Publications by authors named "Pavone P"

Background: Polydactyly and syndactyly, which are commonly encountered congenital limb deformities, rarely occur together and are linked with significant genetic mutations. This report sheds light on a unique co-presentation involving mutations in both the GLI3 and TBX5 genes, offering a deeper understanding of the genetic interactions that may influence limb development. This case report is important to increase our knowledge on genetic bases of limb malformations.

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Background: Extracorporeal membrane oxygenation (ECMO) is a life support in newborns with severe respiratory failure. Our main objective was to evaluate the mortality of patients and define positive and negative predictive factors of survival.

Methods: We performed a Strengthening the Reporting of Observational Studies in Epidemiology (STROBE)-conformed retrospective observational study and a systematic review, according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA).

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Acute suppurative thyroiditis (AST), a rare yet potentially life-threatening infection, comprises less than 1 % of neck pathologies and requires prompt treatment. Symptoms range from neck pain and fever to dysphagia and possible abscess formation. Broad-spectrum antibiotics are the primary treatment; however, surgical drainage may be necessary for abscesses to prevent systemic infection.

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Background: -related disorders are uncommonly reported. The clinical features of the disorders are wide and heterogeneous mainly consisting of undistinctive facial dysmorphism, mild to severe intellectual and speech delay, epileptic seizures, and motor dysfunction. Defects in gene have been identified in cases diagnosed as Pitt-Hopkins-like-syndrome 2 (PTHLS2; OMIM#614325).

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Article Synopsis
  • High-flow oscillatory ventilation (HFOV) is a vital rescue treatment for infants and children experiencing respiratory failure from various conditions but poses risks for those with congenital heart diseases.
  • HFOV operates by delivering small tidal volumes at high frequencies, which can manipulate essential hemodynamic parameters, potentially endangering congenital heart patients.
  • Recent studies suggest that HFOV may not significantly impact these hemodynamic factors and can be beneficial for pediatric patients with congenital heart issues, leading to a re-evaluation of its use in this population.
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Background: The plumb line (PL) is a common tool for assessing the sagittal curvatures of the spine, but its accuracy depends on the ability of the physician to use it correctly. This study aimed to present a fixed plumb line (FPL) no longer held by a physician but fixed to a support, evaluating the reliability in posture assessment, comparing it with PL in both adolescent with and without scoliosis.

Methods: The study evaluated the sagittal distances of the spine using a PL and a FPL in 80 young adults aged between 28.

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  • CCR-4 antagonists like Mogamulizumab are typically protective against invasive pulmonary aspergillosis, but a case of a 64-year-old man demonstrated a fatal outcome despite treatment for mycosis fungoides.* -
  • The patient showed no symptoms for months, but when he presented with respiratory issues, imaging revealed severe lung damage, and laboratory tests eventually confirmed aspergillosis.* -
  • After starting voriconazole, the patient unexpectedly died just two days later, highlighting the unpredictable nature of the disease and the complexities surrounding immune responses during treatment.*
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  • Congenital tongue tumors in children are uncommon but consist of various types, each requiring specific diagnostic and treatment approaches due to differing clinical behaviors.
  • Advanced imaging techniques, like diffusion-weighted imaging and perfusion studies, are crucial for distinguishing between benign and malignant tumors.
  • The literature review identifies congenital tongue tumors, categorizes them based on hereditary patterns and type, and highlights that surgical excision is the main treatment, with prognosis varying by tumor type.
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CDKL5 deficiency disorder (CDD) is a complex clinical condition resulting from non-functional or absent CDKL5 protein, a serine-threonine kinase pivotal for neural maturation and synaptogenesis. The disorder manifests primarily as developmental epileptic encephalopathy, with associated neurological phenotypes, such as hypotonia, movement disorders, visual impairment, and gastrointestinal issues. Its prevalence is estimated at 1 in 40,000-60,000 live births, and it is more prevalent in females due to the lethality of germline mutations in males during fetal development.

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  • A 12-year-old child presented with unilateral parotitis and sialadenitis, alongside a positive SARS-CoV-2 test after a brief fever.
  • The ultrasound showed swelling in the parotid and sublingual glands, indicating parotitis.
  • This case emphasizes the need to consider SARS-CoV-2 in the diagnosis of parotitis, alongside other viral infections like mumps and influenza, during the COVID-19 pandemic.
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  • Lemierre syndrome is a rare but serious complication of throat infections, often affecting healthy young adults, and is caused by septic thrombophlebitis of the internal jugular vein.
  • The incidence of Lemierre syndrome is about 3.6 cases per million, with symptoms typically following a pharyngitis infection, leading to potential complications like pulmonary infections.
  • Early diagnosis through CT scans and prompt treatment with broad-spectrum antibiotics are crucial for preventing severe outcomes, as many patients can fully recover with the right therapy.
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  • COVID-19 is primarily known for causing respiratory issues, but recent studies have shown it can also lead to severe muscle inflammation (myositis) that could result in multi-organ failure and increased mortality.
  • Myositis in pediatric patients with COVID-19 was studied at Policlinico San Marco University Hospital, revealing symptoms like fever, calf muscle pain, and elevated serum creatine kinase (CK) levels in affected children.
  • Despite the potential severity, the majority of pediatric cases seemed to resolve without complications, highlighting the importance of monitoring specific markers for effective management and indicating the need for further research on the disease’s impact on muscles.
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 Microtia is an uncommon congenital malformation ranging from mild anatomic structural abnormalities to partial or complete absence of the ear leading to hearing impairment. Congenital microtia may present as a single malformation (isolated microtia) or sometimes associated with other congenital anomalies involving various organs. Microtia has been classified in three degrees according to the complexity of the auricular malformation and to anotia referred to the total absence of the ear.

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  • Netherton syndrome is a rare genetic skin disorder marked by three main features: congenital ichthyosis (dry skin), immune system issues, and problems with the scalp.
  • A case study details a 1-month-old boy who experienced severe health challenges, including failure to thrive and feeding problems, as well as an abnormal high sodium level at birth.
  • The condition is caused by a mutation in the SPINK5 gene, leading to a protein deficiency that weakens the skin barrier, resulting in serious complications like skin infections and growth issues in infants.
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In the clinical practice, it is not common for pediatricians to visit children with overgrowth phenotype. When it happens, it is important to focus on the age of manifestations and research the pathogenic causes using appropriate genetic test. Cowden syndrome is one of these rare causes; it is an autosomal dominant genodermatosis characterized by multiple hamartomas of ectodermal, mesodermal, and endodermal origin.

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Mumps is an acute generalized infection caused by a . Infection occurs mainly in school-aged children and adolescents and the most prominent clinical manifestation is nonsuppurative swelling and tenderness of the salivary glands, unilaterally or bilaterally. Negative serology for mumps requires a differential diagnosis with other infectious agents, but it is not routine.

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Introduction: Tubulin genes have been related to severe neurological complications and the term "tubulinopathy" now refers to a heterogeneous group of disorders involving an extensive family of tubulin genes with being the most common. A review was carried out on the complex and severe brain abnormalities associated with this genetic anomaly.

Methods: A literature review of the cases of -tubulopathy was performed to investigate the molecular findings linked with cerebral anomalies and to describe the clinical and neuroradiological features related to this genetic disorder.

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The expansive production of data in materials science, their widespread sharing and repurposing requires educated support and stewardship. In order to ensure that this need helps rather than hinders scientific work, the implementation of the FAIR-data principles () must not be too narrow. Besides, the wider materials-science community ought to agree on the strategies to tackle the challenges that are specific to its data, both from computations and experiments.

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Chromosome 21q deletion syndrome is a rare disorder affecting the long arm of chromosome 21 and manifesting with wide phenotypic features depending on the size and position of the deleted region. In the syndrome, three distinct deleted regions have been distinguished: region 1, from the centromere to approximately 31.2 Mb (21q11.

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Article Synopsis
  • Klippel-Trenaunay syndrome is a rare congenital disorder defined by three main features: capillary malformations, varicosities, and tissue/bone hypertrophy, with diagnosis possible if at least two are present.
  • Capillary malformations are typically seen at birth, while varicosities and limb hypertrophy usually develop later, and while the syndrome is often benign, it can lead to serious complications in various organs.
  • Recent advancements categorize this syndrome under PIK3CA-related overgrowth spectrum disorders, with new insights into its genetic causes, clinical symptoms, potential complications, and management strategies for affected individuals.
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