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Turkish Journal of Pediatrics

Murat Yiğiter, Ahmet Bedii Salman
Suprapubic catheterization is commonly used to drain urine temporarily from the bladder. Although it is a commonly performed procedure, it is not without complications. Many of these complications related to surgical technique. However, some unpredictable complications are related to the catheter itself. Intravesical catheter knotting is a very rare event and usually has been reported in feeding catheters used as an urethral catheter. We report a case of a suprapubic Cystofix catheter knot, removed by sustained traction...
2016: Turkish Journal of Pediatrics
Erdal Kurnaz, Şenay Savaş-Erdeve, Melikşah Keskin, Vehbi Doğan, Semra Çetinkaya, Zehra Aycan
The most common reason of acquired hypothyroidism is autoimmune (Hashimoto) thyroiditis. Autoimmune thyroiditis can be atrophic or goitrogenic. Atrophic autoimmune thyroiditis (ATT) related acquired hypothyroidism causes interruption of growth, obesity, and bone age retardation in early ages while goitrogenic thyroiditis has a higher incidence rate and mostly presents with diffuse goiter. We discuss the effects of hypothyroidism on various systems through a case found to have pericardial effusion during the echocardiography performed after cardiac murmur was detected and later diagnosed with ATT related hypothyroidism...
2016: Turkish Journal of Pediatrics
Ezgi Ulusoy, Neslihan Edeer-Karaca, Samim Özen, Yeşim Ertan, Damla Gökşen, Güzide Aksu, Şükran Darcan, Necil Kütükçüler
Ataxia-telangiectasia (A-T) is a rare autosomal recessive, multisystem, neurodegenerative disorder, characterized by oculocutaneous telangiectasias, variable immunodeficiency and progressive neurological impairment. Definitive diagnosis is made by revealing a disease causing mutation on ATM gene. Missense mutations and polymorphisms of ATM gene can play a role in the development of thyroid papillary carcinoma. A 13-year-old Turkish girl was diagnosed with ataxia telengiectasia at the age of 8 years. When she was 12 years old, multi-nodular goiter was detected by physical examination and ultrasonography...
2016: Turkish Journal of Pediatrics
Özlem Boybeyi-Türer, Doğuş Vurallı, İbrahim Karnak, Nazlı Gönç, Emel Şule Yalçın, Diclehan Orhan, Nurgün Kandemir, Feridun Cahit Tanyel
Medullary thyroid carcinoma (MTC) may arise sporadically or in familial manner. We presented sporadic and familial cases with MTC in order to raise awareness on management of such patients. Three medullary thyroid carcinoma (MTC) cases were presented. Case 1 had RET634 mutation; managed with total thyroidectomy (TT) and cervical lymph node dissection (CLND). Case 2 had RET804 mutation; managed with prophylactic TT. Case 3 had thyroid nodule; managed with TT and CLND. Case 1 had micro-carcinomatosis foci, Case 2 had normal thyroid tissue in histopathological examination and Case 3 had medullary thyroid carcinoma with tumor negative surgical borders...
2016: Turkish Journal of Pediatrics
Melikşah Keskin, Şenay Savaş-Erdeve, Ferda Özbay-Hoşnut, Erdal Kurnaz, Semra Çetinkaya, Zehra Aycan
Hashimoto thyroiditis (HT) is the most common pediatric autoimmune endocrine disorder. It results in autoimmune-mediated thyroid gland destruction and is an organ-specific, typical autoimmune disease. The presence of antithyroid antibodies and the typical pattern on ultrasonography indicate the diagnosis. It is also frequently seen together with other autoimmune disorders including type 1 insulin-dependent diabetes, celiac disease, alopecia and vitiligo. Autoimmune hepatitis (AIH) is a chronic type of liver injury with an immune etiology that can frequently cause end-stage liver disease if left untreated...
2016: Turkish Journal of Pediatrics
Doğuş Özdemir-Kara, Sultan Pehlivan, Dilhan Türkkan, Hanife Alkan-Alkurt, Barış Akduman, Mustafa Karapirli
Idiopathic giant cell myocarditis (IGCM) is a rare cause of arrhythmia, heart failure and death in children. The etiology of IGCM is unknown. Endomyocardial biopsy and histological examination are essential for diagnosis. In our case, a one-month-old baby boy with no prior medical history died during breast-feeding. The gross autopsy and drug screen failed to disclose a cause of death. Hemotoxylen Eosin (H&E) stained cardiac tissue slides showed widespread and multifocal necrosis accompanied by mixed inflammatory infiltrate...
2016: Turkish Journal of Pediatrics
Funda Tekkeşin, Arzu Okur, Betül Emine Derinkuyu, Nalan Akyürek, Aynur Oğuz, Ceyda Karadeniz, Faruk Güçlü Pınarlı
Thymus gland involvement in Langerhans cell histiocytosis (LCH) is usually part of multi-system disease and may be more common than previously recognized. However, thymic involvement causing an anterior mediastinal mass is an extremely rare presentation of multisystem LCH. Here we report a 2-month-old-boy admitted to hospital with a giant anterior mediastinal mass with multisystem LCH involving the thymus, lungs, liver and skin. The differential diagnosis of mediastinal mass in children should also include LCH, especially multisystem disease...
2016: Turkish Journal of Pediatrics
Hacer Yapıcıoğlu-Yıldızdaş, Nazan Özbarlas, Sevcan Erdem, Mehmet Bertan Yılmaz, Ferda Özlü, Selim Büyükkurt, Süreyya Soyupak, Utku Güllü, Kadri Karaer
Idiopathic generalized arterial calcification of infancy-1 (GACI-1) is a rare and potentially lethal disease characterized by diffuse calcification of large and medium-sized arteries such as aorta, renal, pulmonary, cerebral and mesenteric arteries. Here we report two new mutations in two newborn babies with GACI-1 treated with bisphosphonates, and their progress in the first year of life.
2016: Turkish Journal of Pediatrics
Mustafa Çakan, Hakan Gemici, Nuray Aktay-Ayaz, Gonca Keskindemirci, Helen Bornaun, Tarkan İkizoğlu, Alpay Çeliker
Kawasaki disease is an acute systemic vasculitis that occurs most commonly in young children. It affects medium-sized muscular arteries and the coronary arteries are the predominant site of involvement. Morbidity and mortality is generally due to coronary artery aneurysms that develop during the chronic phase. Although it is well known that Kawasaki disease can cause myocarditis, tachycardia and heart failure during acute stage, Kawasaki disease shock syndrome has been recently described. It is characterized by hypotension, signs and symptoms of poor perfusion and a shock-like state...
2016: Turkish Journal of Pediatrics
Nebahat Demet Akpolat, Arzu Aras
Temporary henna tattoos have become increasingly widespread among children and young people, especially in holiday spots in recent years. Although reactions to henna tattoo are becoming progressively more common, only few cases of a henna pseudo-tattoo resulting in temporary hypertrichosis have been reported so far. Here, we have reported a 5-year-old girl who developed allergic contact dermatitis and localized hypertrichosis on her right arm after application of temporary henna tattoo during summer holiday...
2016: Turkish Journal of Pediatrics
Özlem Korkmaz, Damla Gökşen, Samim Özen, Şükran Darcan
The aim of this anti-Mullerian hormone (AMH) levels in prepubertal obese girls are a predictive marker for polycystic ovary syndrome (PCOS) and to investigate the relationship between insulin resistance and AMH. Sixty girls with premature pubarche or obesity and 20 healthy controls between the ages of 6-9 were enrolled. Of the patients, 22 (36.7%) were in the obese group (Group 1), 28 (46.7%) in the early pubarche group (Group 2) and 10 (16.6%) in the early pubarche + obese group (Group 3). Comparison of the subjects' fasting insulin and homeostatic model assessment insulin resistance (HOMA-IR) demonstrated significantly higher values for group 1 compared to group 2 (p=0...
2016: Turkish Journal of Pediatrics
Dilek Kahvecioğlu, Ufuk Çakır, Duran Yıldız, Serdar Alan, Ömer Erdeve, Begüm Atasay, Saadet Arsan
Decision making to transfer a late preterm or term neonate with the diagnosis of transient tachypnea of the newborn (TTN) to an intensive care unit for respiratory support is a challenge for caregivers in level one and two NICUs. The aim of this study was to identify "practical bedside clinical clues" that may help to predict the severity of disease and need for respiratory support in patients with the diagnosis of TTN. Newborns having the diagnosis of TTN were classified into two groups according to the intensity of the respiratory support...
2016: Turkish Journal of Pediatrics
Melek Yıldız, Figen İşleten, Korcan Demir, Nilüfer Çelik, Hüseyin Anıl Korkmaz, Birsen Tuğlu, Özlem Nalbantoğlu, Behzat Özkan
Type 1 diabetes mellitus (DM) and rheumatoid arthritis (RA) have been reported to occur concurrently in some cases. This study aimed to evaluate the presence of anti-cyclic citrullinated peptide (CCP) antibodies, which have been reported to have diagnostic value for RA, in children with type 1 DM. The study included 90 children with type 1 DM (Group 1) and 76 control cases (Group 2). The rates of reported family histories of RA and rheumatoid factor positivity did not differ between groups. In group 1, one case (1...
2016: Turkish Journal of Pediatrics
Seher Erdoğan, Arzu Oto, Mehmet Boşnak
In this study, aimed to evaluate the sensitivity and specificity of cerebral oximetry and EtCO2 values in non-invasive diagnosis and monitoring of hypercapnia. This study enrolled pediatric patients admitted to and mechanically ventilated at the Pediatric Intensive Care Unit of Gaziantep University Faculty of Medicine Hospital between January 2014 and January 2015. Patients' age, gender, diagnosis, ventilatory parameters, a measured of the mean end-tidal carbon dioxide value stream method, and the simultaneously monitored arterial blood gas PaCO < sub > 2 < /sub > level and near infrared spectroscopy device (NIRS) measurements were recorded...
2016: Turkish Journal of Pediatrics
Zeynep Arıkan-Ayyıldız, Sakine Işık, Şule Çağlayan-Sözmen, Özden Anal, Özkan Karaman, Nevin Uzuner
We aimed to evaluate the efficacy of a group education program on asthma control for children with uncontrolled asthma. Patients were randomized to receive 1-hour group education program with their parents or usual care. Our primary outcome was the change in asthma control test (ACT) between baseline and month 3 and secondary outcomes were health care utilizations and self report of exacerbations of asthma symptoms and missed school days. Change of ACT between baseline and 1st month and 3rd month was not significant in education and usual care groups...
2016: Turkish Journal of Pediatrics
Arzu Oto, Seher Erdoğan, Mehmet Boşnak
The aim of the present study was to assess the efficacy and safety of oxygen therapy via high flow nasal cannula in pediatric patients with acute respiratory failure. Patients who were admitted to pediatric intensive care unit and were administered high flow nasal cannula (HFNC) therapy between January 2015 and January 2016 were enrolled. Arterial blood gas parameters, respiratory rates (RR), heart rates (HR), systolic, db > iastolic, and mean arterial pressures (SBP, DBP, MAP), dyspnea scores, fractional oxygen indices (FiO < sub > 2 < /sub > ), and oxygen saturations (SatO < sub > 2 < /sub > ) were recorded at baseline, 30 minutes, and 12 hours...
2016: Turkish Journal of Pediatrics
Yeliz Çağan-Appak, Hörü Gazi, Semin Ayhan, Beyhan Cengiz-Özyurt, Semra Kurutepe, Erhun Kasırga
This study aims to evaluate Helicobacter pylori with clarithromycin resistant genotypes in Manisa region, Turkey. Two hundred patients, who received diagnosis of Helicobacter pylori infection histopathologically, were included. The sex, age and endoscopy indications of the patients were recorded. Polymerase chain reaction method was applied to determine the clarithromycin resistance rate and resistance genotypes at the histologic sections prepared from gastric biopsies that had been embedded in paraffin after fixation by formalin...
2016: Turkish Journal of Pediatrics
Neslihan Önenli-Mungan, Deniz Kör, Aysun Karabay-Bayazıt, Nurcan Cengiz, Sevgi Yavuz, Aytül Noyan, Gülay Ceylaner, Berna Şeker-Yılmaz, Ali Kemal Topaloğlu, Bilgin Yüksel, Ali Anarat
We have conducted this study for the purposes of demonstrating the spectrum of mutations and of identifying their effects on the phenotype, with a particular focus on the clinical course, prognosis and response to treatment. A total of 25 patients from 20 families, who have been treated and followed up after being diagnosed with cystinosis. Nine patients were identified with mutations of homozygous c.451A > G, 7 patients with homozygous c.681G > A, 6 patients with homozygous c.834_842del, 2 patients with homozygous c...
2016: Turkish Journal of Pediatrics
Çağman Tan, Deniz Çağdaş-Ayvaz, Ayşe Metin, Özlem Keskin, İlhan Tezcan, Özden Sanal
Mendelian susceptibility to mycobacterial disease (MSMD) is characterized by infections with weakly virulent mycobacteria (BCG and environmental mycobacteria), M. tuberculosis, Salmonella, candida and some other intracellular microorganisms. Nine different genetic defects have been defined to cause MSMD and IL-12Rβ1 deficiency is the most common form. We present here the clinical and genetic features of 18 patients with IL12Rβ1 deficiency diagnosed by surface expression of IL-12Rβ1 and Sanger's sequencing...
2016: Turkish Journal of Pediatrics
Dilek İnce, Bengü Demirağ, Gülcihan Özek, Ayşe Erbay, Ragıp Ortaç, Yeşim Oymak, Serra Kamer, Yöntem Yaman, Selcen Kundak, Canan Vergin
This study aimed to analyze children with the diagnosis of Langerhans cell histiocytosis (LCH) who were diagnosed and treated between 1998-2015. Medical records were evaluated retrospectively for clinical and laboratory features, treatment details, and outcome. There were 20 patients, the median age of diagnosis was 37 months, M/F ratio: 1.5. Nine had single system (SS), 11 had multisystem (MS) LCH. Spontaneous regression occurred in three infants with skin limited LCH. Eight patients had risk organ involvement in MS-LCH group...
2016: Turkish Journal of Pediatrics
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