95 results match your criteria: "Hopital Universitaire Des Enfants Reine Fabiola (HUDERF)[Affiliation]"

Etiology, histology, and long-term outcome of bilateral testicular regression: a large Belgian series.

Hum Reprod Open

December 2023

Department of Internal Medicine and Pediatrics, Ghent University, Pediatric Endocrinology Service, Ghent University Hospital, Belgium, Ghent.

Article Synopsis
  • - The study investigates the long-term effects of bilateral testicular regression (BTR) in individuals, focusing on growth and development outcomes, particularly highlighting suboptimal penile growth often related to genetic factors.
  • - BTR, a rare condition with potential vascular and genetic origins, was analyzed in a cross-sectional study involving 35 participants recruited from eight pediatric endocrinology departments in Belgium over three years.
  • - Key findings revealed common maternal complications during pregnancy and identified specific genetic variants in some participants, while a centralized review of gonadal tissue contributed to understanding the condition's clinical implications.
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Rare Oncogenic Fusions in Pediatric Central Nervous System Tumors: A Case Series and Literature Review.

Cancers (Basel)

September 2024

Department of Pathology, Université Libre de Bruxelles (ULB), Hôpital Universitaire de Bruxelles (HUB), CUB Hôpital Erasme, Erasme University Hospital, 1070 Brussels, Belgium.

Central Nervous System (CNS) pediatric tumors represent the most common solid tumors in children with a wide variability in terms of survival and therapeutic response. By contrast to their adult counterpart, the mutational landscape of pediatric CNS tumors is characterized by oncogenic fusions rather than multiple mutated genes. CNS pediatric tumors associated with oncogenic fusions represent a complex landscape of tumors with wide radiological, morphological and clinical heterogeneity.

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Paradoxical metabolic acidosis after vomiting in children with spinal muscular atrophy: A report of 9 patients.

Arch Pediatr

October 2024

Pediatric Neurology & Intensive Care Unit, Assistance Publique des Hôpitaux de Paris, Hôpital Raymond-Poincaré, Garches, France; Simone Veil Health Science Center, Université Versailles SQY, Paris-Saclay, France.

Article Synopsis
  • Spinal muscular atrophy (SMA) leads to severe metabolic acidosis in patients after mild vomiting, a serious and uncommon condition that can result in life-threatening complications.
  • A study of 11 SMA patients revealed a median pH of 7.23 and low bicarbonate levels, with nearly half showing signs of ketoacidosis; hydration with glucose significantly improved their condition within 24-48 hours.
  • The findings suggest that SMA patients are more vulnerable to ketoacidosis from fasting and have impaired buffering capacity, highlighting the need for prompt treatment to prevent exhaustion and potentially fatal outcomes.
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Imaging features of posterior microphthalmos.

J Fr Ophtalmol

November 2024

Service d'ophtalmologie, Erasme Hospital, hôpital universitaire de Bruxelles (HUB), université Libre de Bruxelles (ULB), Bruxelles, Belgium; Service d'ophtalmologie, hôpital universitaire de Bruxelles (HUB), hôpital universitaire des enfants Reine-Fabiola (HUDERF), université libre de Bruxelles (ULB), Bruxelles, Belgium.

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Background: Factors associated with severe COVID-19 infection have been identified; however, the impact of infection on longer-term outcomes is unclear. The objective of this study was to examine the impact of COVID-19 infection on the trajectory of lung function and nutritional status in people with cystic fibrosis (pwCF).

Methods: This is a retrospective global cohort study of pwCF who had confirmed COVID-19 infection diagnosed between January 1, 2020 and December 31, 2021.

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Hypothyroidism due to biallelic variants in IYD: description of 4 families and a novel variant.

Eur J Endocrinol

August 2024

Paediatric Endocrinology Unit, Université Libre de Bruxelles (ULB), Hôpital Universitaire de Bruxelles (H.U.B.), Hôpital Universitaire des Enfants Reine Fabiola (HUDERF), 1020 Bruxelles, Belgium.

Biallelic loss-of-function variants in the IYD gene cause hypothyroidism resulting from iodine wasting. We describe 8 patients (from 4 families in which the parents are first cousins) who are homozygous for a variant in IYD (including a novel missense deleterious variant, c.791C>T [P264L], in 1 family).

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Insight into the role of TXNRD2 in steroidogenesis through a novel homozygous TXNRD2 splice variant.

Eur J Endocrinol

August 2024

Division of Pediatric Endocrinology, Diabetology and Metabolism, Department of Pediatrics, Inselspital, Bern University Hospital, University of Bern, 3010 Bern, Switzerland.

Article Synopsis
  • This study is about how a specific gene (TXNRD2) impacts adrenal cortisol production, which is important for our body's stress response.
  • Researchers looked at a patient with a rare gene change that caused problems with cortisol production, leading to health issues.
  • They found that the gene mutation led to increased harmful substances in the body and reduced the ability to make cortisol, which is vital for health.
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Cognition and communication in patients with spinal muscular atrophy: A systematic review.

Heliyon

July 2024

Université Libre de Bruxelles, ULB, Hôpital Universitaire de Bruxelles (HUB), Hôpital Universitaire des Enfants Reine Fabiola (HUDERF), Department of Paediatric Neurology and Neuromuscular Reference Center, Brussels, Belgium.

•Synthesizes evidence from 12 studies on cognitive and communicative impacts in SMA, focusing on nuanced functional outcomes.•Highlights cognitive variability in SMA1, revealing subtle challenges in SMA2 and 3, and stresses tailored assessment methodologies.•Identifies communication barriers in SMA, emphasizing the urgency of investigating their potential interplay with cognitive functions.

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Childhood craniopharyngioma: a retrospective study of children followed in Hôpital Universitaire de Bruxelles.

Front Endocrinol (Lausanne)

July 2024

Université Libre de Bruxelles (ULB), Hôpital Universitaire de Bruxelles (HUB), CUB Hôpital Erasme, Department of Pediatrics, Brussels, Belgium.

Introduction: Craniopharyngiomas (CPs) are benign brain tumors accounting for 5 - 11% of intracranial tumors in children. These tumors often recur and can cause severe morbidity. Postoperative radiotherapy efficiently controls and prevents progression and recurrence.

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Unlabelled: Idiopathic focal unilateral skull thinning is a rare finding. An explanation, such as trauma or disease, can often be found. However, in some cases, no explanation is forthcoming, and thus, we must look further into their history for a possible cause.

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Background: Respiratory and bulbar dysfunctions (including swallowing, feeding, and speech functions) are key symptoms of spinal muscular atrophy (SMA), especially in its most severe forms. Demonstrating the long-term efficacy of disease-modifying therapies (DMTs) necessitates an understanding of SMA natural history.

Objective: This study summarizes published natural history data on respiratory, swallowing, feeding, and speech functions in patients with SMA not receiving DMTs.

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SARS-CoV-2 Infection in Children Less Than Forty Days Hospitalized in Belgium Between 2020 and 2022.

Pediatr Infect Dis J

September 2024

Department of Paediatrics, Hôpital Civil Marie Curie, Charleroi, Belgium.

Our study aimed to assess the severity of severe acute respiratory syndrome coronavirus 2 infection in hospitalized infants under 40 days old, across 21 Belgian hospitals between 2020 and 2022. Of the 365 infants studied, 14.2% needed respiratory support.

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Assessing the Swallowing Function in Children with Spinal Muscular Atrophy: An Easily Accessible and Objective Multidimensional Approach.

J Neuromuscul Dis

July 2024

Paediatric Neurology Department and Neuromuscular Reference center; Hôpital Universitaire des Enfants Reine Fabiola (HUDERF), Université Libre de Bruxelles (ULB), Brussels, Belgium.

Background: Spinal muscular atrophy (SMA), a genetic neuromuscular disease caused by lack of survival of motor neuron (SMN) protein, is characterized by muscular atrophy and respiratory and bulbar dysfunction. While swallowing disorders are common, they remain poorly studied.

Objectives: Our study aimed to explore 1) intraoral pressure measurements with the Iowa Oral Performance Instrument system and the reliability of a Swallowing Function Assessment Questionnaire (SFAQ) in healthy controls, and 2) evaluate their use as swallowing function biomarkers and the evolution of swallowing function over time in children with SMA.

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Background: Based on a limited number of reported families, biallelic CA8 variants have currently been associated with a recessive neurological disorder named, cerebellar ataxia, mental retardation, and dysequilibrium syndrome 3 (CAMRQ-3).

Objectives: We aim to comprehensively investigate CA8-related disorders (CA8-RD) by reviewing existing literature and exploring neurological, neuroradiological, and molecular observations in a cohort of newly identified patients.

Methods: We analyzed the phenotype of 27 affected individuals from 14 families with biallelic CA8 variants (including data from 15 newly identified patients from eight families), ages 4 to 35 years.

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Fertility and sexual activity in patients with Triple A syndrome.

Front Endocrinol (Lausanne)

March 2024

Department of Pediatrics, Faculty of Medicine and University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany.

Objective: Triple A syndrome, caused by autosomal recessively inherited mutations in the gene is characterized by alacrima, achalasia, adrenal insufficiency, and neurological impairment. To the best of our knowledge, no patients of both sexes have been reported to have offspring. Our aim was to assess the causes of infertility in male patients with this multisystemic syndrome, and to present a female patient that spontaneously conceived a child.

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van Neck-Odelberg disease, a condition involving the ischiopubic synchondrosis in children, is a commonly encountered but poorly known ailment, which is now considered a normal variant. Symptoms can include pain, discomfort, and fever, leading to van Neck-Odelberg disease often being discovered in the context of patients presenting with non-specific clinical manifestations. In this essay, we describe what is currently known about van Neck-Odelberg disease and illustrate the condition using images acquired from multiple patients, with some using multiple imaging techniques from the same patients.

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Adult height improved over decades in patients with X-linked hypophosphatemia: a cohort study.

Eur J Endocrinol

October 2023

AP-HP, Department of Endocrinology and Diabetes for Children, Department of Adolescent Medicine, Bicetre Paris-Saclay University Hospital, 78 Rue du General Leclerc, Le Kremlin-Bicêtre 94270, France.

Article Synopsis
  • - This study aimed to analyze the final height (FH) trends in French patients with X-linked hypophosphatemia (XLH) over the past decades, as there was limited data on FH's natural history in this condition.
  • - Researchers conducted a retrospective study involving 398 XLH patients, dividing them into three birth groups (1950-1974, 1975-2000, and 2001-2006) to compare their average final heights.
  • - Results showed a significant increase in mean FH over the generations, with men still being shorter than women, indicating ongoing challenges in treating XLH. Despite improvements, many patients continue to have short stature, highlighting the need for continued progress.
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Risk Factor Profile in Inpatients with School Refusal: a Dimensional Model.

Psychiatr Danub

October 2023

Child and Adolescent Psychiatry Department, Hôpital Universitaire des Enfants Reine Fabiola (HUDERF), Faculty of Medicine, Université Libre de Bruxelles, 15 Avenue Jean Joseph Crocq, 1020 Bruxelles, Belgium,

Background: School attendance problems have an impact on the social, academic, and professional development of young people. School refusal and truancy are described as school attendance problems. Clarifying the developmental trajectory of school refusal would allow a better understanding of the phenomenon including earlier detection and improved management.

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Spermatogenesis after gonadotoxic childhood treatment: follow-up of 12 patients.

Hum Reprod Open

July 2023

Department of Reproduction, Genetics and Regenerative Medicine (RGRG), Biology of the Testis (BITE), Vrije Universiteit Brussel (VUB), Brussels, Belgium.

Study Question: What is the long-term impact of presumed gonadotoxic treatment during childhood on the patient's testicular function at adulthood?

Summary Answer: Although most patients showed low testicular volumes and some degree of reproductive hormone disruption 12.3 (2.3-21.

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Precision medicine: Vinpocetine as a potential treatment for GABRG2-related epilepsy.

Epileptic Disord

June 2023

Paediatric Neurology, Hôpital Universitaire des Enfants Reine Fabiola (HUDERF)-Hôpital Universitaire de Bruxelles (HUB), Université Libre de Bruxelles (ULB), Brussels, Belgium.

Introduction: Pathogenic variants of the GABRG2 gene, encoding a GABAA receptor subunit, have been associated with various epileptic syndromes and drug-resistant epilepsy. Vinpocetine has been previously reported efficacious in a patient harboring a GABRB3 pathogenic variant, encoding another GABAA receptor subunit.

Case Presentation: We describe a patient with GABRG2-related drug-resistant epilepsy who improved after vinpocetine treatment.

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Article Synopsis
  • Many SGA (small for gestational age) patients have particular syndromes that can complicate understanding their response to rhGH (recombinant human growth hormone) treatment; this study examines these patients and their growth outcomes.
  • The study analyzed 272 SGA patients in Belgium, identifying 42 with syndromic conditions, which made them generally younger, shorter, and thinner when they began rhGH treatment compared to non-syndromic patients.
  • While both groups had similar initial responses to rhGH, syndromic patients showed different growth patterns, gaining more height before puberty but less during puberty, and still had lower average adult heights compared to non-syndromic patients.
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