MEN syndromes are a collection of autosomal dominant disease including MEN 1 and MEN 2. Multiple endocrine neoplasia (MEN) syndromes are infrequent inherited disorders in which more than one endocrine glands develop noncancerous (benign) or cancerous (malignant) tumors or grow excessively without forming tumors. There are 3 famous and well-known forms of MEN syndromes (MEN 1, MEN 2A, and MEN 2B) and a newly documented one (MEN4). These syndromes are infrequent and occurred in all ages and both men and women. MEN1 is the most often happening form of MENs. The information of MEN’s genetic alterations and the connection among genotype and phenotype could be beneficial for MEN disease management. (MEN1) implicated IN primarily by tumors of the parathyroid glands, endocrine gastroenteropancreatic (GEP) tract and anterior pituitary. Before MEN-1 can be diagnosed it must be suspected, genetic screening for MEN-1 is recommended when an individual has 2 or more MEN-1 related tumors, MEN2 associates with medullary thyroid carcinoma, pheochromocytoma, and primaryhype- rparathyroidism. MEN2A and MEN2B should be suspected in any patient diagnosed with MTC or pheochromocytoma, particularly when the age of presentation is very young (younger than 35), the genetic testing for RET proto-oncogene is employed to diagnose and identify a specific type of mutation present. Treatment is mainly surgical in most cases of multiple endocrine neoplasia syndrome.
fungal infections in immature newborns have become more common in the previous two decades, especially when they are admitted to a Neonatal Intensive Care Unit (NICU). Thus, it is projected that the mortality rate of children under the age of five is estimated to be about 6 million children a year, with even about 40% of these mortalities during the newborn period. Considering the increased prevalence of death rates related to invasive fungal infections, proper preventative medication is still critical in their treatment. The proper utilization antifungals medicines are critical in the primary prevention and management of invasive fungal infection in newborns; however, there are no specific guidelines to determine the proper medication selection. The most appropriate cure of fungal infection in this population necessitates extensive research into the pharmacokinetic, tolerability, and effectiveness of antifungal medicines. This paper aims to overview epidemiology, diagnosis and management of neonatal fungal infections.Children's invasive fungal infections appear to have become more common during the previous few decades. Children with primary and secondary immunodeficiencies are at danger, as well as newborns. The most often isolated microbes are Candida and Aspergillus species. Improved outcomes depend on prompt diagnosis and administration of the proper antifungal medication. Traditional methods take a lot of time, and obtaining relevant sample material in a paediatric setting may require intrusive procedures. The improvements in detection and quick species identification are summarised in this paper. In light of the antifungal spectrum of the available drugs and the distinct pharmacokinetic features in various age groups, the current antifungal therapy options for newborns and kids are next examined.
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