Treatment of complicated infantile hemangiomas with oral propranolol
Pediatric Tricks 🧑⚕️🩺
@upedio
Pediatric Tricks 🧑⚕️🩺
06 Sep, 13:11
🔸️Acute hemorrhagic edema of infancy
▪️ It is a benign, self-limited leukocytoclastic vasculitis that occurs most commonly in males.
▪️There are some criteria proposed to correctly identify this disease:
🔹️Age less than 2 years;
🔹️Purpuric or ecchymotic target-like lesions, with edema of the face, auricles, and extremities, with or without mucosal involvement;
🔹️Lack of systemic disease or visceral involvement
🔹️Spontaneous recovery within a few days or weeks.
▪️ It is a benign, self-limited leukocytoclastic vasculitis that occurs most commonly in males.
▪️There are some criteria proposed to correctly identify this disease:
🔹️Age less than 2 years;
🔹️Purpuric or ecchymotic target-like lesions, with edema of the face, auricles, and extremities, with or without mucosal involvement;
🔹️Lack of systemic disease or visceral involvement
🔹️Spontaneous recovery within a few days or weeks.
Pediatric Tricks 🧑⚕️🩺
06 Sep, 13:08
✅️Case
▪️6-month-old, full-term infant girl was brought to the emergency department after 3 days of having an asymptomatic, large, purple-red bruiselike rash
◽️ The rash first appeared on the patient’s thighs bilaterally before spreading rapidly to her face, abdomen and lower legs.
◽️She had an episode of acute viral gastroenteritis that had resolved 1 week earlier, but she was otherwise healthy.
◽️An examination of her skin showed medallionlike, well-defined ecchymoses (2–3 cm in diameter) with surrounding erythematous edematous plaques affecting the face, periumbilical area and extremities
◽️Results from laboratory tests showed hypocomplementemia.
◽️ A biopsy of the patient’s skin found perivascular infiltrate with numerous neutrophils, some eosinophils, nuclear dust, abundant extravasated erythrocytes and hemorrhage.
🔸️ Dx acute hemorrhagic edema of infancy
▪️6-month-old, full-term infant girl was brought to the emergency department after 3 days of having an asymptomatic, large, purple-red bruiselike rash
◽️ The rash first appeared on the patient’s thighs bilaterally before spreading rapidly to her face, abdomen and lower legs.
◽️She had an episode of acute viral gastroenteritis that had resolved 1 week earlier, but she was otherwise healthy.
◽️An examination of her skin showed medallionlike, well-defined ecchymoses (2–3 cm in diameter) with surrounding erythematous edematous plaques affecting the face, periumbilical area and extremities
◽️Results from laboratory tests showed hypocomplementemia.
◽️ A biopsy of the patient’s skin found perivascular infiltrate with numerous neutrophils, some eosinophils, nuclear dust, abundant extravasated erythrocytes and hemorrhage.
🔸️ Dx acute hemorrhagic edema of infancy
Pediatric Tricks 🧑⚕️🩺
01 Sep, 16:59
🔺️Pediatric Most common
1️⃣ Most common Congenital Pancytopenia = Fanconi anemia (spontaneous chromosomal breaks)
2️⃣ most common acquired cause of bleeding disorders in children is = thrombocytopenia
3️⃣ Most common hereditary bleeding disorder = von Willebrand Disease (vWD)
4️⃣ most common presenting sign of Hodgkin Lymphoma = Painless, firm cervical or supraclavicular nodes ()
5️⃣ Second most frequent malignancy in children; mortality 45% = Brain tumer
6️⃣ Most common Brain tumer = Infratentorial Tumors (Classic site—cerebellum)
7️⃣ Second most common malignant abdominal tumor = Wilms Tumor
8️⃣ Most common site of Pheochromocytoma = adrenal medulla
9️⃣ most common seizure usually present within 12–24 hours after birth= Hypoxic ischemic encephalopathy
🔟Most common Complication of bacterial meningitis is = hearing loss
#Notes 📑
1️⃣ Most common Congenital Pancytopenia = Fanconi anemia (spontaneous chromosomal breaks)
2️⃣ most common acquired cause of bleeding disorders in children is = thrombocytopenia
3️⃣ Most common hereditary bleeding disorder = von Willebrand Disease (vWD)
4️⃣ most common presenting sign of Hodgkin Lymphoma = Painless, firm cervical or supraclavicular nodes ()
5️⃣ Second most frequent malignancy in children; mortality 45% = Brain tumer
6️⃣ Most common Brain tumer = Infratentorial Tumors (Classic site—cerebellum)
7️⃣ Second most common malignant abdominal tumor = Wilms Tumor
8️⃣ Most common site of Pheochromocytoma = adrenal medulla
9️⃣ most common seizure usually present within 12–24 hours after birth= Hypoxic ischemic encephalopathy
🔟Most common Complication of bacterial meningitis is = hearing loss
#Notes 📑
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