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Biomedical subjects

M P Bolgiani

Publications and source records attributed to M P Bolgiani.

At least 19 recordsLinked to original sources

Short rib-dysplasia group (with/without polydactyly): report of a patient suggesting the existence of a continuous spectrum.

We report on a patient with manifestations typical of Mohr syndrome and of the short rib (polydactyly) syndromes (SR(P)S) Majewski, Verma-Naumoff, Beemer, and Jeune. It seems possible that the different types of SR(P) syndromes, rather than being distinct conditions, are part of a large disease spectrum. The frequent overlap between orofaciodigital syndromes and SR(P) syndromes may be interpreted as the outcome of deletions of different size within the same chromosome region.

Abnormalities, Multiple↗

[The safe transportation of children in automobiles].

The Author emphasizes the significant number of children who sustain fatal accidents during their transport on motor vehicles and relates the Act recently promulgated by the Italian Parliament on the mandatory use of particular restraining devices as well as safety harness for children.

Accidents, Traffic↗

[Self care in celiac disease].

The need for patients with coeliac disease to be introduced to a self-management program is well established. This program frequently raises some problems for young patients in relation to social condition and personal habits, and to the life and culture of their community. Data from a questionnaire given to 62 young patients show a strong interest in self-management and in periodic meetings. Some problems usually arise only on early adolescence (12/15 years).

Adolescent↗

[Spigelian hernia: presentation and discussion of 3 clinical cases].

The authors describe three cases of ventral-lateral hernia (Spigelian hernia), with their clinic and diagnostic features. They also make a revision of the literature about this disease and some considerations about the relatively high incidence and the frequent diagnostic difficulties.

Adult↗

[Arterial pressure in childhood. I: Relation to age. (collection of data relative to 3,737 pupils of elementary and high school between the ages of 6 to 14 years)].

Research relating blood pressure levels of 6-14 years-old age schoolchildren has been carried into the whele school-population of Chivasso (Turin) town. Three kinds of armbands of different widths and lengths were used according to age. In conformity with Long's suggestions, the correction factors were used for the age-groups from 6 to 7 years and 8 to 11. On the grounds of the levels taken the quantiles were calculated. The graphs show the shape of the 5th, 25th, 50th, 75th, and 95th percentiles, related to the systolis and diastolic pressures and to the age of the child. The results showed a continous increase in the shape of the levels, which did not depend on the sex variant. A spike in the 9th year can be related to the fact that the correction factor can be less than it should be. The decrease in the 11th year can be put down to the fact that the correction for the armband has not been carried out from the 12th year onwards. 6.52% of schoolchildren have systolic and/or diastolic blood pressure greater than 95 degrees C.

Adolescent↗

[A case of galactosemia caused by galactokinase deficiency].

The authors describe an original case of galactokinase deficiency, born from a gypsies' family. He developed cataracts in the first two months of life. No other pathological features were observed. One of the brothers of the propositus was also blind for cataracts. The authors discuss the biochemical differences among the varieties of galactosaemia, and their relationship with the clinical differences.

Galactokinase↗

[Convoluted-cell lymphoblastic lymphoma in children: a clinical case].

A case of convoluted cell lymphoblastic lymphoma in a 4 year old male is reported. Initially the patient presented with respiratory distress which led to the diagnosis of left pleural effusion. Neither several thoracenteses, nor the insertion of the chest tube were able to reduce the effusion, and in the meantime a pericardial effusion was observed. After two pericardiocenteses were unsuccessful, pericardiotomy was performed and an extensive invasion of pericardium, pleurae, mediastinum and diaphragm was demonstrated. The child died 48 hours later and the hystological diagnosis was of convoluted cell lymphoblastic lymphoma. The possibility of a neoplastic disease should be considered when such a contrast, between an insidious beginning with negative laboratory studies and the presence of an extremely severe clinical picture, not modified by treatment, is present. Early diagnosis and specific treatment are the only possibilities for survival.

Child, Preschool↗

[Endoscopic examinations in the primary tuberculosis complex in childhood].

The authors draw attention here to a series of cases of primary tuberculosis in early infancy (in children aged between 4 months and 4 years), and they stress that it is indispensable to perform endoscopy in those forms where the lymphoglandular element constitutes the starting point of symptoms of local complications. The authors point to the high incidence of bronchoglandular fistulae mentioned in publications, which can be discovered exclusively by endoscopy and which can also be made easy by cortisone therapy. This therapy moreover remains a fundamental weapon against respiratory defect which follow when the lymphoglandular element of the primary tuberculous infection affects the bronchi. The authors also wish to stress that the cortisone therapy can also avoid serious loss of of pulmonary function as demonstrated in a patient whom the authors were only able to observe at a late stage.

Antitubercular Agents↗