RESUMO
We review the cases of 148 children with Henoch-Schönlein purpura diagnosed in a period of seventeen years (from 1975 to 1992). Thirteen cases (8.7%) of unusual clinical manifestations were found: testicular affection in six cases (7.6% of the males); IgA nephropathy in four (2.7%); exudative enteropathy in two (1.3%); duodenal syndrome in two; previous abdominal manifestation which led to surgical procedures in one (0.7%) and another case with detachment of the retina. These clinical findings are analyzed and the possibility of unnecessary therapeutic acts is discussed.
Assuntos
Vasculite por IgA/diagnóstico , Criança , Pré-Escolar , Duodenopatias/complicações , Feminino , Glomerulonefrite por IGA/complicações , Glomerulonefrite por IGA/imunologia , Humanos , Vasculite por IgA/complicações , Masculino , Prontuários Médicos , Enteropatias Perdedoras de Proteínas/complicações , Descolamento Retiniano/complicações , Estudos Retrospectivos , Doenças Testiculares/complicaçõesRESUMO
Kidney disease Prevention in childhood can be made from three levels. In the first level or Primary Prevention one must prevent kidney disease taking steps for "Kidney Health" promotion: environmental factors, nourishing, sanitary education and preventive pediatrics. Secondary Prevention lies in the correct diagnostic during first years in life and in a suitable treatment of the kidney diseases, especially in children to have a kidney failure risk: obstructive uropathy and vesicoureteral reflux. Tertiary Prevention deals with aggravating factors in an established Kidney chronic failure, and its prevention includes: normoproteic diet, phosphorus restriction, arterial hypertension control and nutritional and pharmacological steps to reduce the hyperlipidemia.
Assuntos
Nefropatias/prevenção & controle , Adolescente , Fatores Etários , Criança , Fenômenos Fisiológicos da Nutrição Infantil , Pré-Escolar , Proteínas Alimentares/administração & dosagem , Feminino , Humanos , Hiperlipidemias/prevenção & controle , Hipertensão/prevenção & controle , Lactente , Recém-Nascido , Nefropatias/diagnóstico , Falência Renal Crônica/prevenção & controle , Masculino , Fósforo/administração & dosagem , Fatores de RiscoRESUMO
Two new cases with parathyroid insufficiency syndrome are described. The first one is a seven year and 6 months old male with Pseudohypoparathyroidism Type Ia, who has presented: hypocalcemia, hyperphoforemia, increased PTH and TSH, prolactin decreased and Albright hereditary osteodystrophy phenotype. The second one in a six year and four months old female with Pseudo-idiopathic hypoparathyroidism who has presented: hypocalcemia, hyperphosforemia, increased PTH, without any hormonal disturbances nor dysmorphias. Ellsworth-Howard test with 50 micrograms of 1-34 hPTH is made in both, remarking the different renal response about phosphaturia and plasmatic, urinary and nephrogenic cyclic AMP. The treatment is performed in both with calcitriol and oral calcium (L-Thyroxine is associated for the first patient). Biochemical disturbances are normalized. Other parathyroid insufficiency syndrome are revised.