scholarly journals Oral Manifestations in Scurvy Pediatric Patients: A Systematic Review and a Case Report

2021 ◽  
Vol 11 (18) ◽  
pp. 8323
Author(s):  
Maria Francesca Gicchino ◽  
Antonio Romano ◽  
Speranza Cioffi ◽  
Fausto Fiori ◽  
Emanuele Miraglia del Giudice ◽  
...  

Scurvy is generated by lack of vitamin C; although it is considered a rare and past disease, scurvy continues to be detected in children with neurodevelopmental disorders and with selective diet habits. Identifying scurvy can be demanding due to the perceived rarity of the condition, and it can become a tricky diagnostic question given to the variety of nonspecific symptoms, including gingival manifestations. This study aims to identify most common clinical features in order to provide a complete picture of the signs and symptoms, and to offer clinicians the diagnostic tools for identifying patients suffering from scurvy. We present a case report of a child affected by scurvy; it has also been performed as a systematic review about scurvy in pediatric population. A search yielded 107 relevant studies since 1990. Most of the identified cases have shown oral, musculoskeletal and cutaneous manifestation that improved within a few days of starting vitamin C therapy. Identifying scurvy’s characteristic clinical features allows a timely diagnosis, thus avoiding invasive investigations. Pediatric dentists should possess adequate knowledge and experience to identify the main characteristics of scurvy. This can help facilitate a prompt diagnosis in order to provide timely intervention to the patient that is relatively ease and safe.

1970 ◽  
Vol 22 (1) ◽  
pp. 142-143
Author(s):  
M Nowshad Ali ◽  
S Hoq Miah ◽  
M Meharunnesa ◽  
SM Badruddoza ◽  
Mushtaque Ahmed

Adrenocortical carcinoma is an uncommon tumour in the pediatric population. Account for only a small fraction of pediatric adrenal tumour. Most tumors in children are functional, and virilization is by far the most common presenting symptom, followed by Cushing's syndrome and precocious puberty. All patients with suspected adrenocortical carcinoma should be carefully evaluated for signs and symptoms of hormonal syndromes. DOI: 10.3329/taj.v22i1.5039 TAJ 2009; 22(1): 142-143


2020 ◽  
Vol 14 (4) ◽  
pp. 135
Author(s):  
Ryan Yudistiro ◽  
Ivana Dewi Mulyanto ◽  
Febby Hutomo ◽  
Daniel Chung ◽  
Andree Kurniawan ◽  
...  

Introduction: Lymphoma and tuberculosis in several cases share similar clinical features that are difficult to differentiate. Lymphadenopathy, fever, malaise, weight loss, and respiratory symptoms are clinical features that could be found in both lymphoma and tuberculosis. Positron Emission Tomography/Computed Tomography Fluorodeoxyglucose (F-18 FDG PET) is a pivotal modality for imaging patients with cancer. Several non-malignant diseases like tuberculosis infection show high FDG uptake and lead to low specificity of F-18 FDG PET.Case Presentation: This case report describes a 55-year-old male patient with a history of Diffuse Large B-cell Lymphoma (DLBCL) who was suspected of having a recurrent disease. The patient has had a 6-month remission period after 6 cycles of R-CHOP regimen chemotherapy. He denied any known history of tuberculosis infection and HIV. F-18 FDG PET was performed to assess the extent of suspected lymphoma recurrent disease. F-18 FDG PET demonstrated multiple hypermetabolic bilateral neck region, mediastinum, and bilateral axilla lymphadenopathies. There were also multiple high FDG uptakes in the liver, mesocolon, and bones. The patient was suspected of having a lymphoma recurrent disease based on these findings. He underwent an excisional biopsy in the neck and was found to have lymphadenitis granulomatous disease from tuberculosis. Based on the histopathology finding, the patient received anti-tuberculosis drugs for 12 months and showed relief of signs and symptoms. F-18 FDG PET for anti-tuberculosis treatment evaluation revealed a complete metabolic response.Conclusion: Tuberculosis should be one of the differential diagnoses when a lymphoma recurrent disease is suspected. Clinical features, laboratory results, and imaging findings sometimes show similarities between lymphoma and tuberculosis. Histopathology evaluation is mandatory to confirm the diagnosis.


2018 ◽  
Vol 08 (02) ◽  
pp. 103-107
Author(s):  
Nii Koney ◽  
Chelsea Benmessaoud ◽  
Kalonji Cole ◽  
Yonca Bulut ◽  
Eric Yang ◽  
...  

AbstractInfective endocarditis (IE) in the pediatric population is uncommon and presents with nonspecific signs. Nonetheless, prompt diagnosis and management are critical given its high mortality rate. We present the case of a 15-year-old boy who initially presented with bilateral multifocal pneumonia and was found to have IE with a right ventricular vegetation. The vegetation was removed percutaneously, obviating a more invasive surgical approach. The patient tolerated the procedure well and rapidly improved following removal of the vegetation. This case report highlights the utility of a novel, minimally invasive approach for the management of cardiac masses.


2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Kwasi K. Ampomah ◽  
Brian C. Clark ◽  
William D. Arnold ◽  
Daniel Burwell

Abstract Mal de Debarquement syndrome (MdDS), also known as disembarkment syndrome, is a benign neurological condition characterized by a feeling of rocking, bobbing, or swaying, usually presenting after an individual has been exposed to passive motion as from being on a cruise, long drive, turbulent air travel, or train. Clinical awareness about this condition is limited, as is research; thus, many patients go undiagnosed. In this case report, the authors describe a case of a severe headache as a major presenting symptom of MdDS in a 46-year-old woman who eventually attained full resolution of symptoms. This report aims to highlight this unique presentation and make practitioners more aware of the cardinal clinical features, to assist in prompt diagnosis of this disorder.


2020 ◽  
Vol 1 (1) ◽  
pp. 56-59
Author(s):  
Saleem Ullah Khan ◽  
Muhammad Kamran ◽  
Asim Ur Rehman ◽  
Muhammad Ramzan ◽  
Imran Hashim ◽  
...  

Background: Foreign body ingestion by children is a commonly encountered problem and accounts for a significant emergency visits among pediatric population. Although these ingested foreign bodies pass spontaneously and uneventfully, a subset of such bodies may become trapped in the digestive tract, eventually leading to significant injury. Most of these bodies are radio-opaque and detectable radiologically, but some radio-lucent may become a diagnostic dilemma and subtle management issue. Case Report: We report a case of a one-year girl who presented after accidental ingestion of foreign body with signs and symptoms of acute intestinal obstruction. Initially we were unable to diagnose the cause, but later the radiological investigation suspected a mesenteric cyst. After failure to respond to conservative measures she underwent exploratory laparotomy, and a jelly ball was removed from the gut. The patient had uneventful post-operative recovery and was kept on follow-up for three months without any complication. Conclusion: These patients do not respond to conservative measures and need surgery on an emergency basis. It is likely that if left untreated may have caused Intestinal perforation and irreversible shock. Radiolucent foreign bodies are difficult to diagnose and need high level of suspicion. Need of the hour is to educate the parents to be extra vigilant as “prevention is better than cure”.


2020 ◽  
Vol 13 (1) ◽  
pp. 62-74
Author(s):  
Nurun Nahar Fatema ◽  
Nure Ishrat Nazme ◽  
Md Ashfaque Ahemmed Khan ◽  
Abdullah Al Amin ◽  
ATM Asadullah Kaisar Sujan

From last two decades, coronaviruses have led to three major outbreaks that started from 2002 with SARS-CoV, then MERS-CoV in 2012 and currently SARS-CoV-2 (COVID-19). There is limited data regarding the demographics and clinical features of SARS-CoV-2 infection in children. This information is especially important as pneumonia is the single leading cause of death in children worldwide. This Systematic Review aims to elucidate a better understanding of the epidemiologic, clinical and diagnostic findings, treatment and prevention options as well as global impact of COVID- 19 on the pediatric population with a focus on status in Bangladesh. Cardiovasc. j. 2020; 13(1): 62-74


2020 ◽  
Vol 47 (2) ◽  
pp. 173-180
Author(s):  
Ignacio Javier Fernandez ◽  
Francesco Maria Crocetta ◽  
Irene Pelligra ◽  
Luca Burgio ◽  
Marco Demattè

2018 ◽  
Vol 11 ◽  
pp. 117863881880909 ◽  
Author(s):  
Claire Ann Callus ◽  
Samantha Vella ◽  
Peter Ferry

Background and objective: Scurvy, caused by vitamin C deficiency, first described by Hippocrates, is known to many as ‘The Pirates’ Disease’. Although a disease rarely acknowledged in modern medicine, we present 2 cases of elderly gentlemen found to have scurvy, who improved significantly on treatment. Methods: This study presents a case report of 2 patients undergoing rehabilitation at Karin Grech Hospital in Malta, noted to have signs and symptoms of vitamin C deficiency. Vitamin C levels were found to be low and thus supplementation was administered. Results: After a few weeks, a significant improvement was noted in level of frailty, mood, bleeding tendency, and gum health. Conclusions: The modern doctor must keep this ancient disease in mind, as it presents insidiously with debilitating repercussions, particularly in older people who are at a higher risk. It is easily treatable once detected.


2014 ◽  
Vol 2014 ◽  
pp. 1-3
Author(s):  
Andrew Fu Wah Ho ◽  
Tallie Wei-Lin Chua ◽  
Puneet Seth ◽  
Kenneth Boon Kiat Tan ◽  
Sohil Pothiawala

Background. Blunt thoracic aorta injury (BAI) is second only to head injury as cause of mortality in blunt trauma. While most patients do not survive till arrival at the hospital, for the remainder, prompt diagnosis and treatment greatly improve outcomes. We report an atypical presentation of BAI, highlighting the diagnostic challenges of this condition in the emergency department.Case Presentation. A previously well 25-year-old male presented 15 hours after injury hemodynamically stable with delirium. There were no signs or symptoms suggestive of BAI. Sonography showed small bilateral pleural effusions. Chest radiograph showed a normal mediastinum. Eventually, CT demonstrated a contained distal aortic arch disruption. The patient underwent percutaneous endovascular thoracic aortic repair and recovered well.Conclusion. This catastrophic lesion may present with few reliable signs and symptoms; hence, a high index of suspicion is crucial for early diagnosis and definitive surgical management. This paper discusses the diagnostic utility of clinical features, injury mechanism, and radiographic modalities. Consideration of mechanism of injury, clinical features, and chest radiograph findings should prompt advanced chest imaging.


2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
Ghadah A. Malki ◽  
Emad A. Al-Badawi ◽  
Mohammad A. Dahlan

The presence of teeth at birth (natal teeth) or within a month after delivery (neonatal teeth) is a rare condition. Natal and neonatal teeth are conditions of significant importance to pediatric dentists and pediatricians. This report discusses a case in which a five-day-old infant required extraction of a mobile mandibular natal tooth to avoid the risk of aspiration and interference with feeding. Also, a review of the literature was conducted to discuss the etiology, clinical features, complications, and management of natal and neonatal teeth.


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