From the Paediatric Department, College of Medicine, University of Modena and Reggio Emilia, Modena, Italy. The author declares no conflict of interest. Correspondence: Andrea Venuta, MD, Dipartimento Materno-Infantile, Policlinico, Largo del Pozzo, 41124 Modena, Italy. E-mail: [email protected].

A rthritis may be associated to numerous types of viral infections. Its clinical expression is usually transient and selflimiting even if in some cases it can have a more chronic course. Children seem to be less affected than adults are. Rubella virus, human B19 parvovirus, and alphaviruses are the more commonly encountered pathogens in the pediatric area. We describe a case of acute arthritis occurring in the course of rotavirus gastroenteritis. To our knowledge there are no previous reports of rotavirus-related arthritis.

BACKGROUND:Ondansentron is in consideration in literature for its use in vomiting secondary to acute gastroenteritis in children.OBJECTIVE:To evaluate its usefulness in children with acute gastroenteritis referred to a paediatric emergency department.METHODS:A retrospective study considered 967 children treated with ondansetron (0,06 mg/kg IM) plus oral rehydration, with a control group of 286 children who received only oral rehydration.RESULTS:The time spent into the short-stay observation unit and the total emergency department stay were significantly reduced in children receiving ondansentron. No adverse reactions to the drug were recorded.

Systemic polyarteritis nodosa (PAN) is a rare disease in childhood affecting small and midsized arteries. The typical presentation in children is of isolated 1- or 2-organ involvement, and the diagnosis is often based on the histopathology. We report a case of pediatric PAN whose presenting symptom was jejunal obstruction owing to ischemic necrosis of the small bowel. The postoperative recovery was uneventful, and the patient responded well to steroid therapy. There are only a few cases of PAN with intestinal involvement described in the literature, some of them fatal. The diagnosis of PAN should be considered in children with acute intestinal obstruction with no obvious etiology, as early recognition and treatment may reduce its high mortality.

374 Nefrologia 2010;30(3):367-80 with mild proteinuria. Blood pressure was always normal. Among laboratory investigations creatinine was 77 μmol/l, platelet count, C3 and C4 levels were normal, antinuclear antibody and rheumatoid factor were absent, serum IgA levels were increased for his age (232 mg/dl). Characteristic skin manifestations, joint involvement and hematuria led us to the diagnosis of HSP nephritis (HSPN). Purpura and arthritis resolved in three weeks. Nephritis had a benign evolution. After six months the boy was normotensive without residual microhematuria nor proteinuria and his renal function was normal.

BACKGROUND:Immigration to Italy from Asian countries is sharply increasing, but little we know about the integration of children born in Italy from migrant families.OBJECTIVE:To evaluate which changes in feeding practices has occurred in respect of their original culture.METHODS:A cross-sectional study investigated the eating habits of 53 children (aged 2-14 years), born in Italy from parents who recently moved from Pakistan. Data were collected through a questionnaire and interviews.RESULTS:Religious beliefs and poor economical conditions interact with the feeding habits of the families. Prolonged, but not exclusive breastfeeding is common. According the Pakistani uses, many beverages are introduced early in addition to maternal milk. Whereas protein intake is usually low in the first two years of life, it tends to becomes excessive during school-age. Besides the traditional diet, children widely use savoury and sweet convenience food.

We report a case of acute cholecystitis in a 2-year-old male child with hepatitis A virus (HAV) infection. The occurrence of this complication is rare, but must be kept in mind, as it can lead to gangrene and perforation of cholecystic wall and become a surgical emergency

The use of a short-stay observation unit (OBI) in a pediatric department has reduced the number of admissions. Significant cost savings and a better care for children and their families have been also achieved. During the year 2003 in our department 1759 children received OBI. 226 (12.8%) were then admitted. 1553 (87.2%) were discharged after a nine-hour mean stay. Descriptive statistics are used to outline the sample of patients and used treatments.

We report a case of an immunocompetent child with acute rotavirus gastroenteritis who developed an acute liver damage during infection. Acute rotavirus-related hepatitis has been previously described in immunodeficient children, but never in a normal child.

A very low birth weight female infant developed a systemic infection by Candida albicans. Her clinical conditions were very poor; involvement of CNS was demonstrated my multifocal hyperechogenic images, spreading to the periventricular and subcortical areas of brain, confirmed by CT as circumscribed hyperdense punctiform granulations suggesting initial cerebritis. The introduction of liposomal Amphotericin-B in the therapy resulted in a marked improvement of clinical conditions together with the disapparance of pathological brain images. Longitudinal examinations carried out every three months during the first year, and every six months during the second, have shown adequate psychomotor development. The results of late cerebral nuclear magnetic resonance (NMR) imaging were within the norm. The patient is now seven-years-old and shows a well-balanced neuropsychological development. Systemic Candida infections of VLBW infants with CNS involvement have usually a very poor prognosis in terms of death or residual brain damage. The use of liposomal Amphotericin-B allowed us to achieve the complete cure of our patient, suggesting an high efficacy together with at a lower toxicity in respect of traditional treatments.

A coconut phytobezoar was detected in the distal ileum of a 4-year-old boy, admitted for suspected appendicitis. While persimmon or citrus fruit ingestion has been previously reported as cause of phytobezoar intestinal occlusion, it is the first time that coconut pulp is described to cause ileal obstruction in children. No predisposing factor as previous gastric surgery or Meckel's diverticulum was present. The bezoar was successfully milked past the ileocecal valve into the right colon.

A 14-month-old female infant with chronic diarrhea, recurrent respiratory infections and stunted growth was diagnosed as celiac disease with AGA detection and a positive intestinal biopsy. A gluten-free diet was introduced with a poor response. A sweat test was positive and heterozygosis for mutation of CFTR gene (both F508 and G542X) was found, demonstrating an association in the infant between cystic fibrosis and celiac disease. Fifteen cases of such association have been previously described in literature, but only three have been genetically studied. The co-existence of cystic fibrosis and celiac disease in the same subject has to be considered till now a casual finding, but are also discussed hypothesis of a non-casual linkage, formulated by some authors.

Journal of Pediatric Gastroenterology and NutritionVolume 29, Issue 3 p. 358-359 Case Report Hemorrhagic Ascites in a Child with Henoch-Schönlein Purpura Andrea Venuta, Corresponding Author Andrea Venuta n/[email protected] Department of Gynaecology Obstetrics and Paediatrics, Section of Paediatrics, University of Modena and Reggio Emilia, Modena, ItalyAddress correspondence and reprint requests to Andrea Venuta, Clinica Pediatrica, Via del Pozzo, 71-41100 Modena, Italy.Search for more papers by this authorPaolo Bertolani, Paolo Bertolani Department of Gynaecology Obstetrics and Paediatrics, Section of Paediatrics, University of Modena and Reggio Emilia, Modena, ItalySearch for more papers by this authorElisabetta Garetti, Elisabetta Garetti Department of Gynaecology Obstetrics and Paediatrics, Section of Paediatrics, University of Modena and Reggio Emilia, Modena, ItalySearch for more papers by this authorCristiano Venturelli, Cristiano Venturelli Department of Gynaecology Obstetrics and Paediatrics, Section of Paediatrics, University of Modena and Reggio Emilia, Modena, ItalySearch for more papers by this authorBarbara Predieri, Barbara Predieri Department of Gynaecology Obstetrics and Paediatrics, Section of Paediatrics, University of Modena and Reggio Emilia, Modena, ItalySearch for more papers by this authorElisa Della Casa Muttini, Elisa Della Casa Muttini Department of Gynaecology Obstetrics and Paediatrics, Section of Paediatrics, University of Modena and Reggio Emilia, Modena, ItalySearch for more papers by this authorElisabetta Compagni, Elisabetta Compagni Department of Gynaecology Obstetrics and Paediatrics, Section of Paediatrics, University of Modena and Reggio Emilia, Modena, ItalySearch for more papers by this author Andrea Venuta, Corresponding Author Andrea Venuta n/[email protected] Department of Gynaecology Obstetrics and Paediatrics, Section of Paediatrics, University of Modena and Reggio Emilia, Modena, ItalyAddress correspondence and reprint requests to Andrea Venuta, Clinica Pediatrica, Via del Pozzo, 71-41100 Modena, Italy.Search for more papers by this authorPaolo Bertolani, Paolo Bertolani Department of Gynaecology Obstetrics and Paediatrics, Section of Paediatrics, University of Modena and Reggio Emilia, Modena, ItalySearch for more papers by this authorElisabetta Garetti, Elisabetta Garetti Department of Gynaecology Obstetrics and Paediatrics, Section of Paediatrics, University of Modena and Reggio Emilia, Modena, ItalySearch for more papers by this authorCristiano Venturelli, Cristiano Venturelli Department of Gynaecology Obstetrics and Paediatrics, Section of Paediatrics, University of Modena and Reggio Emilia, Modena, ItalySearch for more papers by this authorBarbara Predieri, Barbara Predieri Department of Gynaecology Obstetrics and Paediatrics, Section of Paediatrics, University of Modena and Reggio Emilia, Modena, ItalySearch for more papers by this authorElisa Della Casa Muttini, Elisa Della Casa Muttini Department of Gynaecology Obstetrics and Paediatrics, Section of Paediatrics, University of Modena and Reggio Emilia, Modena, ItalySearch for more papers by this authorElisabetta Compagni, Elisabetta Compagni Department of Gynaecology Obstetrics and Paediatrics, Section of Paediatrics, University of Modena and Reggio Emilia, Modena, ItalySearch for more papers by this author First published: 01 September 1999 https://doi.org/10.1002/j.1536-4801.1999.tb02429.xRead the full textAbout ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onEmailFacebookTwitterLinkedInRedditWechat No abstract is available for this article. REFERENCES 1Jennette JC, Falk RJ. Small vessel vasculitis. N Engl J Med 1997; 337: 1512–23. 10.1056/NEJM199711203372106 CASPubMedWeb of Science®Google Scholar 2Choong C, Beasley S. Intra-abdominal manifestations of Henoch-Schönlein purpura. J Paediatr Child Health 1998; 34: 405–9. 10.1046/j.1440-1754.1998.00263.x CASPubMedWeb of Science®Google Scholar 3Lin SJ, Chao HC, Huang JL. Gastrointestinal involvement as the initial manifestation in children with Henoch-Schönlein purpura: Clinical analysis of 27 cases. Chung Hua Min Kuo Hsiao Erh Ko I Hsueh Tsa Chih 1998; 39: 186–90. CASGoogle Scholar 4Archimandritis A, Kalos A, Pantzos A, Sakellariou D, Malamas N, Fertakis A. Hemorrhagic ascites in a patient with anaphylactoid purpura. J Clin Gastroenterol 1994; 18: 257–8. 10.1097/00004836-199404000-00027 CASPubMedGoogle Scholar 5Santiago J, Blanco R, Gonzalezgay MA et al. 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AllergyVolume 54, Issue 9 p. 1007-1007 Do pacifiers cause latex allergy? A. Venuta*, A. Venuta* *Clinica PediatricaVia del Pozzo71-41100 ModenaItalyTel. +39-059-422538Fax: +39-059-424583E-mail: [email protected]Search for more papers by this authorP. Bertolani, P. Bertolani *Clinica PediatricaVia del Pozzo71-41100 ModenaItalyTel. +39-059-422538Fax: +39-059-424583E-mail: [email protected]Search for more papers by this authorP. Pepe, P. Pepe *Clinica PediatricaVia del Pozzo71-41100 ModenaItalyTel. +39-059-422538Fax: +39-059-424583E-mail: [email protected]Search for more papers by this authorM. Francomano, M. Francomano *Clinica PediatricaVia del Pozzo71-41100 ModenaItalyTel. +39-059-422538Fax: +39-059-424583E-mail: [email protected]Search for more papers by this authorP. Piovano, P. Piovano *Clinica PediatricaVia del Pozzo71-41100 ModenaItalyTel. +39-059-422538Fax: +39-059-424583E-mail: [email protected]Search for more papers by this authorP. Ferrari, P. Ferrari *Clinica PediatricaVia del Pozzo71-41100 ModenaItalyTel. +39-059-422538Fax: +39-059-424583E-mail: [email protected]Search for more papers by this author A. Venuta*, A. Venuta* *Clinica PediatricaVia del Pozzo71-41100 ModenaItalyTel. +39-059-422538Fax: +39-059-424583E-mail: [email protected]Search for more papers by this authorP. Bertolani, P. Bertolani *Clinica PediatricaVia del Pozzo71-41100 ModenaItalyTel. +39-059-422538Fax: +39-059-424583E-mail: [email protected]Search for more papers by this authorP. Pepe, P. Pepe *Clinica PediatricaVia del Pozzo71-41100 ModenaItalyTel. +39-059-422538Fax: +39-059-424583E-mail: [email protected]Search for more papers by this authorM. Francomano, M. Francomano *Clinica PediatricaVia del Pozzo71-41100 ModenaItalyTel. +39-059-422538Fax: +39-059-424583E-mail: [email protected]Search for more papers by this authorP. Piovano, P. Piovano *Clinica PediatricaVia del Pozzo71-41100 ModenaItalyTel. +39-059-422538Fax: +39-059-424583E-mail: [email protected]Search for more papers by this authorP. Ferrari, P. Ferrari *Clinica PediatricaVia del Pozzo71-41100 ModenaItalyTel. +39-059-422538Fax: +39-059-424583E-mail: [email protected]Search for more papers by this author First published: 24 December 2001 https://doi.org/10.1034/j.1398-9995.1999.00304.xCitations: 11Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL No abstract is available for this article.Citing Literature Volume54, Issue9September 1999Pages 1007-1007 RelatedInformation