The aim was to assess the myocardial functions in infants with iron deficiency anemia (IDA). The findings of 22 infants with IDA and 16 healthy infants were compared. Complete blood count in all infants, serum iron level, total iron binding capacity (TIBC), and serum ferritin level in patients were evaluated. Echocardiography with tissue Doppler imaging (TDI) was performed in all infants. The mean hemoglobin was 8.5 versus 11 g/dL, hematocrit was 26.7 versus 33.1% and the mean corpuscular volume (MCV) was 59.8 versus 72.2 fL in patients and controls, respectively. The median serum iron level was 14.5 μg/dL, TIBC was 444 μg/dL, and serum ferritin level was 4.9 ng/mL in patients. There were significant differences between patients and controls for the myocardial performance indexes of the left ventricle (LV) (0.57 vs. 0.45, P < .05), interventricular septum (IVS) (0.56 vs. 0.48, P < .05), and the right ventricle (RV) (0.56 vs. 0.41, P < .05). The similar significances were also present for the ejection times (ET) of the LV (173.1 vs. 212.1 ms, P < .05), IVS (173.7 vs. 195.6 ms, P < .05), and RV (169.9 vs. 213.3 ms, P < .05). In spite of negatively significant correlations between hemoglobin, hematocrit, MCV and MPI, the correlations between these parameters and ET were positively significant. However, there were no correlations between serum iron level, TIBC, serum ferritin level, and the TDI parameters of patients. According to these findings, we could say that, the IDA affects the myocardial functions in a negative manner.
Based on the results, we concluded that large-scale studies with recurrent tests performed in different periods of sepsis are needed.
Astım çocukluk çağının en önemli kronik hastalıklarından biridir. Ebeveynlerin astım semptomları ve tetikleyicilerini biliyor olması, tanı ve tedavinin her basamağında gereklidir. Gereç ve Yöntemler: Çalışmamıza Ankara'nın düşük gelir seviyeli bir bölgesinde yaşayan, yaş ortalaması 9,1 (7-11 yaş) olan 85 ilköğretim öğrencisinin ebeveynleri dahil edilmiştir. Çalışma anketi Uluslararası Çocukluk Çağı Astım ve Allerjik Hastalıklar Çalışması temel alınarak hazırlanmış, astım semptom ve tetikleyicilerini sorgulayan 31 sorudan oluşturulmuştur. Bulgular: En az bir kez hışıltı geçirenlerin sayısı 11 (%12,9) iken, dokuz çocukta (%10,5) doktor tanılı astım vardı. Elli altı çocuğun (%65,9) evinde en az bir kişinin sigara içicisi olduğu saptandı. Evinde rutubet teması olanların sayısı 14 (%16,4), küf teması olanların sayısı ise 15 (%17,6) idi. Sonuç: Çalışmamızda ilkokul çocuklarında hışıltı sıklığı %12,9 olarak bulunmuştur. Ev içi tetikleyicilerden rutubet, küf ve sigara teması dikkat çekicidir. Özellikle düşük gelir seviyeli bölgelerde yaşayan ebeveynlerin ev içi tetikleyiciler konusunda bilgi düzeyinin arttırılması önemlidir. Anahtar Kelimeler: Astım, çocukluk çağı, ev içi tetikleyiciler Aim: Asthma is one of the most important chronic diseases of childhood. Parents' awareness of the symptoms of asthma and what triggers it is necesssary in every step of the diagnosis and treatment. Materials and Methods: In this study, we included parents of 85 primary education students with mean age 9.1% (7-11) settled in a neighbourhood of low income in Ankara. The Questionnaire of the study was based on International Study for Asthma and Allergies in Childhood with 31 questions concerning the symptoms of asthma and things that trigger it. Results: The number of children who had a wheezing attack at least once and recognised by their families was 10 (11.7%) while nine children had been diagnosed with asthma by a doctor. In the homes of 56 children (65.9%) there was at least one smoker. Four-teen children (16.7%) were exposed to humidity and 15 children (17.6%) had mold in their homes. Conclusion: Our study showed that the incidence of wheezing among primary school students was 12.9% Indoor triggers such as humidity, mold and cigarette smoke were reported by the students' parents. Therefore, especially in low income areas it is very important to educate the parents about indoor triggers.
Background. Eczema herpeticum (EH) is an acute disseminated viral infection that develops in the presence of an existing skin lesion, often on the ground of atopic dermatitis (AD). Morbidity and mortality of EH can be minimized by starting antiviral therapy at the earliest time in diagnosis. Case. Herein we report five infants diagnosed with EH in the course of AD treatment. All patients had early onset, moderate to severe AD and needed intermittent topical corticosteroid (TCS) therapy. In physical examination, newly formed, TCS-resistant vesiculo-papular skin lesions were recognised on the present dermatitis. The presence of AD with food allergy and moderate to severe eosinophilia were other prominent findings. Conclusion. All patients were misdiagnosed as AD exacerbation. Therefore, EH should be considered in the differential diagnosis of AD exacerbation especially in the infants with moderate to severe AD.
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