Otocephaly is a rare congenital abnormality characterized by the absence or underdevelopment of the mandible, misplacement of the ears towards the front, a small mouth, and absence or underdevelopment of the tongue. The syndrome complex of otocephaly can be categorized into four types based on associated anomalies. We present a case of this congenital anomaly in a newborn baby delivered by a 40-year-old woman who presented in active labor with premature rupture of membranes. Unfortunately, the newborn did not survive due to severe respiratory distress, which was consistent with the clinical features of this congenital anomaly. The rarity of otocephaly poses challenges for both parents and healthcare providers. Early antenatal scans are suggested for the early diagnosis of this condition. Further research and awareness are needed to better understand and manage this rare congenital disorder.
OBJECTIVES To determine the role of iron deficiency anemia in patients with febrile convulsions in the 06 to 60 months in a tertiary care hospital.METHODOLOGY This cross-sectional study was undertaken at Ayub Teaching Hospital, Abbottabad, from January 2020 to February 2022. Patients with typical and atypical febrile seizures were recruited for the study, while patients with neurodegenerative diseases, meningoencephalitis, epilepsy, trauma, nephritic syndrome, and hypertensive seizures were excluded from the study. Iron deficiency was identified concerning a complete blood count. The data were analyzed in SPSS version 21, and the significance value was kept at < 0.005.RESULTSIn the present study, 102 patients were enrolled. The mean age of the sample was 15 months, with an age range of 6-54 months. The male-to-female ratio was 2:1. The mean haemoglobin (HB) of the sample observed was 9.9±1.9, mean corpuscular volume (MCV) 73±13, red cell distribution width (RDW) 16±7.9 white cell count (WBC) 12.9±7.1 and platelets of 312±180. The use of cow milk in febrile seizures was 41%, and only 33% of parents were unaware of proper milk dilution. CONCLUSION We concluded that patients with atypical febrile seizures and those with seizures more than once have a significantly higher degree of iron deficiency anemia than those with typical febrile seizures. Moreover, the group with prolonged seizures has severe anemia compared to the group with brief seizures.
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