scholarly journals Hair That Is Difficult to Manage in a Hispanic Girl

2017 ◽  
Vol 4 (1) ◽  
pp. 41-43
Author(s):  
Adriana Villarreal-Rodríguez ◽  
Sonia Chávez-Alvarez ◽  
Ivett Miranda-Maldonado ◽  
Maira Elizabeth Herz-Ruelas
Keyword(s):  
2013 ◽  
Vol 23 (5) ◽  
pp. 767-771 ◽  
Author(s):  
Shriji N. Patel ◽  
Neelakshi Bhagat ◽  
Alan Goldfeder ◽  
Marco Zarbin

PEDIATRICS ◽  
1994 ◽  
Vol 93 (5) ◽  
pp. 842-844
Author(s):  
George S. H. Makari ◽  
James E. Carroll ◽  
Edward M. Burton

Because child abuse occurs frequently and leads to repeated trauma if unrecognized, pediatricians are acutely aware of nonaccidental injury. On occasion, an uncommon disease is manifested in a way that suggests child abuse as a possible explanation of trauma. We report on two siblings with hereditary sensory neuropathy. One of these two children was removed from the home because of suspected child abuse. It is important to recognize hereditary sensory and autonomic neuropathies (HSAN) as a cause of repeated trauma to prevent unnecessary family intervention for suspected child abuse. CASE REPORTS PATIENT 1 A 5-year-old Hispanic girl was removed from her home after hospitalization for second degree burns over 15% of her body.


2013 ◽  
Vol 11 (8) ◽  
pp. A24
Author(s):  
Erin G. Bhatia ◽  
Jonathan E. Markowitz
Keyword(s):  

2009 ◽  
Vol 26 (2) ◽  
pp. 195-196
Author(s):  
John Martin ◽  
Michele Hughes ◽  
Jennifer Smith ◽  
Amy Brackeen

2001 ◽  
Vol 35 (7-8) ◽  
pp. 867-869 ◽  
Author(s):  
Brett A English ◽  
Daniel J Still ◽  
John Harper ◽  
Steven R Saklad

OBJECTIVE: To report the use and subsequent failure of the bladder-selective agent tolterodine, to treat clozapine-induced nocturnal enuresis in an adolescent patient with psychotic illness. CASE SUMMARY: A 16-year-old Hispanic girl was admitted to the state psychiatric hospital with a diagnosis of bipolar disorder with psychotic features. Clozapine therapy was initiated, and after three months of treatment the patient began experiencing episodes of nocturnal enuresis. The bladder-selective agent tolterodine was tried and subsequently failed to resolve the enuresis episodes. Desmopressin was initiated, which resulted in amelioration of symptoms. DISCUSSION: This is the first published report of using tolterodine to treat clozapine-induced nocturnal enuresis. Several methods to decrease clozapine-induced urinary incontinence have been used and typically include the addition of agents with high anticholinergic properties. Tolterodine is a bladder-selective anticholinergic agent indicated for the treatment of urinary urge incontinence and may be employed as a treatment for antipsychotic-induced incontinence. CONCLUSIONS: Nocturnal enuresis is an adverse effect that infrequently occurs with use of clozapine therapy. Although tolterodine was ineffective in our patient to treat clozapine-induced nocturnal enuresis, further trials are required to appropriately evaluate the effectiveness of tolterodine to treat this adverse drug reaction.


2000 ◽  
Vol 34 (3) ◽  
pp. 328-329 ◽  
Author(s):  
Michele Zell-Kanter ◽  
Theodore S Toerne ◽  
Katharina Spiegel ◽  
Adam Negrusz

OBJECTIVE: To describe a case of a child with altered mental status following the topical administration of doxepin. CASE SUMMARY: A five-year-old Hispanic girl was brought to the emergency department because she was difficult to arouse at school. She had recently developed a generalized eczematous rash for which she was prescribed doxepin hydrochloride 5% cream. An entire tube (30 g) of doxepin cream was applied in the 24 hours prior to presentation. The patient was responsive only to noxious stimuli, with no focal neurologic abnormalities. She was decontaminated and observed in a pediatric intensive care unit. By 18 hours after presentation, she had fully recovered and was discharged. CONCLUSIONS: Topical doxepin, available as a 5% cream, is indicated for the treatment of pruritus secondary to eczematous dermatoses in adults. Diminished skin integrity and the application of a massive quantity of doxepin 5% cream to a large body surface area contributed to the toxicity in this child. Since the safety and efficacy of doxepin cream has not been established in children younger than 12 years, it should be used with caution in this population.


2021 ◽  
pp. 112067212199448
Author(s):  
Irving Armando Domínguez-Varela ◽  
Jorge A Aguilera-Partida ◽  
Lauren A Dalvin ◽  
Lucas A Garza-Garza ◽  
Leslie M Thompson-García ◽  
...  

Introduction: To report a case of a Hispanic girl with late-onset Retinoblastoma (Rb) who was misdiagnosed as a pars planitis prior to referral. Nearly 95% of all Rb cases are detected before age 5, and this patient was 8 years-old. Methods: Case report of a late-onset Retinoblastoma with anterior chamber (AC) involvement plus the presence of an Ahmed valve. The patient had a history of a couple of months of topical therapy comprising medication for glaucoma, systemic steroids, and a filtration surgery (Ahmed valve), after that a biopsy was performed prior to referral. Upon arrival at our clinic, we performed an examination under anesthesia (EUA) and a B-scan ultrasound (US). Results: Unilateral Retinoblastoma with an Ahmed valve in an AC filled with Rb seeds was diagnosed with the EUA and US in the left eye. An orbital exenteration with map biopsies of the left orbital cavity was performed with confirmation by histopathology of a poorly differentiated endophytic retinoblastoma with Bruch’s membrane invasion. Follow-up sessions were then arranged as well as subsequent systemic chemotherapy cycles. Conclusion: Given the rare incidence of retinoblastoma in children older than 5 years old, it can be easily mistaken for other differential diagnoses and treated with filtration surgeries that could put the patient’s life at risk. In this report, late-onset Rb diagnosis is highlighted as a differential diagnosis in children and adults with atypical uveitis, which required a multidisciplinary approach.


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