E. Piccotti, A. Calvi, G. Mattioli, A. Barabino

2019/8 — pag. 210-210

Un mal di pancia “in crisi”

E. Conversano, G. Ventura

2019/7 — pag. 460

Pachidermodattilia

S. Piccolo, T. Russo, V. Piccolo

2019/6 — pag. 123-124

The paper reports a case of a 7-year-old child presenting with a bilateral swelling of hands, then diagnosed as pachydermodactyly. The etiology of this rare condition and the most common differential diagnosis including knuckle pads, acromegaly, juve...

Quando un attacco di panico… può portare all’intubazione

M. Venchiarutti, R. Ponti, E. Passone, F. Volpones, C. Bertossi, F. Fabbro, P. Cogo

2019/2 — pag. 35-35

Un’area di cute apparentemente glabra

2018/7 — pag. 467-468

Una strana testa… diagnosi a colpo d'occhio?

C. Brambilla, F. Betti, S. El Oksha, G. Banderali, C.L. Paolini

2018/7 — pag. 461-464

Orticaria emorragica: eppur si muove

S. Della Paolera, M.C. Pellegrin, I. Berti, E. Barbi

2018/7 — pag. 441-444

Acute urticaria is a frequent benign disease in children and is often secondary to infections. Usually it is a self-limited histamine-dependent cutaneous condition marked by transient, erythematous, and pruritic wheals and frequently by acral angio...

Lo stroke in età pediatrica: una sfida diagnostica e terapeutica

A. Suppiej

2018/7 — pag. 433-434

Pillole di clavic... ultura

M. Bevacqua, A. Trombetta, F. Verzegnassi, F. Poropat, E. Barbi, A. Ventura

2018/6 — pag. 391-394

The paper presents the cases of tree children with clavicular swelling and a different final diagnosis that offered the opportunity to discuss the key points for the differential diagnosis of clavicular swelling and to draw a rational diagnostic wo...

Cerchi una celiachia, trovi... una leucemia

S. Molinari

2018/6

Dolore addominale in fossa iliaca destra: sembrava un'appendicite ma era una torsione dell’omento

C. Marchetti, C. Scalamogna, A. Mussari, R. Mattei

2018/6

The primary omental torsion is a rare cause of acute abdomen in the paediatric population. This condition occurs when the omental apron pedicle twists around its longer axis, leading to oedema, ischaemia and necrosis. The article describes a rare cas...

Quando una artrite di un ginocchio nasconde una malattia di Crohn

M. Mazzolai

2018/5 — pag. 328-330

Le due facce di una osteomielite

A. Fumarola, A. Galimberti, S. Pusceddu, L. Mambelli, F. Marchetti

2018/5 — pag. 328-330

Il bambino con coxalgia

S. Carbogno

2018/5 — pag. 325-327

Quando l’intestino infiammato... è infetto! Storia di una bambina distrofica

C. Barboni, A. Sonzogni, M. Ruggeri

2018/5

Clinica, pregiudizio e morbo di Crohn

A.G. Grasso, M. Mainetti

2018/5

Artrite settica del ginocchio o artrite idiopatica giovanile monoarticolare?

M. Mazzolai

2018/4 — pag. 259-261

Torcicollo parossistico benigno dell’infanzia

C. Muratori, S. Strocchi, S. Mainetti, P. Ricciardelli, F. Marchetti

2018/3 — pag. 194-196

Benign paroxysmal torticollis (BPT) is a rare paroxysmal dyskinesia presenting with recurrent stereotypic episodes of torticollis. The diagnosis is primarily one of pattern recognition and exclusion of alternative conditions; other symptoms, such...

La fosfatasi alcalina elevata quasi per caso

C. Guiducci, C. Malaventura, G. Maggiore

2018/3 — pag. 192-193

Torcicollo parossistico benigno dell’infanzia

C. Muratori, S. Strocchi, S. Mainetti, P. Ricciardelli, F. Marchetti

2018/3

Benign paroxysmal torticollis (BPT) is a rare paroxysmal dyskinesia presenting with recurrent stereotypic episodes of torticollis. The diagnosis is primarily one of pattern recognition and exclusion of alternative conditions; other symptoms, such...

C’era una volta il morbillo...

C. Mucaria

2018/3

Anticorpi anti-istone: è sempre lupus indotto da farmaci?

A. Azzali, T. Giani, G. Simonini, R. Cimaz

2018/2 — pag. 119-122

The paper describes the case of a South-American 14-year-old girl who presented with arthralgia, weakness and alopecia. As she was under antiepileptic treatment since she was 5 years of age, on suspicion of drug-induced lupus erythematosus (DILE) ant...

Salmonella e appendicite

A. Di Candia, E. Pasta, C. Vallongo

2018/2 — pag. 115-117

Sembrava un’ADEM e invece era un tumore cerebrale

A. Delise

2017/10

Quando la pancia parla... e basta ascoltarla

F. Galdo

2017/9

Una pisellite ingannatrice

E. Conversano

2017/9

Melena e... biscotti

G. Ferrara

2017/8 — pag. 530

Una ragazza con ascite e diarrea con sangue: quale diagnosi?

F. Marchetti, M. Mainetti, M. Giovannini, C. Morelli

2017/8 — pag. 519-522

Il mal di schiena nel bambino

S. Contorno, S. Amoroso, B. Sacher, V. Kiren, A. Ventura

2017/7 — pag. 447-453

Back pain is an infrequent complaint in children. A complete history and a careful physical examination should be performed on all patients presenting with back pain. A systematic approach can diagnose the most common causes: trauma, inflammatory d...

Artrite settica-osteomielite o... piomiosite

A. Bosco, P. Cianci

2017/7 — pag. 463-464

PATOLOGIA OSTEOARTICOLARE NEL BAMBINO: LA GRANDE TRASFORMISTA

2017/7 — pag. 427

Due zoppie per due diagnosi

F. Corrias

2017/7 — pag. 465-466

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...

La leucemia ridotta all’osso: fatti e misfatti

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

2017/7 — pag. 428-434

Acute Lymphoblastic Leukaemia (ALL) is the most common cancer disease in paediatric age. Even though in the last decade there has been a steady improve of the chances of survival from this disease, it is relatively uncommon in the life of a general...

Due zoppie per due diagnosi

F. Corrias

2017/7

Modi diversi di sviluppare un diabete

M. Pavan, A. Lora, G. Gortani, E. Faleschini

2017/6 — pag. 395-396

Ulcera di Riga-Fede Orticaria o malattia di Lyme?

2017/5 — pag. 330

Stanco... di cosa?

G. Morabito

2017/5 — pag. 321-322

Sembrava una Kawasaki “atipica”... invece era un morbillo

P. Gallo, C. Radice, L. Mambelli, F. Currò, C. Lama, F. Marchetti

2017/3 — pag. 191-193

Febbre, cheilite, rash cutaneo, congiuntivite… non è sempre Kawasaki!

M. Diplomatico, R. Marotta
, O. Ametrano, R. Picciocchi

2017/3

Test del sudore patologico: è sempre fibrosi cistica?

S. Viscovo, A. Casale, P. Stellato, F. De Gregorio, R. Auricchio, V. Raia

2017/2 — pag. 123-124

Sanguinamenti genitali nella bambina: quante diagnosi per un solo sintomo!

M.C. Lucchetti

2017/2 — pag. 93-98

Genital bleedings in paediatric age are always a cause of parental distress that also involve the paediatrician who is expected to give a prompt diagnosis that is rarely easy to find. The spectrum of possible differential diagnoses is wide and vari...

Le neutropenie del neonato

P. Farruggia

2017/2 — pag. 85-90

Neonatal neutropoenia is not infrequent. Its appearance can be linked to many serious or minor causes and it is necessary to provide an accurate overview in order to make the best decisions on its management. This paper takes into consideration som...

Un prolasso senza estro

A. Lora, A. Taddio

2017/2

Test del sudore patologico: è sempre fibrosi cistica?

S. Viscovo, A. Casale, P. Stellato, F. De Gregorio, R. Auricchio, V. Raia

2017/2

Bambini posseduti... dalla metoclopramide

I. Giuseppin

2017/1 — pag. 54-56

Non sempre è una “semplice” impetigine

A. Di Candia, M. Cutrone

2017/1 — pag. 47-48

Una porpora (per nulla) spaventosa

S. Carbogno

2016/10

È tutta colpa di Currarino

V. Silecchia, M. Magnani, M. Cananzi, B. Giorgi, M. Marchiori, C. Vallongo

2016/9 — pag. 596-598

A proposito di "equivalenti epilettici" Intervista al dott. Pasquale Striano

M. Leoni, R. Papa

2016/8 — pag. 519-520

Una "Crosti" tira l'altra

V. Montalbano

2016/6 — pag. 390-392

Fetal alcohol syndrome sì, fetal alcohol syndrome no, fetal alcohol syndrome un cavolo!

L. Longoni, S. Maitz, A. Cereda, M. Mariani, F. Crosti, A. Selicorni

2016/4

Appendicistite

S. Pusceddu, L. Mambelli, F. Pugliese, G. Vieni, F. Marchetti

2016/4 — pag. 255-258

L’appendicite acuta nei primi cinque anni di vita:una sfida per il pediatra

G. Campana, P. Marzuillo, C. Germani, S. Guarino, I. Rabach, E. Barbi

2016/4 — pag. 225-230

Acute appendicitis is one of the most frequent causes of abdominal surgery in paediatric ages, with the peak incidence in the second decade of life. Acute appendicitis in the first years of life is an uncommon but not so rare event. The clinical pr...

Una ragazza MODY

F. Bandera

2016/3 — pag. 188-190

Una frattura vertebrale che nasconde un quadro... multifocale

L. Mambelli, A. Magistà, P. Cenni, F. Marchetti

2016/2 — pag. 120-122

Una scarlattina con troppo prurito

M.L. Tortorella

2016/2

Rosso neonato

F. Marolla

2016/1 — pag. 53-54

Casi indimenticabili (e trucchi del mestiere) Leucemia o artrite? Genetica: chi più spende meno spende? Vitamina D e polmoniti ricorrenti Coartazione aortica: brutta bestia anche con lo screening Vaccinazioni: chi la dura la vince? “San Cortisone” e artrite settica

2015/8 — pag. 485-486

Più M che A

E. Benelli, C. Bibalo

2015/7 — pag. 463-464

Dolori in fuga

D. Sambugaro

2015/7 — pag. 463-464

Quando le benzodiazepine sono di troppo

C. Pierobon, G. Crichiutti

2015/7

Dura Legius sed Legius

E. Benelli, I. Berti

2015/5

Due rari casi di iperlipasemia pancreatica benigna in età pediatrica

M. Cofini, F. Quadrozzi

2015/5

Benign pancreatic hyperenzimemia is a newly identified condition, characterized by a chronic elevation, with swinging-rate of pancreatic amylase and/or lipase in absence of pancreatic disease. The paper describes two rare cases of pancreatic benign h...

Ulcera genitale e... PFAPA?!? (ovvero attenzione all'anamnesi!)

A. Paglino, D. Laino

2015/3 — pag. 189-192

Una fontana “illuminante” per una tumefazione scrotale

M. Copertino, E. Benelli

2014/10 — pag. 667-668

Se la diagnosi di Corea non convince

A. Taddio

2014/10 — pag. 665-666

Blueberry Muffin Baby: da una strana sindrome alla diagnosi di Istiocitosi a cellule di Langerhans congenita autolimitante

J. Demurtas, C. Domenici, G. Gelato, L. Luti, C. Mazzatenta, M. Nardi, C. Favre

2014/10

LCH can show with skin involvement, usually with a papulo-vesicular or pseudo-nodular eruption. The paper reports the case of a newborn child who three minutes after birth deve-loped a blueberry muffin baby syndrome, with ecchymotic and blue violet n...

Una fontana “illuminante” per una tumefazione scrotale

M. Copertino, E. Benelli

2014/10

Una tosse con il timbro da clacson

M.C. Pellegrin

2014/9 — pag. 595-596

Il timo ectopico nella diagnosi differenziale delle masse del collo

M.C. Pellegrin, G. Patti, E. Faleschini, G. Tornese, P. Guastalla, A. Ventura

2014/9 — pag. 579-584

Ectopic thymus is a rare benign cause of paediatric neck masses. Because of embryologic migrational defects, ectopic thymic remnants can be found along the descent pathway from the mandible angle to the superior mediastinum. Clinically, between 2 ...

Tu... diventi Candida!

S. Casagranda, L. Longoni, A. Mazza, L. Martelli, L. Verdoni, M. Ruggeri, L. D’Antiga

2014/8

Quando la pancia non fa camminare...

F. Sfriso, V. Rametta

2014/7 — pag. 463-464

La diagnosi insidiosa di un dolore addominale

M. Bellettato

2014/7 — pag. 463-464

L’osteomielite cronica multifocale ricorrente: se la conosci la riconosci

G. Ferrara, C. Sandrin, S. Pastore, G. Gortani, A. Taddio, A. Ventura

2014/7 — pag. 433-437

Chronic recurrent multifocal osteomyelitis (CRMO) is a rare inflammatory disorder that primarily affects children. Pathogenesis is still unknown. It is characterized by insidious onset of pain, local bone expansion and radiological findings suggest...

Una strana allergia “ai latticini”

S. Nastasio, G. Marsalli, E. Alberti, C. Domenici, E. De Marco, G. Maggiore

2014/7

Dolore alle ossa, febbricola e aumento degli indici di flogosi: pensare anche alla osteomielite cronica multifocale ricorrente

M. Cappella, S. dal Bo, L. Berretti, F. Ravaioli, R. Burnelli, F. Marchetti

2014/7

The paper reports the case of a 7-year-old child who pre-sented with recurrent multifocal bone pain associated with low fever, elevation of flogosis indexes and negative standard radiological exams. The spectrum of differential diagnosis was wide. Th...

7 spose per 7 fratelli

F.M. de Benedictis, M. Manna, S. Angeloni, I. Carloni, A. Guerrieri, D. de Benedictis, L. Mirabile

2014/6 — pag. 377-382

This article reports on the cases of seven children observed in a tertiary care children’s hospital who were affected by different respiratory diseases. Their clinical presentation was invariably characterized by common respiratory symptoms, such a...

Non tutti i vomiti ricorrenti sono ciclici...

E. Cavaliere, G. Bordin, M. Marchiori

2014/5 — pag. 324-326

Tumefazioni ombelicali o quasi

C. Pierobon, A. Bon, R. Lualdi, L. Fasoli

2014/4 — pag. 255-256

Attacchi di panico? …Non sempre

M. Biagioni, S. Francolini, E. Moschini, G. Brusa, R. Genga, D. Carboni, N. Filomeni

2014/3 — pag. 187-188

The paper describes the case of a 13-year-old girl with diagnosis of panic attack and treated with antidepressant therapy. She had sudden episodes of air hunger and difficulty in breathing that resolved spontaneously. She had a transient initial bene...

Attacchi di panico? …Non sempre

M. Biagioni, S. Francolini, E. Moschini, G. Brusa, R. Genga, D. Carboni, N. Filomeni

2014/3

The paper describes the case of a 13-year-old girl with diagnosis of panic attack and treated with antidepressant therapy. She had sudden episodes of air hunger and difficulty in breathing that resolved spontaneously. She had a transient initial bene...

Corea: malattia reumatica o lupus eritematoso sistemico?

F. Cuoco, M. Torcoletti, A. Petaccia, F. Corona

2014/2 — pag. 109-110

Chorea is a manifestation of inflammatory involvement of the basal ganglia and caudate nucleus of the central nervous system. A patient with chorea presents with persistent involuntary, purposeless, and usually symmetric movements of the extremit...

Matteo… ci è o ci fa?

M. Torresin, C. Gatto, M.C. Lia, A. Tonetto, I. Giuseppin, V. Calabrese, T. Guerrera, A. Camolese, M. Ranieri, D. Maschietto, P.G. Flora

2014/2 — pag. 104-105

Insufficienza epatica acuta nel bambino: non è tutto oro... (ma rame)

G. Maggiore, S. Riva, M. Sciveres, F. Cirillo

2014/2

Corea: malattia reumatica o lupus eritematoso sistemico?

F. Cuoco, M. Torcoletti, A. Petaccia, F. Corona

2014/2

Chorea is a manifestation of inflammatory involvement of the basal ganglia and caudate nucleus of the central nervous system. A patient with chorea presents with persistent involuntary, purposeless, and usually symmetric movements of the extremities ...

Uno e un solo pensiero

M. Minute, E. Zanelli

2014/1 — pag. 54-56

Non può essere che appendicite...

E. Da Dalt

2013/10 — pag. 662-664

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...

Ma che pupilla grande che hai!

C. Bibalo, A. Bet

2013/9

Ragione e pregiudizio

A. Filpo

2013/9

Una bambina che cresce poco con strane macchie blu sulla lingua

V. Ettari, M. Catania, R. Barcellona

2013/6 — pag. 395-397

The case of a girl with a strange blue colour on her tongue (and not only) is the opportunity to present, in a tale-like style (narrative medicine), the way that enables to make a diagnosis of a rare disease. In this case the diagnostic reasoning has...

Eritema nodoso e calprotectina elevata: non sempre e solo MICI

M. Mainetti, I. Venturi, L. Mambelli, L. Pini, L. Minguzzi, F. Marchetti

2013/4 — pag. 251-253

E se il gatto non ci mette lo “zampino”?

A. Pirrone, M. Copertino, C. Pierobon

2013/4 — pag. 251-253

Una strana artrite settica dell’anca

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

2013/3 — pag. 191-193

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 ...

Un linfonodo duro come l'osso

E. Carretto, S.F. Chiarenza

2013/3 — pag. 187-189

Mal di pancia... non sempre appendicite

S. Tajè, P. Adamoli

2013/2 — pag. 121-122

Una neonata con ipotonia ed un viso particolare

A. Biasini, L. Rocchetti, L. Marvulli, MR Pizzitola

2012/9

The cure and care of the children with congenital chronic disabilities is the real challenge for the hospital-territorial network cooperative model. This organizational strategy will achieve success only if all the caregivers work strictly together t...

Sherlock Holmes e la marmellata di more

I. Giuseppin, A. Tonetto, P.G. Flora

2012/9 — pag. 598-599

Vomito in lattante: a ognuno il suo

G. Ventura, F. Marchetti, G. Di Leo, A. Ventura

2012/6 — pag. 385-389

A case of a 6-month-old infant with food refusal and frequent vomiting is presented in a step by step clinical approach. The criteria for the diagnosis of non-organic food refusal as well as the rules for the therapeutic strategy are discussed, str...

Trombocitopenia da acido valproico o da infezione virale?

E. Gnoato, S. Masiero, C. Moretti

2012/6

La polmonite virale

2012/3 — pag. 192-194

Due casi di torcicollo non proprio banale

L. Lepore

2012/2 — pag. 127

L’angioma lobulare eruttivo

I. Berti

2012/2 — pag. 117-118

Coxalgia benigna o artrite settica?

S. Crocco, C. Bibalo, F. Minen, M. Pizzul, F. Marchetti

2012/1 — pag. 51-52

Pelle di leopardo

M. Abate, S. Dipresa

2011/9

Linfadenite atipica con Mantoux e Quantiferon positivi: descrizione di un caso

S. Ciccone, D. Lacorte, M. Cappella, C. Farneti, C. Malaventura, D. Saggese, I. Pelligra, R. Burnelli

2011/9

Atypical mycobacterial infections are a common cause of chronic cervicofacial lymphadenitis especially in 1-5 year-old children. Although tuberculous mycobacterial adenitis are less frequent among this age group, it is important to consider them in t...

Polipnea... non sempre polmonite Dimagrimenti

2011/6 — pag. 396

Una bambina con scarsa crescita e segni clinici di rachitismo all’età di 2 anni

S. Pastore, F. Marchetti

2011/5 — pag. 301-305

This work describes the case of a 5-year-old girl who started showing clinical features typical of rickets at the age of 2. Nutritional deficiency rickets was diagnosed although vitamin D implementation therapy did not sort any improving effect. A ...

Crying infant?... non solo coliche!

R. Cinelli, F. Lotito, G. Pipola, L. De Catals, G. Alifano, B. Coppola, G. Mazzarella

2011/2

A newborn younger than 30 days old shows a clinical picture very similar to that of colic: crying episodes, good general conditions, exclusive breastfeeding, normal weight growth, no temperature Despite normal laboratory values, a septic arthritis of...

Crying infant?... non solo coliche!

R. Cinelli, F. Lotito, G. Pipola, L. De Cataldis, G. Alifano, B. Coppola, G. Mazzarella

2011/2 — pag. 125-126

A newborn younger than 30 days old shows a clinical picture very similar to that of colic: crying episodes, good general conditions, exclusive breastfeeding, normal weight growth, no temperature. Despite normal laboratory values, a septic arthrit...

Una dermatite da pannolino un po’ inconsueta

F. Sau, M. Furno, R. Minelli

2011/1 — pag. 47-48

Dolore toracico e sincope

2011/1 — pag. 44-45

Una famiglia a strisce...

I. Berti

2011/1

Vocal cord dysfunction

G. Tornese, M. Spaccini, E. Neri, M. Maschio

2010/7 — pag. 452-453

Atelettasia ed enfisema lobari:due storie con due immagini a confronto

A. De Cunto, C. Zanchi, M. Gregori, G. Pelos, J. Schleef, F. Marchetti

2010/7 — pag. 446-451

The work compares the cases of two children of the same age (14-15 months) who raise the similar suspect of inhalation of foreign bodies. In the first case the hypothesis was suggested by the radiologic finding of atelectasis. In the second case th...

Aritmia e malattia reumatica: quale relazione?

A. Benettoni

2010/5

Utilità diagnostica del dosaggio della calprotectina fecale in età pediatrica

R. Berni Canani, M. Passaro, C. Puzone

2009/4 — pag. 239-242

Determination of the faecal calprotectin (FC), a leucocyte-derived protein, is becoming a valuable tool in paediatric clinical practice for the diagnosis and monitoring of several diseases of the gastrointestinal tract. FC is a sensitive, but not spe...

Speravo fosse un asma e invece era... una leucemia

L. Calligaris, G. Paloni, E. Rizzello

2009/3

I meriti degli altri

E. Barbi

2009/3

Il rischio di andare alla deriva sull'iceberg della celiachia

M. Fornaro, R. Gaudino, L. Balanzoni, et al.

2009/2 — pag. 124-125

A 12-year old child with failure-to-thrive had diagnosis of celiac disease at the age of 20 months, in spite of negative serologic markers and only slight histological modifications at the duodenal biopsy. After 10 years of gluten free diet his w...

Il rischio di andare alla deriva sull\'iceberg della celiachia

M. Fornaro, R. Gauno, L. Balanzoni, C. Bortoluzzi, S. Conte, E. Valletta

2009/2

Lesioni cutanee lineari nel neonato e nel bambino

M. Cutrone

2008/9 — pag. 585-591

Colestasi neonatale: la grande simulatrice

M. Tufano, F. Cirillo, G. Ranucci, R. Vecchione, A. Sonzogni, D. Alberti, R. Iorio

2008/8 — pag. 527-529

Early detection and accurate diagnosis of cholestatic jaundice (CJ) are important for successful treatment and favourable prognosis but the rapid and effective recognition of the causes of cholestasis in infants is still challenging also for paed...

Una massa che compare dalla sera alla mattinaAl rientro del viaggio di nozze...

2008/8 — pag. 525-526

Colestasi neonatale: la grande simulatrice

M. Tufano, F. Cirillo, G. Ranucci, R. Vecchione, A. Sonzogni, D. Alberti, R. Iorio

2008/8

“Vocal cord dysfunction”: quando l’asma non convince

S. Dal Bo, R. Meneghetti, G. Longo

2008/7 — pag. 445-450

The vocal cord dysfunction syndrome is a disease characterized by short crisis of dyspnea due to a paradoxical movement in adduction of vocal cords, with consequent laringeal narrowing, mainly inspiratory dyspnea/apnea and choking feeling. This man...

Lesione nodulare retroauricolare in un lattante

E. Giacomoni, L. Pecorari, A. Savelli, P. Gagliano, S. Bitetti

2008/5 — pag. 327-329

We reported a 5 month-old infant case, admitted to our institution for a retroauricular mass. We described our diagnostic approach and the differential diagnosis that was progressively excluded. Lesions of the skull were present as lumps on the h...

Un percorso troppo breve

Antonio Pulella, Rocco Cavaliere, Angela Tisci, Marco Rabusin

2008/5 — pag. 319-321

A 10-year-old girl was admitted with a 3-month history of pain in her knee joints. The pain had been occasional, very short, particularly prominent at night, when she woke up and then fell asleep again. The knee joints were warm, but there was no li...

Aftosi orale ricorrente: una, nessuna, centomila

Gianluca Tornese, Ines L'Erario, Loredana Lepore, Giovanna Ventura, Federico Marchetti, Alessandro Ventura

2008/5 — pag. 291-299

Recurrent aphthous stomatitis (RAS) (also referred as aphthae or canker sores) is a common disorder affecting up to 60-70% of the general population at any time. Usually, RAS is a well-defined clinical condition (recurrent painful ulcers confined t...

Orticaria acuta post-infettiva

M.P. Pilia, R. Meneghetti, G. Longo

2007/10 — pag. 647-651

Acute urticaria related to infections is a benign manifestation in children, especially in infancy and early childhood. It typically happens at the same time or at the end of, or after, a viral infection. The eruption is self-limited, and episodes ...

Yersinia enterocolitica: diagnosi differenzialecon appendicite, adenomesenterite e mici

E. Miorin, P. Aragona, F. Colonna

2007/9 — pag. 597-598

We report a case of a 11-year old boy with Yersinia enterocolitica (YE) enteritis mimicking initially acute appendicitis. The following clinical course was characterized by persistent periciecal adenitis associated with elevated levels of inflamma...

Crostosità ricorrente Ostinata Herpes Negativa

M. Cutrone, M. Fontanin, F. Intini, G. Montesanto

2007/9

Yersinia enterocolitica: diagnosi differenziale con appendicite, adenomesenterite e MICI

E. Miorin, P. Aragona, F. Colonna

2007/9

Diplopia ed esoftalmo in pregressa tireopatia: un caso di pseudotumor cerebri

P. Cerutti, R. Esposito

2007/7 — pag. 459-461

The peculiarity of the present clinical case regarded a relatively benign pathology diagnosed by exclusion. It presented itself by an isolated symptom (diplopia) accompanied by a morphological characteristic (exophthalmus due to previous thyroid path...

Dal dolore alla diagnosi della malattia

F. Panizon

2007/5 — pag. 299-308

On the basis of the “unforgettable cases” drawn from personal experience, of the mistakes easily made in clinical practice, and especially of specific Literature mostly taken from the main consulting texts, the author tries to synthesize the use of t...

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 ...

Sarà un tumore!

B. Sacher

2007/4

La prova con il QuantiFERON TB-2G nella diagnosi differenziale fratubercolosi attiva e malattie da micobatteri non tubercolari

G. Bartolozzi

2007/2

Cani, roditori e...M.I.C.I.A.M.I.C.I

2006/9 — pag. 598-599

Presentazioni "Giovani" di Gastroenterologia

M. Bensa, Z. Cannioto, S. Norbedo

2006/6 — pag. 391-393

Un quadro clinico a cavallo fra sindrome dello shock tossico e malattia di Kawasaki: descrizione di un caso

C. Locatelli, M. Pocecco

2006/6 — pag. 391-393

Toxic shock syndrome (TSS) is a multiorgan failure disease with a sudden onset, fever, rash followed by desquamation, vomiting and diarrhea, hypotension, myalgia, mental confusion, conjunctivitis and strawberry tongue. It is caused by toxin-producin...

Una bambina con polipnea

M. Londero, S. Minisini, E. Faleschini, G. Messi, E. Barbi

2006/4

Dalla clinica all'esame strumentale: un ragazzo con sepsi e dolore alla gamba

Z. Cannioto, S. Storelli, F. Zennaro, J. Schleef, F. Marchetti

2006/2

Dalla clinica all'esame strumentale: un ragazzo con sepsi e dolore alla gamba

Z. Cannioto, S. Storelli, F. Zennaro, J. Schleef, F. Marchetti

2006/2

Un lattante distrofico

L. Calligaris, G. Cont, D. Codrich, F. Zennaro, F. Marchetti

2005/9

Un lattante distrofico

L. Calligaris, G. Cont, D. Codrich, F. Zennaro, F. Marchetti

2005/9

Un confetto sul petto

M. Cutrone, P. Cavicchioli, M. Chirico, et al.

2005/9 — pag. 609-610

Ancora biopsia? Forse sì!

S. Martelossi

2005/7 — pag. 440-455

Usually the diagnosis of celiac disease is an easy task, thanks to the availability of good serology tests and to the intestinal biopsy, which represents a precious chance of looking at the gluten toxicity right in the gut. Although the significant...

Delle chiazze agli arti inferiori stranamente persistenti

M. Cutrone

2005/2 — pag. 117-118

Una bambina con artrite reumatoide sistemica e febbre: è una ricaduta?

C. Oretti, M. Maschio, M. Lazzerini

2004/9

Il disturbo somatoforme e fittizio

F. Marchetti, M. Lazzerini, R. Aliverti, A. Ventura

2004/6 — pag. 377-381

Somatoform disorders are common among children and adolescents. The authors describes the clinical history of 4 out of 8 cases with somatoform or factitious disorders referred to the Hospital during a period of one year (total number of admission: ...

Semeiotica medica dell’abuso sessuale nei bambini prepuberi: requisiti e raccomandazioni

2004/4 — pag. 243-248

A document prepared by a multidisciplinary task force provides recommendations on medical evaluation of suspected sexually abused pre-pubertal children. The document identifies the objectives and the environmental requisites for the assessment, des...

L’abuso sessuale: un fantasma?

M&B

2004/4 — pag. 211-213

Una dattilite bilaterale simmetrica

M. Lazzerini

2004/2

Lesioni anulari simili, patologie diverse

S. Gangarossa, D. Cimino, N. Lucini

2004/2 — pag. 121-122

Febbre e rash con segno della mano gialla: è scarlattina?

M. Lazzerini

2004/1

Febbre e rash con segno della mano gialla: è scarlattina?

M. Lazzerini

2004/1

Un lattante con pianto, anemia e bassi valori di immunoglobuline

M. Lazzerini

2003/10

Sette piccoli indiani: riflessioni in merito a sette casi di eritrodermia a esordio precoce

L. D. Notarangelo

2003/8 — pag. 488

Porpora o P.........I? Ascoltare i genitori serve sempre

M. Curtone

2003/2 — pag. 125-126

Lesioni misteriose sulla pelle del neonato

G. D’Asero, E. Scaffidi

2002/10 — pag. 680

Il Malingering come causa di ricovero ospedaliero

R. Cerchio, C. Brondello, A. Lenhardt, A. Gagliardo, E. Barbi, A. Renata, F. Marchetti

2002/6

Pilomatrixoma “gigante” del volto

F. Arcangeli, M. Pierleoni, C. Fiorentini

2001/10 — pag. 696-697

Pilomatrixoma is the most frequent cutaneous adnexal tumor in children. Report of a case difficult to be diagnosed because of the presence of an inner effusion. Guide to differential diagnosis....

Un angioma traditore (malattia di Hashimoto-Pritzker)

M. Ranieri, U. Corsi, G. Belluzzi, A. Tonetto, G. Dianese, G. Sacchi

2001/3 — pag. 181-182

Sincope convulsiva indotta da visita medica

P. Miottello

2000/7 — pag. 460-462

Una massa mediastinica… di troppo

L. De Seta, G. Aurelio, M. Grimaldi

2000/2 — pag. 113-115

I Rom vanno a batteria

P. Meglio

1999/10 — pag. 662-663

Una calvizie troppo precoce

M. Cutrone

1999/6 — pag. 381-382

Epatite: l’alfabeto al di qua e al di là del mare

M. Marani, M. Pocecco

1999/3 — pag. 190-190

Linfoadeniti da micobatteri non tubercolari

F. Massei e coll.

1999/2 — pag. 95-101

Non-tubercolous mycobacteria (NTMB) are responsible for 6,2% of all diseases due to mycobacteria in Italy. Lymphadenitis is the most common infection due to NTBs. Differential diagnosis must be made with tubercolous lymphadenitis, cat-scatch diseas...

Fibrolipomatosi precalcaeale congenita:una curiosità che deve essere riconosciuta a prima vista

M. Cutrone

1999/1 — pag. 13

Una coxalgia che nasconde un perthes

1998/10 — pag. 645

Il caso di francesca: una orticaria "traditrice"

S. Castelli

1998/8 — pag. 543-544

Tre diagnosi per serena

M. Del Santo, C. Malorgio, M. C. Salvatore, M. Candusso

1998/7 — pag. 446

Una bimba a bocca aperta

A. Lavecchia

1998/7 — pag. 465-466

Una lesione cutanea lineare

M. Cutrone

1998/4 — pag. 255-256

Il meglio è nemico del bene

M. Frigerio, G. Caroni, G. Garbo, G. Ferrari

1998/2 — pag. 122-124

Non sempre eczema

G. Cavagni, A. Borghi

1997/9 — pag. 591-593

La figlia del professore

C. Apicella

1997/9 — pag. 589-590

Non sempre la tosse è "asma"

A. Boner

1997/8 — pag. 532-533