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Notes:
Volume 4 Journal of Pediatric Care
ISSN: 2471-805X
Page 37
JOINT EVENT
August 06-07, 2018 Madrid, Spain
&
2nd Edition of International Conference on Adolescent Health & Medicine
18th International Conference on Pediatrics Health
Pediatrics Health 2018
&
Adolescent Health 2018
August 06-07, 2018
Clinical case reports: Multiple pediatric case presentations
Asma Awadalla
Ministry of National Guard Health Affairs, Saudi Arabia
From King Abdullah Specialized Children’s Hospital, Riyadh, Saudi Arabia, I would like to share with other paediatricians
5 cases from the middle east:
Arthrogryposis-Renal dysfunction-Cholestasis (ARC) Syndrome: Four cases from different ethnic groups but all from
middle east with ARC syndrome a multisystem disorder which was reported as a rare autosomal recessive disorders. Clinical
presentations, physical examinationand and investigations including genetic tests were three patients we also
highlighted the course of the disease and age at death for this life limiting condition.
A rare presentation of a complicated case of hypercalcemia: A previously healthy 11 years old boy, who presented with
right flank pain for one week. Associated with vomiting. Apart from right renal angle tenderness system exam was normal.
Investigations revealed increased serum and urinary calcium with elevated parathyroid hormone level. Rt ureteric stone was
evident on plain film and renal USS. The patient had laser fragmentation of right ureteric stone then partial parathyroidectomy.
Histopathology confirmed parathyroid adenoma whichwas suspected on the parathyroid scan. Outpatient followup reassuring.
A case of Agammaglobulinemia: Nearly 4 years old boy presented with sudden onset of Rt sided weakness and left-sided
facial asymmetry. He had 2 previous admission for recurrent infections. Neuroimaging consistent with occlusion of left
MCA and sub-acute infarction involving fronto-pareital lobes. Echo shoed depressed cardiac function and immune work up
showed Zero Bcells consistent with Agammaglobulinemia. Stroke was likely thrombo-embolic secondary to cardiomyopathy/
LV dysfunction as he had dilated left atrium and left ventricle with mild to moderate mitral insufficiency and moderately
depressed left ventricular systolic function. Patient was started on regular IVIG.
Two cases of disseminated BCGgitis secondary to interleukin 12 defeciency and BCG-osis: The first case is an 18 moth old
boy presented with dissaminated BCG infection (left axillary lymph node and splenic abcecces) secondary to IL-12 deficiency
on antiTB medication. The second case is a six month male infant with BCG related axillary lymphadenitis.
Biography
Dr Asma Awadalla is a Consultant Paediatrician in the King Abdullah Specialized Children’s Hospital under Ministry of National Guard Health Affairs in Riyadh,
Saudi Arabia. She is also jointly appointed as Assistant Professor in King Saud bin Abdulaziz University for Health Science present in Riyadh, Saudi Arabia.
Asma Awadalla, J Pediatr Care 2018, Volume 4
DOI: 10.21767/2471-805X-C3-011