Non Ketotic Hyperglycinemia: A Case Report

Non-ketotic hyperglycinemia is a rare autosomal recessive trait caused by deficiency of glycine cleavage enzyme system, resulting in high level of glycine in all tissue including the brain. Neonatal hyperglycinemia is the most common form of NKH. Between 6 hours to 8 days after birth neonate develops poor feeding, failure to suck, lethargy, and profound hypotonia which may progress rapidly to a deep coma, apnea, c...

Infantile Autism and Covid-19: Reorganize Rehabilitation Assistance during the Period of the Quarantine forced by Coronavirus

The health situation relating to the Covid-19 emergency resulted in the suspension of individual rehabilitation projects aimed at children with disabilities; for these children and caregivers there was a need to reorganize the rehabilitation services to ensure continuity of care by ensuring the highest level of care compatible with public health needs. The Multimedia Rehabilitation Assistance Project (ARM), aimed...

Investigation of an Infant with Failure to Thrive

Over investigation continues to be a problem in the modern health care. Here we present a case of infant with failure to thrive, who went through a series of unnecessary investigations. We propose teaching residents a case-based diagnostic approach to investigation. A detailed history and complete physical examination would help in eliminating the need for intensive investigation. A ‘car wash’ approach in investig...

Parent-Child Co-Dependency’s: Co-Laziness, Co-Suicidality, Co-Obesity and Other Dependencies: Review and Impact in Pediatric Psychology

Background: The term “co-dependency” originates from the realm of addiction psychology. Co-dependency mechanisms may also appear between parents and children. The Covid-19 situation and the confinement restrictions highlight some of these issues, which may be exacerbated by the current environment. Objective: Provide an overview of clinical observations in parent-child codependencies and propose a biopsychosocial...

Review of Psychosocial Aspects in Adolescent Patients with Bronchial Asthma

Bronchial asthma is the most common chronic disease among the child and adolescent population, involving an overburden on the children and their families, because they have to change their lifestyles to comply with the requirements of treatment. Method: We used the WOS and Proquest databases, and selected scientific articles in English, using adolescent participants. The objective was to analyze articles from 2015...

Fanconi Anemia - A Rare Case Report

Background: Fanconi Anemia, though rare, is the most common form of constitutional aplastic anemia with an autosomal recessive (except one x linkage) inheritance that results from defects in genes with 16 complementation groups that modulate the stability of the DNA characterized by diverse congenital malformations, progressive pancytopenia, and predisposition to both hematological malignancy and solid tumors. Con...

“Ranula” - A Cystic Swelling in Floor of Mouth

A 14 year old female presented with one year history of gradually progressive swelling under the tongue along with mild discomfort during swallowing. There is no history of trauma. The swelling was not associated with fever or purulent discharge. On physical examination, there was a soft, nontender, fluctuant, bluish swelling of about 4cm diameter on the right side of the floor of the mouth crossing midline and re...

Epitheloid Hemangioendothelioma of the Lung in Children – A Case Report and Review of the Literature

Background: Epitheloid Hemangioendothelioma (EHE) is a rare vascular tumor and occurrence in childhood is uncommon. Patients have unspecific symptoms and are often accidentally identified on chest X-ray. There is no established standard treatment. Case presentation: A 4-year-old boy with pulmonary EHE was presented initially with abdominal pain and dyspnoea. Due to the involvement of both lungs, operative interven...