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Amyand’s hernia in a child with permanent neonatal diabetes due to pancreatic agenesis.
Alessandro Giannattasio,Riccardo Campus,Monica Muraca,Giorgio Lucigrai
Pediatric Reports , 2009, DOI: 10.4081/pr.2009.e6
Abstract: Acute or perforated appendicitis within inguinal hernia is rarely encountered and it is known as Amyand’s hernia. We report on the first case occurring in a 4-year-old boy affected by permanent neonatal diabetes mellitus due to pancreatic agenesis, an extremely rare condition. The initial suspicion of inguinal hernia was confirmed by ultrasound examination of the right inguinal region which revealed omental layers inside a swollen inguinal canal; this finding and the clinical presentation allowed a prompt and appropriate surgical management. The careful evaluation of this patient and early recognition of this unique presentation of appendicitis allowed trans-hernial appendectomy and immediate herniorrhaphy. Ultrasonography played a pivotal role to reach the correct diagnosis and to start a prompt treatment.
Journal of Special Education and Rehabilitation , 1997,
Abstract: Pervasive developmental disorders represent obviously a heterogeneous group of disorders, whose clinical expressions, courses and prospects differ significantly. Common to all these disorders, expect essential diagnostic characteristics, is the fact that they are life-long problems, thus, these are disorders without possibility of complete relief. Although measures of secondary prevention in these disorders do exert a limited effect, it is possible to achieve indubitable improvements in three fields:· well-timed application of adequate treatment may influence the essential characteristics of a disorder in the direction of adaptation to requirements of social environment, improvement of communication and enrichment of poor activity repertoire;· slowing down and delaying of unfavorable disorder evolution and· helping in understanding, accepting and adapting of child’s family to a pervasive developmental disorder.Value of early established diagnosis is not reflected only in foundation of organized adequate treatment. Early established diagnosis enables a well-timed giving of genetic advice to the family which is, as a rule, young, and without genetic load. On the other hand, well-timed diagnosis enables planning of life-long complete care for the patient with the disorder.
Pervasive Developmental Disorders: Indian Scene
Savita Malhotra,Ashis Vikas
Journal of Indian Association for Child and Adolescent Mental Health , 2005,
Abstract: Pervasive developmental disorders (PDDs) are characterized by slow, limited andatypical developmental processes with onset in the early years of life. The condition leadson to disabilities in virtually all the psychological and behavioral sectors with prominentdisturbances in social, communicative and cognitive spheres. PDDs include theprototypic Childhood autism, Rett’s syndrome, Childhood Disintegrative Disorder(CDD), Asperger’s syndrome and Atypical autism. Except for one additional category(hyper kinetic stereotyped movement disorder in ICD-10), the disorders included in ICD10 (World Health Organization, 1992) and DSM IV (American Psychiatric Association,1994) are identical.
Agenesis of the dorsal pancreas
Wolfgang J Schnedl, Claudia Piswanger-Soelkner, Sandra J Wallner, Robert Krause, Rainer W Lipp
World Journal of Gastroenterology , 2009,
Abstract: During the last 100 years in medical literature, there are only 54 reports, including the report of Pasaoglu et al (World J Gastroenterol 2008; 14: 2915-2916), with clinical descriptions of agenesis of the dorsal pancreas in humans. Agenesis of the dorsal pancreas, a rare congenital pancreatic malformation, is associated with some other medical conditions such as hyperglycemia, abdominal pain, pancreatitis and a few other diseases. In approximately 50% of reported patients with this congenital malformation, hyperglycemia was demonstrated. Evaluation of hyperglycemia and diabetes mellitus in all patients with agenesis of the dorsal pancreas including description of fasting blood glucose, oral glucose tolerance test, glycated hemoglobin and medical treatment would be a future goal. Since autosomal dominant transmission has been suggested in single families, more family studies including imaging technologies with demonstration of the pancreatic duct system are needed for evaluation of this disease. With this letter to the editor, we aim to increase available information for the better understanding of this rare disease.
Systematic Observation of Children with Pervasive Developmental Disorders
Christine K. Syriopoulou- Delli
Review of European Studies , 2011, DOI: 10.5539/res.v3n1p54
Abstract: Observation is considered a reliable method for the recognition of behavioural, communicative, cognitive, sensory and motor difficulties. However, the assessment of children with pervasive developmental disorders (PDD) should not be confined to the application of one method (Kroustalakis 1994, Polychronopoulou 1995, Vosniadou, 1995). This article aims to present the method of systematic observation (value, aim, techniques and the role of observer), as well as to propose other techniques of assessment and diagnosis for children with PDD. The conclusion is that since PDD characteristics change during a child’s development and they vary among individuals, since diagnostic criteria and tools have not yet been commonly decided among professionals, causes of PDD are still under investigation and treatments have not been defined, systematic observation can contribute to the assessment of children with PDD and make the environment functional to child’s needs.
Co morbid Psychiatric Disorders in Pervasive Developmental Disorders
S.R. Girimaji,S.T. Biju,S. Srinath,S.P. Seshadri
Journal of Indian Association for Child and Adolescent Mental Health , 2005,
Abstract: Background: From a theoretical point of view, the issue of diagnosing co-morbidity in Pervasive Developmental Disorder (PDD) is controversial, with some researchers favouring the practice and others questioning it. From the clinical point of view, however, it is perhaps a useful practice, as specific strategies can be directed towards alleviation of these disorders once they are identified. Some recent studies have been able to recognise several disorders such as depressive disorder, anxiety disorder, bipolar disorder etc. Aim: To systematically assess a sample of children and adolescents with PDD for diagnosable comorbid disorders using ICD-10/ DSM-IV. Methods: Subjects from the Child & Adolescent Psychiatry services of NIMHANS diagnosed to have PDD as per ICD-10 were evaluated using the Missouri Assessment of Genetic Interview for Children (MAGIC), Children’s Yale-Brown Obsessive Compulsive Scale, Childhood Autism Rating Scale and Conners Abbreviated Rating Scale. Diagnosis (DSM-IV) was arrived by using MAGIC, supplemented by ratings on the other instruments and clinical evaluation. Results: There were 45 males and 5 female subjects with age ranging from 1 year 8 months to 16 years. Co-morbidity was evident in 46% of the sample in the form of ADHD, anxiety disorders including obsessive compulsive disorder, bipolar affective disorder and circadian rhythm disturbance of sleep. Comorbidity was found to be associated with more (normal and mildly impaired) or less developed (severely impaired) language system. Conclusion: Almost half of the sample in the study had a diagnosable co-morbidity. There was a significant group of cases with subsyndromal diagnoses.
Agenesis of the dorsal pancreas  [cached]
Lale Pasaoglu, Murat Vural, Hatice Gul Hatipoglu, Gokce Tereklioglu, Suha Koparal
World Journal of Gastroenterology , 2008,
Abstract: Developmental anomalies of the pancreas have been reported but dorsal pancreatic agenesis is an extremely rare entity. We report an asymptomatic 62-year-old woman with complete agenesis of the dorsal pancreas. Abdominal computed tomography (CT) revealed a normal pancreatic head, but pancreatic body and tail were not visualized. Magnetic resonance imaging (MRI) findings were similar to CT. At magnetic resonance cholangiopancreatography (MRCP), the major pancreatic duct was short and the dorsal pancreatic duct was not visualized. The final diagnosis was dorsal pancreatic agenesis.
Aripiprazole Improves Social Interaction in Taiwanese Children with Pervasive Developmental Disorder  [PDF]
Shu-Chi Huang,Shih-Jen Tsai,Hao-Jan Yang
Chang Gung Medical Journal , 2010,
Abstract: Aripiprazole, an atypical antipsychotic, is effective in children with psychosis and fewadverse effects have been reported. However, little is known about the efficacy and safety ofaripiprazole in the treatment of autistic or other pervasive developmental disorders. Wereport three children with pervasive developmental disorders who were treated with aripiprazolefor associated behavioral syndromes. Aripiprazole significantly improved the socialinteraction of all three children. Furthermore, two patients also showed significant improvementin depression/anxiety syndromes. The outcomes achieved with aripiprazole in thesecases suggest that it is a potential therapeutic agent for children with pervasive developmentaldisorders.
A case of pervasive developmental disorder with chromosomal translocation 1-4
Tarelho, Luciana G.;Assump??o Jr., Francisco B.;
Arquivos de Neuro-Psiquiatria , 2007, DOI: 10.1590/S0004-282X2007000100031
Abstract: a 5-year-old girl is described as pervasive developmental disorder associated to chromosome 1-4 translocation, being such association not described till this moment in specialized literature.
Instrument to screen cases of pervasive developmental disorder: a preliminary indication of validity
Sato, Fábio Pinato;Paula, Cristiane Silvestre;Lowenthal, Rosane;Nakano, Eduardo Yoshio;Brunoni, Décio;Schwartzman, José Salom?o;Mercadante, Marcos Tomanik;
Revista Brasileira de Psiquiatria , 2009, DOI: 10.1590/S1516-44462009000100008
Abstract: objective: to translate into portuguese, back-translate, culturally adapt and validate a screening instrument for pervasive developmental disorder, the autism screening questionnaire, for use in brazil. method: a sample of 120 patients was selected based on three groups of 40: patients with a clinical diagnosis of pervasive developmental disorder, down syndrome, or other psychiatric disorders. the self-administered questionnaire was applied to the patients' legal guardians. psychometric measures of the final version of the translated questionnaire were tested. results: the score of 15 had sensitivity of 92.5% and specificity of 95.5% as a cut-off point for the diagnosis of pervasive developmental disorder. internal validity for a total of 40 questions was 0.895 for alpha and 0.896 for kr-20, ranging from 0.6 to 0.8 for both coefficients. test and retest reliability values showed strong agreement for most questions. conclusions: the final version of this instrument, translated into portuguese and adapted to the brazilian culture, had satisfactory measurement properties, suggesting preliminary validation proprieties. it was an easy-to-apply, useful tool for the diagnostic screening of individuals with pervasive developmental disorder.
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