Clinical Presentation of Acquired Hypothyroidism and Associated Disorders in Children and Adolescents at King Abdul-Aziz University Hospital in a Western Region of Saudi Arabia

AbstractBackground:The objectives were to describe the frequency of clinical presentation at the onset of type 1 diabetes mellitus (T1DM) and to estimate the prevalence of T1DM among children and adolescents in the AL-Baha region, Saudi Arabia, aiming for early diagnosis of T1DM.Methods:The clinical and laboratory data of 471 children and adolescents who presented with T1DM and received medical care at an AL-Baha diabetic center during the period from 2007 to 2016 were retrospectively analyzed based on the records.Results:The prevalence of T1DM in the AL-Baha region was 355 per 100,000 population in participants aged from 0 to 19 years. T1DM was more common among girls than boys (57.5% vs. 42.5%, respectively; p=0.3), and the female/male ratio was 1.36 in favor of girls. Hyperglycemic symptoms were the most frequent symptoms at presentation [59.2% vs. 40.8% with diabetic ketoacidosis (DKA)], and 37% of them presented with loss of weight. Most of the ketoacidosis was mild to moderate (80.2%), while only 19.8% of children had the severe type and DKA was more common (55.2%) among females. The mean age at diagnosis of T1DM was 8.2±3.5 years for all patients, and 8.3±3.9 and 8.9±3.6 years for boys and girls, respectively (p=0.06). Hyperglycemic symptoms were more common in spring (15.9%).Conclusions:The prevalence of type 1 diabetes in the AL-Baha region was 355 per 100,000 population, which is one of the highest reported prevalences in this age group. Hyperglycemic symptoms were the most encountered symptoms at the onset of the presentation of T1DM and this may help in early detection of diabetic symptoms by patients and physicians to avoid the more severe types of presentation.

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Correlation among Bone Health Profile, Vitamin D Status and Body Weight among Children and Adolescents in the Western Region of Saudi Arabia

Journal of Patient Care ◽

10.4172/2573-4598.1000122 ◽

2017 ◽

Vol 02 (03) ◽

Author(s):

Abdulmoein Eid Al Agha ◽

Abdalla Fawaz Mahmoud ◽

Abdullah Ahmed Alshein ◽

Nuha Hazem Bukhari ◽

Majed Abdulkarim Alaama ◽

...

Keyword(s):

Vitamin D ◽

Saudi Arabia ◽

Body Weight ◽

Children And Adolescents ◽

Bone Health ◽

Western Region ◽

Health Profile ◽

Vitamin D Status ◽

The Western Region

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Anaphylaxis in Children: Experience of an Egyptian Center

QJM ◽

10.1093/qjmed/hcab113.050 ◽

2021 ◽

Vol 114 (Supplement_1) ◽

Author(s):

Mohamed Hesham Mohamed Ezzat ◽

Ghada Abdel Haleem Shousha ◽

HebatAllah Mohammed Salah Gabal ◽

Mousa Mohamed Hani Mousa

Keyword(s):

Children And Adolescents ◽

Clinical Presentation ◽

University Hospital ◽

Early Management ◽

Egyptian Children ◽

Long Term Follow Up ◽

Life Threatening ◽

Term Management

Abstract Introduction Anaphylaxis is a potentially life threatening allergic reaction that is rapid in onset and multisystemic in nature. Distribution of anaphylaxis tends to fluctuate based on age, gender, race, geographical residence and socioeconomic status of the involved subjects. Diagnosis of anaphylaxis in children is generally underestimated particularly in developing countries, and when diagnosed, proper management is occasionally lacking. Aim of the study to evaluate the frequency and pattern of anaphylaxis and mistakes in diagnosis and treatment among a group of Egyptian children and adolescents. Subjects and methods This observational study was conducted over 12 months duration, from 1st of March 2019 to the end of February 2020, in Children’s hospital, Ain Shams University, Cairo, Egypt, on children presenting to emergency department (ED). Anaphylaxis frequency, clinical presentation, triggers, diagnosis, management and long term follow up were assessed. Results frequency rate of anaphylaxis among children and adolescents was 0.43% (80/18816) over a year. Sixty percent of patients were infants. Biphasic reactions were reported in 11.3% of patients. The commonest trigger was food (22.5%) followed by medications (8.8%). Appropriate diagnosis of anaphylaxis by junior pediatricians was reported in all patients, with epinephrine given in most occasions in proper dosage and method (78.7%). Education of children and their caregivers, providing written plan, ready-to-use epinephrine and follow up appointment were deficient. In conclusion Anaphylaxis in children was relatively high particularly in infants, with food being the most common trigger. Diagnosis and early management of anaphylaxis in our University hospital was satisfactory, however, long term management and follow up were defective.

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