Total rehabilitation of the chronic asthmatic child needs 1) a philosophy, 2) an objective, and 3) a method. The philosophy is to help the child lead as normal a life as possible. The objective is to accomplish this in his home, in his play and in his school. The method to accomplish this must include education and understanding of the disease by the patient and his family.
Patients with Kartagener's syndrome have shown electron photomicrographic abnormalities of nasal or bronchial cilia in addition to functional defects of mucociliary transport (immotile cilia syndrome). This report describes a boy with Kartagener's syndrome and chronic otitis media who demonstrates electron photomicrographic abnormalities of middle ear cilia, confirming the important role of cilia in providing protection against infection of the middle ear.
Patients with urticaria and angioedema admitted to CHMC were analyzed. The most common etiologic factor for the urticaria was infection (in 45% of the cases), while drugs or medications were responsible in 10% of patients. Almost half of the children received corticosteroids for the treatment of their urticaria.
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