Treatment Modalities in Children and Adolescents Suffering From HDM-induced Allergic Rhinitis and/or Asthma

94 children and 25 adolescents, 42% male and 58% female, aged predominantly between six and ten years old (40%) were studied at the Martagão Gesteira Childcare and Pediatrics Institute (Rio de Janeiro Federal University) between 2005 and 2011. The prevalent clinical form of vitiligo was the generalized type (34%). Although the clinical response was similar between the treatment modalities, we decided for low and high power topical steroids in our routine. Halo nevi were found in seven (5.9%) cases. Thirty (25%) patients underwent specialized evaluation and 18 (60%) reported some relevant psychological situation.

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Review: Psychological & Behavioural Treatments of Nonepileptic Seizures in Children and Adolescents

BJPsych Open ◽

10.1192/bjo.2021.791 ◽

2021 ◽

Vol 7 (S1) ◽

pp. S299-S299

Author(s):

Hemma Velani ◽

Julia Gledhill

Keyword(s):

Young People ◽

Children And Adolescents ◽

Epileptic Seizures ◽

Individual Therapy ◽

Treatment Modalities ◽

Future Research ◽

Control Group ◽

Physical And Mental Health ◽

Retrospective Case ◽

High Level

AimsTo systematically review Psychological and Behavioural treatments on NES in children and adolescents by reviewing the current literature.BackgroundNon-epileptic seizures (NES) are associated with a high level of functional impairment for young people and their families. However, there are no UK guidelines for the management of NES in children and adolescents or adults. Though information from the limited studies in adults may be useful, the findings may not be generalizable to children and adolescents. To date, we are unaware of any published systematic review on this topic in children and adolescents.MethodA systematic search of relevant electronic databases was conducted. Any study investigating the effectiveness of psychological and behavioural treatments on NES, in Children and Adolescents was included.ResultFifteen studies were identified, but only six studies had the primary aim of evaluating an intervention, and only one used a control group. The rest were observational studies that examined retrospective case notes.CBT and psychoeducation were identified as the most common interventions. Eleven out of the fifteen studies used multiple treatments, four looked at one treatment only, three of these CBT and one was a natural history study.Where individual therapy was provided, a common focus was management of anxiety, usually delivered in a flexible way, adapted to individual needs. Despite being identified as important in the literature, only one study demonstrated care that involved collaboration between physical and mental health teams.ConclusionIt's difficult to conclude from this review that one treatment approach is superior to another. The findings of this review offer some insight into current practise and may help to inform future research in this area. CBT and psychoeducation with a focus on anxiety are frequently included in interventions for NES in young people, and further evaluation of these treatment modalities could be a helpful next step.

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Relationship between exhaled nitric oxide and biomarkers of atopy in children and adolescents with allergic rhinitis

Acta Otorrinolaringológica Española ◽

10.1016/j.otorri.2021.06.003 ◽

2021 ◽

Author(s):

Ricardo J. Saranz ◽

Natalia A. Lozano ◽

Alejandro Lozano ◽

Graciela Alegre ◽

Paula Robredo ◽

...

Keyword(s):

Nitric Oxide ◽

Allergic Rhinitis ◽

Children And Adolescents ◽

Exhaled Nitric Oxide

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Allergic Rhinitis in Children and Adolescents

Pediatric Clinics of North America ◽

10.1016/j.pcl.2019.06.004 ◽

2019 ◽

Vol 66 (5) ◽

pp. 981-993 ◽

Cited By ~ 5

Author(s):

Charles Frank Schuler IV ◽

Jenny Maribel Montejo

Keyword(s):

Allergic Rhinitis ◽

Children And Adolescents

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Smell loss is associated with severe and uncontrolled disease in children and adolescents with persistent allergic rhinitis

The Journal of Allergy and Clinical Immunology In Practice ◽

10.1016/j.jaip.2017.12.031 ◽

2018 ◽

Vol 6 (5) ◽

pp. 1752-1755.e3 ◽

Cited By ~ 7

Author(s):

Franklin Mariño-Sanchez ◽

Meritxell Valls-Mateus ◽

Oliver Haag ◽

Isam Alobid ◽

Jean Bousquet ◽

...

Keyword(s):

Allergic Rhinitis ◽

Children And Adolescents ◽

Persistent Allergic Rhinitis ◽

Smell Loss

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Factors Contributing to the Utilization of Adult Mental Health Services in Children and Adolescents Diagnosed with Hyperkinetic Disorder

The Scientific World JOURNAL ◽

10.1100/2012/451205 ◽

2012 ◽

Vol 2012 ◽

pp. 1-6 ◽

Cited By ~ 5

Author(s):

Hilario Blasco-Fontecilla ◽

Juan J. Carballo ◽

Rebeca Garcia-Nieto ◽

Jorge Lopez-Castroman ◽

Analucia A. Alegria ◽

...

Keyword(s):

Mental Health ◽

Mental Health Services ◽

Health Services ◽

Children And Adolescents ◽

Psychiatric Comorbidity ◽

Female Gender ◽

Treatment Modalities ◽

Hyperkinetic Disorder ◽

Adult Mental Health ◽

First Diagnosis

Objectives. To examine whether age of First diagnosis, gender, psychiatric comorbidity, and treatment modalities (pharmacotherapy or psychotherapy) at Child and Adolescent Mental Health Services (CAMHS) moderate the risk of Adult Mental Health Services (AMHS) utilization in patients diagnosed with hyperkinetic disorder at CAMHS.Methods. Data were derived from the Madrid Psychiatric Cumulative Register Study. The target population comprised 32,183 patients who had 3 or more visits at CAMHS. Kaplan-Meier curves were used to assess survival data. A series of logistic regression analyses were performed to study the role of age of diagnosis, gender, psychiatric comorbidity, and treatment modalities.Results. 7.1% of patients presented with hyperkinetic disorder at CAMHS. Compared to preschool children, children and adolescents first diagnosed with hyperkinetic disorder at CAMHS were more likely to use AMHS. Female gender and comorbidity with affective disorders, schizophrenia, schizotypal and delusional disorders increased the risk of use of AMHS. Pharmacological or combined treatment of hyperkinetic disorder diagnosed at CAMHS was associated with increased risk of use at AMHS.Conclusions. Older age of first diagnosis, female gender, psychiatric comorbidity, and pharmacological treatment at CAMHS are markers of risk for the transition from CAMHS to AMHS in patients with hyperkinetic disorder diagnosed at CAMHS.

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Adolescent Catatonia Successfully Treated with Lorazepam and Aripiprazole

Case Reports in Psychiatry ◽

10.1155/2014/309517 ◽

2014 ◽

Vol 2014 ◽

pp. 1-4 ◽

Cited By ~ 1

Author(s):

Aaron J. Roberto ◽

Subhash Pinnaka ◽

Abhishek Mohan ◽

Hiejin Yoon ◽

Kyle A. B. Lapidus

Keyword(s):

Case Report ◽

Children And Adolescents ◽

Emotional Distress ◽

Successful Treatment ◽

Previous History ◽

Treatment Modalities ◽

Psychotic Symptoms ◽

First Episode ◽

Significant Impairment ◽

History Of

Catatonia is especially concerning in children and adolescents. It leads to significant impairment, including emotional distress, difficulty communicating, and other debilitating symptoms. In this case report, we discuss a patient with no previous history of neuroleptic medication or psychotic symptoms, presenting with first-episode catatonia in the presence of disorganized, psychotic thoughts. We then review the catatonia syndrome, citing examples in the literature supporting its underdiagnosis in children and adolescents, and discuss successful treatment modalities. It is important to diagnose and treat catatonia as efficiently as possible, to limit functional and emotional distress to the patient.

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