Adolescents with unexplained chest pain reported depression and impaired emotional and social functioning

AimChest pain is common in adolescence, but there are no established criteria for managing this problem, which is rarely associated with cardiac disease. This study addressed the gaps in the literature by evaluating psychosocial factors that could be associated with medically unexplained chest pain.MethodsWe consecutively selected 100 patients (68% girls) aged 13‐18 who were diagnosed with unexplained chest pain when they presented to the cardiology outpatient clinics of Tepecik Research Hospital, İzmir, Turkey, between 30 September 2015 and 30 June 2018. The controls were 76 age‐ and sex‐matched adolescents (69% girls) aged 13‐18 who were undergoing routine cardiology assessments before joining sports clubs. We assessed their health‐related quality of life and any depression and physical symptoms.ResultsRegression analysis showed some adolescents were a number of times more likely to report chest pain. These included those who reported boredom (4.1 times), felt stressed or anxious (2.2) and those who experienced sleep disturbance (2.6), co‐morbid headaches (2.0), back pain (3.1) and impaired social functioning (1.2).ConclusionThe results indicated a significant association between unexplained chest pain and physical symptoms, depression and impaired emotional and social functioning. These factors warrant further evaluation.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/156129/2/apa15144.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/156129/1/apa15144_am.pd

A PEDIATRIC CASE WITH SWYER JAMES MAC LEOD SYNDROME

Swyer James Mac Leod sendromu, pulmoner vasküler yapının kaybına bağlı oluşan, tek akciğer veya lobda radyolojik olarak hiperlüsensi ile karakterize, nadir ve kompleks bir tablodur. Çocukluk çağında geçirilen viral bronşiolit ve pnömoniler sonrası akkiz olarak geliştiği düşünülmektedir. Tek taraflı hiperlüsensi ile seyreden diğer birçok klinik tablodan ayırıcı tanısının yapılması gerekmektedir. Birçok hasta klinik bulgularla tanı alır ve bu hastaların patolojik bulguları ile ilgili literatürde sayılı olgu sunumları vardır. Biz tekrarlayan bronşiolitlerine ikincil olarak geliştiğini düşündüğümüz Swyer James Mac Leod sendromlu beş yaşındaki bir erkek hasta sunuldu. Swyer James Mac Leod syndrome is an uncommon and complex disease characterized by roentgenographic hyperlucency of one lung or lobe due to loss of the pulmonary vascular structure. This syndrome seems to be an acquired disease that follows viral bronchiolitis and pneumonitis in childhood. It must be differantiated from many other causes of unilateral lung that is hyperlucent. Most patients with this syndrome can be managed clinically, and whose pathological findings have been described in only a few reports. We describe here a five years old boy with Swyer James Mac Leod syndrome resulting in severe recurrent bronchiolitis

A PEDIATRIC CASE WITH CUTANEOUS LEISHMANIASIS

Leishmaniasis bazı kum sinekleri ile taşınan parazitik bir hastalıktır. Leishmania türleriintrasellüler yerleşim göstererek farklı klinik tablolar oluşturlar. Bunlar kutanöz, visseral vemukokutanöz leishmaniasis olarak adlandırılır. Dünyanın bir çok bölgesinde endemikenfeksiyon yapar. Kutanöz leishmaniasis, Türkiye\'nin batı ve güneydoğu bölgelerinde endemikolarak görülmektedir. Kliniği, parazit ve konak ile ilgili çeşitli faktörlere bağlı olarakoldukça farklılık gösterebilmektedir.Burada hastanemize başvurusundan iki yıl önce yüz bölgesinde ülseratif lezyonları ortayaçıkan ve lezyondan yapılan direk yaymalarında leishmania amastigotları görülen iki buçukyaşındaki erkek hastayı sunduk.Leishmaniasis is a parasitic disease that is transmitted through a bite of some species ofsandflies. It is caused by obliged intra-cellular protozoa of the genus Leishmania and isresponsible for a broad spectrum of clinical syndromes: cutaneous leishmaniasis, visceralleishmaniasis and mucocutaneous leishmaniasis. Leishmaniasis is an endemic infection inmany parts of the world. Cutaneous leishmaniasis is endemic in the western and southeasternparts of Turkey. Its clinical presentations are extremely diverse and dependent on avariety of parasite and host factors.Here we reported two years and six month old male child who had ulcerative lesions on theface that had persisted two years before the admission to our hospital and leishmaniaamostigotes were seen on direct smears prepared from the lesion

Acetaminophen induced nephrotoxicity in an adolescent girl

Acetaminophen induced nephrotoxicity is not a frequent consequence of acetaminophen overdose. The pathophysiology has been attributed to oxidative stress. Here, we report a 16-year-old female patient who developed non-oliguric acute renal failure without hepatotoxicity following ingestion of 14 tablets of 500 mg acetaminophen and recovered spontaneously in a week. (Turk Arch Ped 2011; 46: 343-5