Early-onset Dopamine Transporter Deficiency Syndrome: Long-term Follow-up

Author(s):  
Margherita Baga ◽  
Carlotta Spagnoli ◽  
Luca Soliani ◽  
Grazia Gabriella Salerno ◽  
Susanna Rizzi ◽  
...  
2021 ◽  
pp. 097321792110483
Author(s):  
Tanushree Sahoo ◽  
Abhishek Somasekhara Aradhya ◽  
Kanya Mukhopadhyay

Antenatal steroids (ANS) are proven strategies to maximize outcomes of premature neonates without any major maternal side effects. Their use results in decreased incidence of neonatal mortality and major morbidities (respiratory distress syndrome, early onset sepsis, necrotizing enterocolitis, and intraventricular hemorrhage). However, due to concerns of long-term adverse effect (early onset hypertension and poor neurological outcome), a close follow-up is required. Similarly, due to lack of long-term follow-up data and potential risk of hypoglycemia, a cautious use is recommended in late preterms and elective cesareans. There is currently no consensus regarding preferential use of one ANS over the other. The current review therefore tried to address these issues for use of ANS in Indian prospective in light of recent emerging evidence. Due to better safety profile, lesser side effects, lower cost, and easy storage, we recommend dexamethasone as a steroid of choice for antenatal prophylaxis.


2019 ◽  
Vol 90 (11) ◽  
pp. 1291-1293 ◽  
Author(s):  
Elodie Hainque ◽  
Domitille Gras ◽  
Aurélie Meneret ◽  
Mariana Atencio ◽  
Marie-Pierre Luton ◽  
...  

2004 ◽  
Vol 18 (11) ◽  
pp. 661-665 ◽  
Author(s):  
Hugh J Freeman

Long-term follow-up data on Crohn's disease diagnosed before 20 years of age is limited. Mortality, intestinal malignancy and the need for resection were assessed in 224 patients with early-onset disease (96 males, 42.9%; 128 females, 57.1%). Mean follow-up was 12.2 years; more than 50% of patients were seen for over 10 years (almost 10% for over 25 years). Most patients were diagnosed from ages 13 to 19 years, rather than in childhood. Ileocolonic disease was most common (128 of 224; 57.1%), while upper tract involvement (42 of 224; 18.8%) was frequent. Complex disease with strictures (28.6%) or penetrating complications (46.4%) was common. To date, one patient with early-onset disease died from a drug overdose and one developed rectal cancer, but epithelial dysplasia has not been reported in endoscopic biopsies or resected intestine. One or more intestinal resections were required in 126 patients (56.3%; 58 males and 68 females). More than one resection was needed in 52 patients (23.2%). The mean time from diagnosis to first resection was 4.2 years and from first to second resection was 6.6 years, with most resections required in the first two years. Most patients who needed one or more resections had ileocolonic disease and had complex stricturing or penetrating disease. Information on long-term follow-up of early-onset Crohn's disease is crucial to avoid the direct extrapolation of adult data to children and adolescents.


1988 ◽  
Vol 63 (1) ◽  
pp. 5-9 ◽  
Author(s):  
R Bryant-Waugh ◽  
J Knibbs ◽  
A Fosson ◽  
Z Kaminski ◽  
B Lask

2008 ◽  
Vol 102 (1-3) ◽  
pp. 211
Author(s):  
G. Paul Amminger ◽  
Lisa Henry ◽  
Susy Harrigan ◽  
Henry Jackson ◽  
Jane Edwards ◽  
...  

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