A rare cause of emergency department visit: Euphorbia helioscopia contact dermatitis

AbstractEmergency department visits due to dermatologic disease is quite rare. Euphorbia helioscopia is a widely distributed plant in rural areas. E. helioscopia related contact dermatitis (Irritant contact dermatitis or allergic contact dermatitis) are known however only a few case reported in literature. We are reporting on three patients with contact dermatitis from E. helioscopia. Irritant contact dermatitis was occurred only one of these cases. This case refused to wash face with water. We recommend washing the face with water after contact with E. helioscopia

Serumske razine prolaktina u diferencijalnoj dijagnostici pedijatrijskih epileptičnih i neepileptičnih (pseudo-)napadaja

The aim was to determine diagnostic value of serum prolactin levels in the diff erential diagnosis of epileptic and nonepileptic seizures in children. The study included 100 patients aged one month to 18 years, admitted to the hospital for seizure complaints. All patients underwent electroencephalography in the postictal period and their serum prolactin levels were measured at 10 min and 60 min of the postictal period. The mean 10-min serum prolactin level was 37.1±20.09 ng/mL and 16±14.59 ng/mL (p<0.01) in patients with epileptic and nonepileptic seizures, respectively. After grouping of patients with nonepileptic seizures, the mean 10-min serum prolactin level in patients with epileptic seizures and those with syncope was 37.1±20.09 ng/mL and 30.52±19.21 ng/mL (p>0.05), respectively. The mean 10-min prolactin level in patients with epileptic seizures and those with non-syncope epileptic seizures (night terror, conversion and breath holding spells) was 37.1±20.09 ng/mL and 10.9±5.95 ng/mL (p<0.01), respectively. In conclusion, serum prolactin level in the postictal period is an important marker in the diff erential diagnosis of epileptic and nonepileptic seizures. There was no signifi cant diff erence between serum prolactin levels in the diff erential diagnosis of epileptic seizures and syncope, but it had an important role in diff erentiating nonepileptic cases such as breath holding spells, night terror and hysterical conversions from epileptic seizures and syncope.Cilj ovoga ispitivanja bio je utvrditi dijagnostičku vrijednost serumskih razina prolaktina u diferencijalnoj dijagnostici epileptičnih i neepileptičnih napadaja u djece. U ispitivanje je bilo uključeno 100 djece u dobi od jednog mjeseca do 18 godina, primljenih u bolnicu zbog konvulzija. U svih bolesnika učinjena je elektroencefalografi ja u postiktalnom razdoblju, dok su njihove serumske razine prolaktina mjerene u 10. i 60. minuti postiktalnog razdoblja. Srednja 10-minutna razina prolaktina u serumu bila je 37,1±20,09 ng/mL i 16±14,59 ng/mL (p<0,01) u bolesnika s epileptičnim odnosno neepileptičnim napadajima. Nakon grupiranja bolesnika s neepileptičnim napadajima 10-minutna srednja serumska razina prolaktina u bolesnika s epileptičnim napadajima i onih sa sinkopom bila je 37,1±20,09 ng/mL odnosno 30,52±19,21 ng/mL (p>0,05). U bolesnika s epileptičnim napadajima i onih s ne-sinkopnim epileptičnim napadajima (noćne more, konverzija i epizode zadržavanja daha) srednja 10-minutna razina prolaktina bila je 37,1±20,09 ng/mL odnosno 10,9±5,95 ng/mL (p<0,01). Zaključuje se kako je serumska razina prolaktina u postiktalnom razdoblju važan biljeg u diferencijalnoj dijagnostici epileptičnih i neepileptičnih napadaja. Nije bilo značajne razlike među serumskim razinama prolaktina u diferencijalnoj dijagnostici epileptičnih napadaja i sinkope, ali je ta razina imala važnu ulogu u razlikovanju neepileptičnih slučajeva kao što su epizode zadržavanja daha, noćne more i histerične konverzije od epileptičnih napadaja i sinkope

Rare Giant Angiokeratoma of the Vulva: A Case Report

Background: Angiokeratoma of fordyce occurring over on the vulva is a rare condition. Fordyce angiokeratoma is observed more frequently among men than women. In women, it is generally observed in later life, and appears as multiple dark purple papules, measuring 2-4 mm, on the vulva. Case Report: We present the case of a 17-year-old white teenage girl with giant Fordyce angiokeratoma on the right vulva. The angiokeratoma was removed and a V-Y advancement flap was made. Conclusion: In the literature, this is the first childhood case reported in which a reconstruction of the vulva was performe

Congenital Epidermoid Cyst Results in Muscle Fusion Defect in the Upper Lip

Epidermoid cysts are rarely detected malformations in the oral cavity. Their development sites are the sublingual, submaxillary, and submandibular spaces. In this paper, we report a three-month-old infant who was admitted to our hospital due upper lip swelling. Magnetic resonance imaging showed that she had a two-centimeter cystic lesion and fusion defects of orbicularis oris muscle. The cyst was surgically removed and histopathological diagnosis was “epidermoid cyst.” In recent literature, we could not find reports related to orbicularis oris muscle fusion defects because of epidermoid cyst

How safe are children's shampoos?

Shampoos are daily care products designed to clean the hair and scalp. The aim of this study was to compare the contents of baby and newborn shampoos sold in supermarkets and pharmacies, determine the levels of substances reported to be dangerous to babies and newborns health in these shampoos. This cross-sectional study included 18 newborn and baby shampoos that families could buy at supermarkets and pharmacies in Turkey. For newborn and baby shampoos, the number of preservative substances have been determined. A total of 68 chemicals was found in these 18 shampoos, with an average of 14.83 ± 2.43 chemicals in each shampoo. Most of these chemicals were not recommended for use in children. Shampoos that contain numerous chemicals and substances confirmed to be harmful or have suspicious effects should not be recommended. It is clear that more studies are needed in this under-researched area. [Med-Science 2021; 10(2.000): 334-7

The Effects of Short- and Long-Term Therapy on Laboratory Parameters Among Pediatric Patients with Epilepsy Receiving Antiepileptic Drug Monotherapy

Objective:To evaluate the effect of short- and long-term treatment on laboratory parameters in patients diagnosed with epilepsy in childhood and receiving monotherapy (carbamazepine, valproic acid, phenobarbital, levetiracetam).Methods:This study included a total of 258 patients who were admitted to Adiyaman University pediatric neurology clinic between 1 October 2017 and 1 June 2019, diagnosed with epilepsy, and received monotherapy. Hematological, biochemical, and hormonal profiles were compared in the third and nine months following the initiation of monotherapy.Results:Of the patients, 115 (44.57%) were female and 143 (55.43%) were male. The mean age was 8.33 ± 3.51 (0-17) years. Examination of biochemical parameters showed that there was a statistically significant difference in creatinine levels in patients using levetiracetam and phenobarbital (p = 0.009, p = 0.031); calcium levels in patients using valproic acid (p = 0.002); and alanine aminotransferase levels in patients using carbamazepine (p = 0.045). Considering hematological parameters, a statistically significant difference was observed in white blood cell count levels in patients receiving valproic acid (p = 0.005); hemoglobin and hematocrit levels in those receiving carbamazepine (p = 0.010, p = 0.042); and platelet levels in patients receiving phenobarbital (p = 0.037). In all patients receiving monotherapy, there was no statistically significant difference between hormonal parameters (folate, 25-OH D3, vitamin B12, free t4, and TSH) measured in the third and ninth months.Conclusions:We recommend that AED therapy should be checked routinely to investigate the effects of treatment on hormonal, biochemical, and hematological parameters

An evaluation of clinical and epidemiological characteristics and autoantibody status of children with type 1 diabetes mellitus at presentation

Aim: The purpose of this study was to examine clinical and epidemiological characteristics and autoantibody status of children diagnosed with type 1 diabetes mellitus (DM) at presentation. Methods: The data retrieved from the medical records of 80 patients with type 1 DM, aged under 18 and diagnosed at the Adıyaman Education and Research Hospital, pediatric endocrinology clinic and emergency department between September 2016 and December 2021 were examined retrospectively. Patients’ symptoms at presentation and clinical and laboratory findings were recorded. Results: Thirty-four (42.5%) of the children with type 1 DM were girls and 46 (57.5%) were boys, with a mean age of 10.69±4.75 years. The presentation was most common in the 5-10 (33.8%) and 10-15 (31.3%) age groups. Diabetic ketoacidosis (DKA) was present in 36 (45%) of the children with type 1 DM at presentation, ketosis without acidosis in 30 (38%), and only hyperglycemia in 14. Sixty percent of the patients under five years of age, 48% of those in the 5-10 age group, and 33.3% of the 10-18 age group presented with DKA, and the frequency of presentation with DKA was higher among patients under five years of age than in the other age groups. Severe DKA findings were present in 13 (36%) cases, moderate findings in 10 (27.8%), and mild findings in 13 (36.1%). Anti-glutamic acid decarboxylase positivity was present in 14 cases (53.2%), islet cell antibody positivity in 37 (48%), and anti-insulin antibody positivity in 11 (14.2%). Conclusion: The incidence rate of DKA in children with newly diagnosed type 1 DM and the rate of severe ketoacidosis among them are quite high in the province of Adıyaman. This shows the need to continue diabetes awareness programs and to reach a larger number of people

Childhood horse and donkey bites; a single tertiary health center experience in a rural area

Background: The aim of this study was to examine the characteristics of patients presenting to a pediatric emergency department in a rural province of Turkey due to horse and donkey bites and to analyze whether these features differ from those of more common animal bites in rural areas. Materials and Methods: The records of patients presenting to the pediatric emergency department of a tertiary hospital due to horse and donkey bites over a 3-year period were examined retrospectively. Demographic data, month of presentation, animal species involved (horse or donkey), the body area bitten, treatment applied to the wound site, whether tetanus and rabies vaccinations were administered, and whether or not antibiotics were prescribed on discharge from the emergency department were recorded from these files. Results: The annual incidence of horse and donkey bites was determined as 7.8/100,000. Thirty-six patients, 24 (66.7%) boys and 12 (33.3%) girls, with a mean age of 95.6 ± 33.9 (48–190) months, were included in the study. Twenty-six patients (72.2%) were bitten by donkeys, and 10 (27.8%) by horses. Bites were most common in September (30.6%). The most commonly bitten areas were the back and/or upper extremities. Rabies vaccination was administered in all cases. Amoxicillin–clavulanic acid was prescribed in 28 (77.8%) cases. Conclusion: Horse and donkey bites are frequently observed in rural areas. The inhabitants of such areas should therefore be educated concerning horse and donkey bites. Health workers encountering such bites should behave in the same way as in more common animal bites in terms of patient management. Our results will be instructive for other developing countries similar to Turkey

An overview of the health status of Syrian refugee children in a tertiary hospital in Turkey

Objective: Migration is a problem affecting all family members, but particularly children. Child refugees are the highest risk group for the health systems of receiving countries. We investigated the health of 104 Syrian child refugees presenting to a tertiary hospital in Turkey. Settings and Design: A retrospective study was conducted in the pediatric clinic. Materials and Methods: The medical files of Syrian refugee children (0–18 years) presenting to Adiyaman University Hospital, Pediatric Clinic between 01 and 30 November 2015, were investigated. Demographic data, body measurements, and laboratory results obtained from patients' medical records were evaluated. Results: Mean age of patients was 53.5 ± 49.6 (2–198) months; 63 were male and 41 were female. Seventy-two patients (69.2%) were under 5 years of age. Weight in 20 patients (19.2%), height in 33 (31.7%), head circumference in 2 (1.9%), and body mass index in 7 (6.7%) were below the third percentile. All patients with body weight below the third percentile had chronic malnutrition. Anemia was present in 35 (50%) of the 70 patients for whom complete blood count data were available. Conclusion: Health workers involved with Syrian refugee children must consider the two preventable conditions; malnutrition and anemia