Goldenhar Syndrom

Background : Hemifacial microsomia or Goldenhar syndrome is a congenital abnormality that it's main features are an one-sided under development of ear (or Artesia), jaw and neck. This syndrome is associated with additional anomalies and from view point of phenotype is highly variable. Case Report: The case was a one day old girl born to a 30 years old woman by normal vaginal delivery. Congenital abnormalities were noted on physical examination and included right microtia with ear canal Artesia ,hypertelorism ,micrognatia ,defect between the right ear and lip and cardiac murmur. Conclusion: Goldenhar Syndrome is a congenital abnormally which manly affects face, but another organs involvement should be considered .Cardiac problems are the main causes of death in these patients

Allgrove (AAA) Syndrome manifestations after gastroenteritis: A case report

Allgrove (AAA) syndrome or familial glucocorticoid deficiency or Tripple A Syndrome is a rare genetic disorder with transmitted autosomal recessive. Allgrove and colleagues first described this syndrome in 1978. Allgrove Syndrome characterized by Adrenal insufficiency, Alacrima and Achalasia. Neurological and dermatological findings may be presented in some patients. Hyperpigmentation and Alacrima are diagnostic key findings in Allgrove Syndrome. In this report we describe a 2 year old patient with the clinical picture of Allgrove Syndrome after gasteroenteritis

Analgesic effect of expressed breast milk in neonates during venipuncture in comparison with formula and 50% dextrose

Background: Newborn infants routinely may undergo invasive procedures, even after uncomplicated birth. Evidence shows that neonates do feel pain and may even have increased sensitivity to pain and to its long term effects compared with older infants . Non pharmacologic interventions are valuable for pain relief during minor procedures in neonates. The aim of this study was to asses the effectiveness of expressed breast milk)EBM( in reducing pain due to venipuncture and its comparison with formula and 50% dextrose solution . Materials and Methods: A clinical trial study was conducted in 30 term neonates. Each infant received 3 treatments with EBM , formula and 50% dextrose solution during consecutive venus blood sampling and their responses were measured by behavioral acute pain rating scale for neonates (DAN Score ) . This study was done in form of double blind and observers were unaware of the prescribed matter. Results: This study showed that pain score significantly is lower in neonates who received EBM (P<0.001) .There was no statistical relationship between age , sex and weight with pain score . Conclusion : Expressed breast milk effectively reduces pain of venipuncture in term neonates and it could be natural, noninvasive and available analgesic particularly when mother can not be present to breastfeeding