An adolescent prolactinoma presented with menometrorrhagia: Case report Prolactinomas are benign pituitary tumors that are frequently seen in females aged 20 to 50 years old. The female-to-male ratio is approximately 10:1. In pediatric-adolescent age group, prolactinomas have a prevalence of 100/million population, and account for less than 2% of all intracranial tumors. The symptoms are abnormal uterine bleeding, pubertal arrest, hypogonadism and galactore. In this case report, a 14 year-old adolescent presenting with irreguler and frequent vaginal hemorrhage (menometrorrhagia) who was diagnosed to have prolactinoma is reported.
Bu calisma GATA Haydarpasa Egitim Hastanesi nde Ocak 1994 Aralik 1997 yillari arasinda yenidogan sariligi tanisi alan 125 olgu uzerinde ABO Rh C E ve Kell subgrup uyusmazliklarinin gorulme sikligini arastirmak ve yenidogan sariligi olusumundaki olasi etkileri konusunda fikir sahibi olmak amaci ile yapilmistir Patolojik duzeyde indirekt hiperbilirubinemisi olan olgularda etyolojide ABO uygunsuzlugunu 20 Rh uygunsuzlugunu 9 6 subgrup uygunsuzluklarini 10 4 bulduk Patoloji duzeyde indirekt hiperbilirubinemisi olan yenidoganlarda kan grup uygunsuzluklari onemli yer tutmaktadir Calismamiz cogu zaman gozden kacan veya maliyeti yuzunden bakilamayan subgrup uygunsuzluklarinin yenidogan sariliginin ve hemolitik hastaliginin onemli bir nedeni oldugunu gostermistir Nedeni bulunamayan patolojik duzeyde indirekt hiperbilirubinemisi olan yenidoganlarda hemoliz bulgulari var ABO veya Rh uygunsuzlugu yoksa subgrup uygunsuzluk mutlaka akilda tutulmalidir Anahtar kelimeler: Yenidogan sariligi subgrup uyusmazligi RH ABO Kell C E
Osteoarthritis (OA) is a common joint disease with a significant impact on hand function and quality of life. However, the psychosocial aspects at different stages of the disease remain understudied. Understanding the interplay between psychosocial factors and the stages of thumb basal joint OA is crucial for holistic, patient-centred care.
Objectives:
To investigate the psychosocial characteristics associated with different stages of thumb basal joint OA and their association with hand function.
Methods:
Ninety-five patients diagnosed with osteoarthritis were enrolled. Demographic information, Eaton-Littler stage, and patient-reported outcome measures, including the Michigan Hand Outcomes Questionnaire (patient satisfaction subscore), Short Form-36 (mental health, general health perception, and vitality subscores), and the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire, were collected. Differences in psychosocial characteristics between Eaton-Littler stages were assessed using the Kruskal-Wallis test. The correlation between DASH score and psychosocial factors was examined using the Spearman correlation test.
Results:
There were 21 patients in stage 1, 40 patients in stage 2 and 34 patients in stage 3. The only significant difference between the stages was in general health perception (respectively: stage 2 < stage 1 < stage 3). The relationship between psychosocial factors and DASH is shown in Table 1. Vitality, patient satisfaction and mental health were found to be moderately to strongly correlated with hand function in all three stages.
Conclusion:
Psychosocial factors were found to be more associated with hand function in the early stages. These findings highlight the patient-centered treatment approaches from the early stages, emphasizing the importance of addressing not just physical symptoms but also the psychological.
Methylphenidate treatment for severe ADHD in a bone marrow transplant child with DiGeorge's anomaly As the number of bone marrow transplantations (BMT) performed in the pediatric age group is on the rise, there is a growing need to expand our knowledge of psychopharmacological interventions in this special situation. We report a case who had undergone BMT for congenital immunodeficiency syndrome involving thymus aplasia. He was referred to the child psychiatry department with severe hyperactivity and mental retardation. Taking the necessary medical precautions, methylphenidate was started and continued for over a year. Marked improvement in the symptoms of attention deficit hyperactivity disorder (ADHD) and better adaptation to his educational setting were achieved. No adverse event occurred with regard to his vulnerable immune system. ABSTRACT: Kemik ilii nakli yap›lan DiGeorge anomalisi olan bir cocukta fliddetli DEHB'nun metilfenidatla tedavisi Cocuk yafl grubunda gerceklefltirilen kemik ilii nakilleri artmakta olduu icin psikofarmakolojik giriflimlerle ilgili bilgileri de gelifltirme gereksinimi vard›r. Bu konuya klinik bir katk› yapmak icin timus yokluunu da iceren doumsal ba¤›fl›kl›k yetmezlii sendromu nedeniyle kemik ilii nakli yap›lan bir olguyu bildiriyoruz. Olgunun cocuk psikiyatrisine getirilifl nedeni afl›r› hareketlilik ve zeka geriliiydi. Gerekli t›bbi onlemler al›nd›ktan sonra metilfenidat baflland› ve bir y›ldan uzun sure devam edildi. Tedaviyle, dikkat eksiklii hiperaktivite bozukluu (DEHB) belirtilerinde belirgin azalma ve eitim ortam›na daha iyi uyum elde edildi. Hastan›n duyarl› ba¤›fl›kl›k sistemini etkileyen hicbir yan etki gozlemlenmedi.
The papular-purpuric gloves-and-socks syndrome (PPGSS) is a disease characterized by an itching erythema and edema of the hands and feet, oral mucosal lesions and fever. It may be caused by various agents. Parvovirus B19 has been implicated as the etiological factor in most cases. Here we report a case of PPGSS in a nine-year-old previously healthy girl with papular and petechial lesions on her peroral area and trunk, and primarily on the dorsal areas of her hands and feet. Serologic study confirmed the acute infection by parvovirus B19. We believe that our case is worthy of particular attention because of the rarity of the disease in the pediatric age group and because it is the first documented case of PPGSS in Turkey.