39 results match your criteria: "Children's Hospital of Rabat[Affiliation]"

Diagnostic accuracy of the lactate stress test for detecting mitochondrial disorders: Systematic review and meta-analysis.

Heliyon

November 2024

Laboratory of genomics and Molecular Epidemiology of genetic Diseases: genes and Mutations in the Moroccan Population, Rabat Medical & Pharmacy School, Mohammed V University in Rabat, 6203, Morocco.

Article Synopsis
  • Mitochondrial disorders (MDs) are challenging to diagnose due to their varying symptoms, but lactate stress tests (LSTA and LSTR) are effective screening tools.
  • A meta-analysis was conducted on 14 studies, encompassing 1064 participants, to evaluate the accuracy of LSTA and LSTR for diagnosing MDs, assessing factors like sensitivity, specificity, and diagnostic odds ratios (DORs).
  • Results indicated that while both tests showed moderate sensitivity and high specificity, LSTR had particularly better performance; the choice of test should consider the patient's fitness level and available resources.
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Article Synopsis
  • Dermatofibrosarcoma protuberans (DFSP) is a rare but locally aggressive skin tumor in children, known for slow growth and low likelihood of spreading, yet it often goes misdiagnosed due to its nonspecific symptoms.
  • Diagnosing DFSP can be difficult because it may present as nodular lesions or resemble other conditions like vascular malformations, highlighting the need for histologic and immunohistochemical examinations.
  • Successful treatment involves complete surgical removal with wide margins, as seen in two pediatric cases where lesions initially mimicked vascular issues, resulting in no recurrences after follow-ups of 6 months and 2 years, with ongoing monitoring planned for at least 5 years.
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Traumatic Renal Artery Occlusion in Children: A Case Report.

Glob Pediatr Health

August 2024

Pediatric Surgical Emergency Department, Children's Hospital of Rabat, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco.

Blunt trauma is a major cause of death in children, with renal arterial injuries occurring in less than 1% of cases. Traumatic renal artery occlusion (RAO) in children is rare and results in the loss of ipsilateral renal perfusion. Clinical signs are often nonspecific, and there is a lack of information on the exact incidence and management outcomes of these rare cases in children.

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Diagnostic and Therapeutic Challenges in Pediatric Cutaneous Melanoma: Two Case Reports From the Moroccan Population.

Cureus

May 2024

Pediatric Plastic Surgery Unit, Faculty of Medicine and Pharmacy of Rabat, Children's Hospital of Rabat, Mohamed V University of Rabat, Rabat, MAR.

Although cutaneous melanoma (CM) is one of the most prevalent cancers in adults, it is rarely reported in children. Often, the diagnosis is delayed and difficult to make. We presented two novel examples of pediatric CM from the Department of Pediatric Plastic Surgery Unit at Rabat Children's Hospital.

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Acute respiratory infections remain a leading cause of death among young children in low- and middle-income countries. The etiological diagnosis of these infections is challenging due to the similarity in clinical presentations and overlapping symptoms caused by various pathogens. This database provides comprehensive epidemiological, clinical, paraclinical, and biological data on 801 Moroccan children admitted to the Children's Hospital of Rabat for the management of Clinical Severe Pneumonia.

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c.754T>A homozygous mutation described for the first time in three Moroccan patients with Gaucher disease.

Arch Pediatr

May 2024

Unit of Neuropediatric and Neurometabolic Diseases, Pediatrics 2, Children's Hospital of Rabat Morocco, Faculty of Medicine and Pharmacy Rabat, University of Mohammed V Rabat, Rabat 11000, Morocco.

Gaucher disease (GD) is a lysosomal storage disorder caused by glucocerebrosidase (GBA) deficiency. There are three subcategories of GD: Type 1 is characterized by the absence of primary central nervous system involvement; type 2 is an acute neuropathic disorder; and type 3 is chronic neuropathic. The correlation between genotype and phenotype is sometimes difficult to establish.

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Dyke Davidoff-Masson syndrome is a rare neurological condition that results from brain injury during early childhood stages. The precise incidence of this condition is unknown, with a slight male predominance, and adult forms have been documented. Imaging findings reveal hemisphere atrophy along with ipsilateral compensatory skull changes and hyper-pneumatization of mastoid cells.

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Pantothenate kinase-associated neurodegeneration (or previously known as Hallervorden-Spatz syndrome) is a very rare disorder that typically manifests in a child with neurological signs such as gait difficulties, dysarthria, and hyperreflexia, associated potentially with psychiatric symptoms such as cognitive decline. It demonstrates on MRI the typical 'eye of the tiger' appearance, which is due to gliosis and accumulation of iron in the globi pallidi. Other differentials can mimic this appearance on MRI, it is therefore important to search for the involvement of other basal ganglia nuclei and the cerebral cortex, and also to consider the clinical and biological context.

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Diffuse miliary haemangiomatosis is a rare condition representing 2.5-3% of cases of cutaneous infantile haemangiomas. It is an efflorescence of five or more infantile cutaneous haemangiomas associated with visceral involvement, most commonly liver involvement.

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We previously demonstrated that 50% of children with obesity from consanguineous families from Pakistan carry pathogenic variants in known monogenic obesity genes. Here, we have discovered a novel monogenetic recessive form of severe childhood obesity using an in-house computational staged approach. The analysis included whole-exome sequencing data of 366 children with severe obesity, 1,000 individuals of the Pakistan Risk of Myocardial Infarction Study (PROMIS) study, and 200,000 participants of the UK Biobank to prioritize genes harboring rare homozygous variants with putative effect on human obesity.

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Severe combined immunodeficiency (SCID) is a form of primary immunodeficiency disease (PID). It is characterized by a serious abnormality of the cellular and sometimes humoral system due to a deficiency in development of T cells, B cells and/or NK cells. The early diagnosis of SCID improves the prognosis.

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Acute leukemias are often of myeloid or lymphoid origin. However, some acute leukemias revealed an undefined differentiation into a single lineage. Mixed phenotype acute leukemia (MPAL) is an uncommon diagnosis were blasts can share B/T/myeloid phenotype.

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In this work, we present the first case of a Ph-positive ALL Moroccan girl with (9;22)(q34;q11) and monosomy-7. She was diagnosed with Ph-positive ALL based on bone marrow examination, immunophenotyping, and cytogenetic analysis. She relapsed after treatment with the persistence of the Ph chromosome and the appearance of a monosomy-7.

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Defining paediatric metabolic (dysfunction)-associated fatty liver disease: an international expert consensus statement.

Lancet Gastroenterol Hepatol

October 2021

Storr Liver Centre, Westmead Institute for Medical Research, Westmead Hospital, University of Sydney, Sydney, NSW, Australia.

Article Synopsis
  • - The term non-alcoholic fatty liver disease (NAFLD) is being updated to metabolic (dysfunction)-associated fatty liver disease (MAFLD) for adults due to limitations in its definition, particularly concerning children who do not typically consume alcohol.
  • - An international panel is proposing a new framework for understanding pediatric fatty liver diseases, emphasizing the need for age-appropriate definitions based on sex and age percentiles.
  • - The updated MAFLD criteria aim to help pediatricians with disease diagnosis, risk assessment, and improved multidisciplinary care, while remaining applicable throughout a person's life.
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Chemotherapy may be responsible for central and/or peripheral neurotoxicity. These neurological complications are frequent but little known. Some molecules are more providers, responsible for acute or late complications, sometimes not reversible.

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Objective: Insulin delivery methods, glucose-monitoring modalities, and related outcomes were examined in a large, international, diverse cohort of children and adolescents with type 1 diabetes from the Better Control in Pediatric and Adolescent Diabetes: Working to Create Centers of Reference (SWEET) -Registry.

Research Design And Methods: Participants with type 1 diabetes of ≥1 year, aged ≤18 years, and who had documented pump or sensor usage during the period August 2017-July 2019 were stratified into four categories: injections-no sensor (referent); injections + sensor; pump-no sensor; and pump + sensor. HbA and proportion of patients with diabetic ketoacidosis (DKA) or severe hypoglycemia (SH) were analyzed; linear and logistic regression models adjusted for demographics, region, and gross domestic product per capita were applied.

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Unlabelled: The number of circulating lymphocytes is altered in a number of diseases including either increase (lymphocytosis) or decrease (lymphocytopenia). Therefore, the assessment of total blood lymphocyte numbers and the relative distribution of lymphocyte subsets is a critical front-line tool in the clinical diagnosis of a number of diseases, including pediatric diseases and disorders. However, the interpretation of this data requires comparison of patient's results to reliable reference values.

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Neurotization of isolated axillary nerve palsy in a teenage patient.

Int J Surg Case Rep

October 2020

Department of Pediatric Surgery, Children's Hospital of Rabat, Faculty of Medicine and Pharmacy, Mohamed V University, Rabat 10100, Morocco. Electronic address:

Background And Aim: The aim of this article was to study isolated axillary nerve injury, his etiologies, symptomatology and treatment via nerve transfer or neurotization.

Methods: We describe the procedure of long head triceps radial branch transfer to the axillary nerve motor branch in adolescent patient with right deltoid muscle palsy and shoulder anesthesia following a motorcycle crush six months ago.

Results: Total recovery of the shoulder sensibility, abduction and extension at one-year follow-up, and patient returned progressively to his normal live and sports activities without any functional effect on the donor muscle.

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The aim of the present study is to evaluate the level of contamination of breast milk (BM) by ochratoxin A, among Moroccan lactating mothers in the city of Rabat, and to identify the associated factors of exposure, also to estimate the degree of exposure of the breastfeed infant. The analysis of ochratoxin A (OTA) was accomplished by ELISA method on 82 colostrum samples. OTA was detectable (>0.

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Background: In low- and middle-income countries, therapeutic options for advanced, refractory, or relapsing malignancies are limited due to local constraints such as cost of drugs, distance from oncology centers, and lack of availability of new anticancer drugs. Metronomics, which combines metronomic chemotherapy (MC) and drug repositioning, allows for the provision of new therapeutic options for patients in this setting.

Aim Of The Study: To evaluate the activity and toxicity of a metronomic regimen in Moroccan pediatric patients with refractory or relapsing malignancies.

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A misleading presentation of juvenile Tay Sachs disease.

Rev Neurol (Paris)

March 2020

Unit of neuro-pediatric and neuro-metabolic diseases, Pediatrics 2, Children's Hospital of Rabat Morocco, University of Mohammed V Souissi Rabat, Rabat 11000 Morocco.

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The rare translocation t(14;21)(q11;q22) detected in a Moroccan patient with T-cell acute lymphoblastic leukemia.

Leuk Res Rep

November 2018

Laboratory of Human Pathologies Biology, Department of Biology, Faculty of Sciences, Mohammed V University, Rabat, Morocco.

Cytogenetic studies of acute lymphoblastic leukemia have been at the forefront of research in the pathogenesis of cancer. The presence of recurring chromosomal abnormalities (either numeral or structural rearrangements) provides immediate clues to the genetic events leading to leukemia and many abnormalities have important prognostic significance. The rare translocation t(14,21)(q11.

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Background: Allgrove syndrome is a rare autosomal recessive disorder characterized by the triad of achalasia, alacrimia and adrenal insufficiency. It is caused by the mutations of the AAAS gene located on chromosome 12q13. The c.

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