BACKGROUND AND OBJECTIVE Parents of children with complex chronic conditions report fragmented care, unmet medical needs, and financial strain from health care costs. The aim of this study was to identify both prevalent themes discussed during pediatric palliative care consultation of patients with complex chronic conditions cared for by pediatric generalists and variation in consultation conte...

A 2 years and 9 months old boy attended to a gastroenterology clinic of pediatric hospital for investigation of recurrent and intractable vomiting. He had post prandial, non-projectile, non-bilious emesis since past 2 years. Since the onset of illness, he was carried to many doctors and underwent extensive laboratory investigations. Because all of the science lab and imaging work up for etiolog...

А im: to describe clinical cases of Wilson – Konovalov disease in pediatric patients. Key points. The first case demonstrates the manifestation with unexplained mild elevation aminotransferases at age 6 years. Despite persistent hyperenzymemia, no additional laboratory tests were prescribed. At 10, patient showed signs liver failure and neurological symptoms. Laboratory instrumental examination...

Severe and severe complicated Clostridium difficile infections (SCDI/SCCDI) were retrospectively assessed in a pediatric cohort. Underlying medical conditions and concomitant medical therapy preclude accurate classification of children with SCDI/SCCDI, using current CDI severity definitions. Revised CDI definitions in children should focus on more objective, age-appropriate, and CDI-specific ma...

1. Assistant Professor of Pediatrics, Mashad University of Medical Sciences 2. Associate Professor of Pediatrics, Mashad University of Medical Sciences 3.General practitioner 4. Associate Professor, Pediatric Neurologist, Department of Pediatric Neurology & Neonatal Research Center, Mashad University of Medical Sciences Corresponding Author: J.Akhondian MD Fax:+98 511 8417451 e-mail:J-Akhondian...

Chronic active Epstein-Barr virus (CAEBV) infection is a rare disease with high mortality. Most of CAEBV patients have been reported from Japan and are pediatric cases.The goal was to describe the clinical characteristics and the immunophenotypic features of peripheral lymphocytes in adult onset CAEBV patients.We retrospectively reviewed and analyzed all adult onset CAEBV cases admitted to Peki...

Natural History of Pediatric Crohn Disease T he natural history of pediatric Crohn disease (CD) remains unpredictable, although some trends are observed that differentiate children from adults. Pediatric CD often presents with more severe disease and more frequent need for immunosuppressive therapy (1). Growth failure, present in 15% to 20% of patients, is a unique characteristic of pediatric C...