PubMed HealthSearch

Biomedical subjects

G Iannaccone

Publications and source records attributed to G Iannaccone.

At least 19 recordsLinked to original sources

[Multiple simultaneous stratigraphy. Results with a 5-plane system for pediatric use].

The authors report the results of a five-layer simultaneous multisection tomographic technique to be used in pediatric radiology, based on an appropriately selected series of Trimax rare-earth intensifying screens arranged in progressive speed order. The technique has been so far employed with excellent results in 100 children, especially during IVP, when X-ray examination is very frequently disturbed by ileocolic gas. The many advantages of the technique are emphasized: a) all sections are perfectly parallel and simultaneous, in the same respiratory phase and body position; b) film density is practically identical in all sections; c) there is considerable saving in time, machine consumption, and radiation dose.

Child

Familial congenital bowing with short thick bones and metaphyseal changes, a distinct entity. Report of the clinical and radiological findings in two siblings.

The authors describe two siblings, a male and a female, with disproportionate short stature, rhizomelic-mesomelic shortening of the limb bones, marked bowing of the femora, moderate bowing of the humeri, radii and ulnae, straight tibiae and fibulae, normal hands, flared cupped metaphyses of the tibiae, ulnae, radii and ribs, and narrow chest. There was some improvement of the bone changes with advancing age. These two patients are similar to five other cases from the literature and strongly support Hall and Spranger's view that this pseudocampomelic condition most likely represents a distinct familial bowing syndrome. The differential diagnosis and the hereditary aspects in the two patients, are also briefly discussed.

Body Height

Radiological findings in the hand in Seckel syndrome (bird-headed dwarfism).

Two patients with severe intrauterine growth retardation and bird-headed appearance are described. These two children had most of the clinical features of the so-called Seckel dwarfism. The radiological findings included: (1) ivory epiphyses affecting all phalanges in one patient and many phalanges in another; (2) cone-shaped epiphyses in the proximal phalanges; (3) marked disharmonic bone maturation between carpals and phalanges, between individual carpals, and from side to side; (4) alteration in the length of the hand bones, with considerable similarity of the metacarpophalangeal pattern between the two children; (5) relatively small carpals, which have an angular configuration; and (6) relatively normal or increased cortical thickness of the metacarpals.

Age Determination by Skeleton

Double right tracheal bronchus. A case report in an infant.

An apparently unique case of double right tracheal bronchus supplying the whole right upper lobe is described in a 12-month-old infant presenting with a right paratracheal opacity, persisting cough, and ventricular septal defect. The two tracheal bronchi, initially discovered on tomography, were confirmed by tracheobronchography, which demonstrated also the absence of other upper lobe branches. At surgery, the upper lobe was atelectatic, and its blood supply was abnormal.

Bronchi

Idiopathic esophagopleural fistula in the newborn. A review, with a case report.

Idiopathic rupture of the esophagus in the neonate is a rare event, probably related to the same mechanism of ischemic necrosis responsible for other "spontaneous" g.i. tract perforations in the newborn. The laceration is usually located on the right aspect of the distal esophagus and is complicated by esophagopleural fistula and hydropneumothorax. Plain chest film and esophagography are diagnostic. The condition is an emergency one and usually carries a bad prognosis without prompt surgical repair. A typical case is reported in a baby who survived without early surgery; a residual tiny blind pouch and a small hiatal hernia required surgery at 1 year of age.

Asphyxia Neonatorum

Intrauterine growth retardation. A report of two cases with bird-headed appearance, skeletal changes and peripheral GH resistance.

Two cases of severe intrauterine growth retardation, a boy and a girl studied for 7 and 10 years respectively, are reported. Both patients showed peculiar cranio-facial abnormalities as observed in the so-called Seckel's syndrome, an appearance of premature aging, peripheral GH resistance which was probably due to deficiency in Somatomedin A production, sella areas and volumes consistently at the upper limits of normal when related to the patients' height, and dysharmonic skeletal maturation ivory cone-shaped epiphyses of the tubular bones of the hands.

Bone Development

Calcifying splenic hematoma in a hemophilic newborn.

A 7-day-old hemophilic newborn presented several hemorrhagic manifestations, notably a large cephalohematoma, intracranial hemorrhage and a splenic hematoma. This was clearly identified on X-rays and at 4 weeks of age showed gross ring-like calcification. Involvement of the spleen in hemophilia is rare, at all ages. Also uncommon are hemorrhagic manifestations of hemophilia during the neonatal period. Calcified splenic hematomas in hemophilic patients have apparently never been described.

Calcinosis

Disseminated arthritis and osteitis by Candida albicans in a two month old infant receiving parenteral nutrition.

The case of a two-month -old female infant, who after a severe diarrhoea treated with prolonged intravenous infusion in peripheral veins alternated with total parenteral feeding, developed a Candida albicans septicemia (accompanied by disseminated intravascular coagulation syndrome) is reported. The course of her disease was also complicated by multiple foci of osteoarthritis in both knees, in the left hip and in several long-bones. Radiographically the foci of Candida osteitis appeared as fine erosion of the cortex and minute round areas of osteolysis in the spongiosa, surrounded by a rim of perifocal sclerosis. During the acute stage of Candida sepsis a transitory cellular immunodeficiency was present. Treatment of Candida infection by 5-fluorocytosine was followed by complete recovery.

Arthritis, Infectious