Immunoglobulines intraveineuses et maladie hémolytique allo-immune du nouveau-né.

in Archives de Pédiatrie (2010), 17(3), 299-300

La pyknocytose infantile : une anemie neonatale mal connue a propos de 5cas.

in Archives de Pédiatrie (2008), 15(12), 1765-8

Infantile pyknocytosis (IP) is a rare hematological entity of newborns. It is a form of hemolytic anemia with unusual red cell morphology: the red blood cells are distorted, irregular, and small with many ... [more ▼]

Infantile pyknocytosis (IP) is a rare hematological entity of newborns. It is a form of hemolytic anemia with unusual red cell morphology: the red blood cells are distorted, irregular, and small with many projections. Spontaneous resolution usually occurs by 4-6months of age. OBSERVATION: We describe the clinical features and biological parameters of 5 cases of IP. The first symptoms were always early jaundice, which required phototherapy. Anemia was severe in all babies and red blood cell transfusion was needed. CONCLUSION: IP is a rare cause of neonatal anemia whose diagnosis is based on a careful peripheral blood smear examination. In our study, anemia was severe and required red blood cell transfusion. Ethnic specificity and familial occurrence are reported in our experience. [less ▲]

La sante physique, mentale et les comportements de sante des adolescents immigrants de premiere generation.

in Archives de Pédiatrie (2007), 14(8), 1020-7

The objectives of this article are to: a) review literature about physical, mental health and behaviors of first generation immigrant adolescents and its evolution; b) compare first and second generations ... [more ▼]

The objectives of this article are to: a) review literature about physical, mental health and behaviors of first generation immigrant adolescents and its evolution; b) compare first and second generations immigrant adolescents'health. Studies usually compare first generation and others adolescents groups: 1) first generation adolescents shows better physical health and behaviors than second generation; 2) first generation adolescents shows variable results for mental health compared to second generation and host adolescents according to the studies; 3) a degradation of physical health and behaviors is observed with the time passed in the host country. These results show necessity of a precocious evaluation of first generation adolescents' needs for a good planification of health promotion and prevention actions to preserve their health advantage at arrival. [less ▲]

Une forme particuliere d'anemie constitutionnelle chez un nourrisson de deux mois: l'elliptocytose

in Archives de Pédiatrie (2005), 12(2), 163-7

We report the case of a 2.5-month-old infant with severe anaemia discovered fortuitously during an acute febrile illness. The patient was admitted because of a septic arthritis of the knee. Initial ... [more ▼]

We report the case of a 2.5-month-old infant with severe anaemia discovered fortuitously during an acute febrile illness. The patient was admitted because of a septic arthritis of the knee. Initial biology showed a 3.5 g/dl haemoglobin concentration. The anaemia was microcytic and hypochromic, with obvious haemolysis and reticulocytosis. Standard analysis was not contributive. Further investigations allowed the diagnosis of elliptocytosis. The patient was treated by antibiotics, orthopaedic measures and iterative transfusions. Now, 18 months from the initial episode, she is in good health. With this history, we discuss the clinical process facing severe anaemia during infancy and review the particularities of such uncommon congenital anaemia. Elliptocytosis is a haemolytic anaemia caused by congenital anomalies of the erythrocyte membrane. Diagnosis requires morphological studies of the red blood cells on peripheral blood smear. The disease is often overlooked by membrane protein electrophoresis. The condition is heterogeneous concerning clinical, biochemical and genetic aspects. Most of the cases are linked to mutations of the alpha-spectrin gene, in autoassociation regions. Search of spectrin and protein 4.1 genes mutations can confirm the diagnosis but is not routinely performed. [less ▲]

Evaluer la sante des adolescents en medecine scolaire: la qualite de vie comme complement aux indicateurs cliniques.

in Archives de Pédiatrie (2004), 11(12), 1438-44

Current medical practices of school health for adolescents are more based on the screening of specific physical problems than on psychosocial and subjective aspects of their health. OBJECTIVES: This study ... [more ▼]

Current medical practices of school health for adolescents are more based on the screening of specific physical problems than on psychosocial and subjective aspects of their health. OBJECTIVES: This study aimed at evaluating the usefulness of a quality of life (QoL) questionnaire during the consultations. POPULATION AND METHODS: Ninety-five adolescents (mean age: 16.9 years) present for the obligatory medical check-up in a health center in Brussels, were involved in the study. Data of the medical records were analysed and two questionnaires were administrated, one exploring the quality of life (VSP-A), the other the presence of depressive symptoms (CES-D). RESULTS: These adolescents were in good physical health and had a mean score of global quality of life of 62 (DS =11.2); 17% of the adolescents had significant depressive symptoms (score > or =24). There was a significant negative correlation between the scores of QoL and depression (R =-0.680, P <0.01), the QoL psychological dimension and depression (R =-0.656, P <0.01), the QoL energy-vitality dimension and depression (R= -0.763, P <0.01). CONCLUSION: An evaluation of the quality of life, approaching the mental health of the teenagers in a multidimensional and positive way, can be useful in school medicine for better identifying the medical and psychosocial adolescents needs. It can improve the relevance of the preventive consultation and the interventions of health promotion in schools. [less ▲]

Heart rate variability in infants with obstructive sleep apnea

in Archives de Pédiatrie (2002), 9(4), 444-445

bébé prématuré, bébé particulier ? Quel suivi développemental ?

in Archives de Pédiatrie (1998), 5