Our findings outline the diverse clinical presentations of pediatric celiac disease that should be considered irrespective of age. Increased clinician's awareness will enable an early diagnosis and treatment, with subsequent symptom and nutritional status improvement.

We report a 16-month-old girl with varicella complicated by cellulitis, invasive Group A (GAS) infection and deep vein thrombosis. She presented with varicella lesions, fever and a painful firm tumefaction on the right lower leg (RLL). Ultrasound showed a local subcutaneous tissue thickening suggestive of cellulitis and antibiotics were initiated. Further swelling of the RLL motivated a second ultrasound that showed an obstructive thrombus for which she was started on enoxaparin. The blood culture confirmed GAS infection leading to directed antibiotherapy. Additional studies showed positive lupus anticoagulant, decreased protein S and antithrombin. She completed a 2-week course of intravenous antibiotics and anticoagulation therapy with clinical and laboratory markers improvement. However, 3 days later, a recrudescence of symptoms occurred and the ultrasound revealed a local abscess. Further amoxicillin treatment resulted on a complete resolution of symptoms. Doppler ultrasound after 1 month showed markedly increased vein patency.

Durante o workshop “Sucessos e Vicissitudes das CEUAs”, realizado em novembro de 2013, foi debatido o tema “Aulas práticas com animais vivos”, com o objetivo de se conhecer a realidade deste tema em outras instituições e como ele é abordado pelas CEUAs. Sabe-se ser este um tema bastante polêmico, pois há profissionais que não mais adotam os animais vivos em suas práticas de aula e outros que têm bastante dificuldade em deixar de usá-los. Deve-se sempre seguir as leis vigentes, tentando minimizar o número de animais usados, respeitando-se o princípio dos 3 Rs. Os participantes foram divididos em dois grupos heterogêneos (G1 e G2) nos quais foram discutidos diversos tópicos referentes ao tema principal. Os grupos chegaram a conclusão que é um tema bastante controverso e que há necessidade de mais encontros para que se de início a uma padronização dentro das universidades.

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antibacterial component (for the treatment of purulent inflammation), as well as cerumenolytics for cleaning of the external auditory meatus and the prevention of external otitis and conductive hearing loss. Within 6 months of observation a positive tendency was noted.The child was referred to a geneticist. Mutation was detected in exon 2 of the EDA genec.466C> T in a homozygous state and the diagnosis of hypohydrotic ectoderm dysplasia was confirmed. Vaccination against Str.Pneumoniae and H. influenzae type b was recommended for the prevention of frequent respiratory infections. Conclusions The treatment of children with hypohydrotic ectoderm dysplasia is complex and includes thorough skin and mucous membrane care, vaccination to prevent respiratory infections and development of complications. For early diagnosis and the correct treatment of patients, the awareness of pediatricians and other specialists of the symptoms of rare hereditary diseases as well as interaction with geneticists are of utmost importance.