345 results match your criteria: "Sofia Children's Hospital[Affiliation]"

Rhabdoid tumours (RT) are an aggressive malignancy affecting <2-year-old infants, characterised by biallelic loss-of-function alterations in SWI/SNF-related BAF chromatin remodelling complex subunit B1 (SMARCB1) in nearly all cases. Germline SMARCB1 alterations are found in ~30% of patients and define the RT Predisposition Syndrome type 1 (RTPS1). Uveal melanoma (UVM), the most common primary intraocular cancer in adults, does not harbour SMARCB1 alterations.

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Introduction: Maternal infections such as chorioamnionitis could impact fetal lung development by altering cell proliferation and apoptosis. Chorioamnionitis favors the multiple pleiotropic cytokines production such as LIF (leukemia inhibitory factor) and an inflammation-related protein p53. The cytokine production can lead to lung tissue damage and lung disease development.

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Background: Current guidelines for screening glucose dysregulation (GD) in patients with transfusion-dependent thalassemia (TDT) recommend an annual 2-hour oral glucose tolerance test (OGTT) starting at the age of 10 years.

Objective: Assessment of adherence to OGTT screening in patients with TDT.

Methods: A questionnaire was distributed to 18 Thalassemia Centers in 10 different countries, targeting factors influencing adherence to annual OGTT screening in specialized multidisciplinary pediatric and adult TDT units and identifying strategies to improve adherence to OGTT in TDT patients.

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Kenny-Caffey Syndrome Type 2 (KCS2): A New Case Report and Patient Follow-Up Optimization.

J Clin Med

December 2024

Division of Endocrinology, Diabetes and Metabolism, ENDO-ERN Center for Rare Pediatric Endocrine Disorders, First Department of Pediatrics, Medical School, National and Kapodistrian University of Athens, Aghia Sophia Children's Hospital, 11527 Athens, Greece.

Kenny-Caffey syndrome 2 (KCS2) is a rare cause of hypoparathyroidism, inherited in an autosomal dominant mode, resulting from pathogenic variants of the gene, which is implicated in intracellular pathways regulating parathormone (PTH) synthesis and skeletal and parathyroid gland development. : The case of a boy is reported, presenting with the characteristic and newly identified clinical, biochemical, radiological, and genetic abnormalities of KCS2. : The proband had noticeable dysmorphic features, and the closure of the anterior fontanel was delayed until the age of 4 years.

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Midface toddler excoriation syndrome: a case report.

Int J Dermatol

December 2024

Department of Pediatric Dermatology, First Department of Pediatrics, Medical School, National and Kapodistrian University of Athens, "Aghia Sofia" Children's Hospital, Athens, Greece.

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Background: Adenoviral vector COVID-19 vaccine-induced immune thrombotic thrombocytopenia (VITT) is a heparin-independent platelet-activating disorder. An increasing number of VITT-like disorders without previous vaccination are being identified.

Key Clinical Question: To explore the association of the pediatric cluster of postinfectious thrombosis and thrombocytopenia with VITT-like disorders.

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Article Synopsis
  • Endobronchial hamartoma is a benign tumor made up of fat, cartilage, and bone tissue, which can either show no symptoms or lead to respiratory issues like cough and pneumonia.
  • A case study presented a 68-year-old male who experienced a persistent cough for four years but received various treatments and was misdiagnosed with anxiety disorder before further investigation.
  • After conducting a chest CT and bronchoscopy, the hamartoma was identified and successfully removed, leading to significant relief from his coughing symptoms.
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Article Synopsis
  • Progress has been made in treating childhood acute lymphoblastic leukemia (ALL), but relapsed or refractory cases remain difficult to treat.
  • A 23-month-old girl with high-risk B-ALL experienced early isolation relapse and, after failing multiple treatments including chemotherapy and novel therapies, was given the off-label monoclonal antibody inotuzumab ozogamicin (InO).
  • The use of InO led to a significant reduction in her minimal residual disease, allowing her to achieve remission and successfully undergo an allogeneic stem cell transplant from a family donor.
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Pulmonary manifestations of Pseudohypoaldosteronism type 1b: A systematic review of the literature.

Paediatr Respir Rev

September 2024

Division of Pediatric Pulmonology, First Department of Pediatrics, National and Kapodistrian University of Athens, School of Medicine and Agia, Sofia Children's Hospital, Athens, Greece.

Introduction: Pseudohypoaldosteronism type 1b (PHA1B) is a rare autosomal recessive disease caused by dysfunction of amiloride-sensitive epithelial sodium channels (ENaC), that might present with a wide variety of pulmonary symptoms.

Methods: We provide a systematic review of published cases with PHA1B and respiratory symptoms, adding a relevant case from our clinic.

Results: Thirty-seven publications presenting 61 cases were identified apart from our case.

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Article Synopsis
  • The study assessed fear levels related to the COVID-19 pandemic among 1,260 health service users in Greece, using tools like the COVID-19 Fear Scale and Brief-COPE.
  • Results indicated that females, individuals over 60, retirees, and chronically ill patients reported significantly higher fear levels than their counterparts, while health sector employees showed lower fear scores.
  • Additionally, fear was correlated with coping styles, particularly emotion-focused and avoidant coping, suggesting these findings could inform mental health support strategies during crises.
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Cystic fibrosis (CF) is a hereditary disease with great genetic complexity as not all mutations are disease-causing and genotype doesn't always predict phenotype. This case involves a child with CF and genotype F508del/CFTRdup1_11. The CFTRdup1_11 duplication was not reported previously, and genetic counseling was based on reports describing the clinical course of people carrying smaller duplications of the same area combined with F508del.

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Article Synopsis
  • Hemoglobinopathies like sickle cell disease and thalassemia lead to health complications, increasing infection risks, making vaccinations essential for patient care and quality of life.
  • A nationwide survey in Greece assessed vaccination coverage and attitudes toward vaccination among patients with hemoglobinopathies using a 37-item anonymous questionnaire.
  • Results showed that while childhood vaccination rates were generally in line with national standards, adult vaccination coverage was low for several key vaccines, particularly among individuals over 50 years, who also had more misconceptions about vaccinations.
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Background: To evaluate the influenza-like illness (ILI) and acute respiratory infection (ARI) case definitions in the diagnosis of COVID-19 and influenza in healthcare personnel (HCP).

Methods: We followed a cohort of 5752 HCP from November 2022 to May 2023. Symptomatic HCP were tested for SARS-CoV-2 and influenza by real-time PCR and/or rapid antigen detection test.

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Article Synopsis
  • Myeloperoxidase antineutrophil cytoplasmic antibody (MPO-ANCA) microscopic polyangiitis is a serious small vessel vasculitis affecting children, with potential links to SARS-CoV-2 infection and multisystem inflammatory syndrome in children (MIS-C).
  • A case study highlights a 14-year-old boy previously diagnosed with MIS-C, who experienced various symptoms including joint pain and kidney issues, coupled with elevated SARS-CoV-2 IgG and MPO-ANCA antibody titers.
  • The findings suggest that SARS-CoV-2 and MIS-C might trigger autoimmune vasculitis, but more research is necessary to fully understand this connection.
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Explorations of the current attitudes and practices of dietitians regarding the gut microbiota in health are scarce. In this online survey, we assessed the attitudes and practices of dietitians across Europe concerning gut microbiome parameters and the manipulation of the gut microbiota. Pre-graduate dietetic students and other professionals were also invited to participate.

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Migraine is a leading cause of disability worldwide, yet it remains underrecognized and undertreated, especially in the pediatric and adolescent population. Chronic migraine occurs approximately in 1% of children and adolescents requiring preventive treatment. Topiramate is the only FDA-approved preventative treatment for children older than 12 years of age, but there is conflicting evidence regarding its efficacy.

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Nablus mask-like facial syndrome: Report of an atypical case with 8q21.3-q22.1 deletion.

Am J Med Genet A

December 2024

Laboratory of Medical Genetics, Medical School, National and Kapodistrian University of Athens, "Ag. Sofia" Children's Hospital, Athens, Greece.

Nablus mask-like facial syndrome (NMLFS) is a rare condition characterized by unique facial features, initially described in a 4-year-old boy from Nablus, Palestine. These features include expressionless facial appearance, tight facial skin, blepharophimosis, sparse eyebrows, and a flat nose. Genetic studies have identified a deletion of 8q22.

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Background And Objective: The complex focal adhesion kinase (FAK)/Src and paxillin seem to play a key role in the pathogenesis and progression of cancer. The aim of this study is to evaluate the expression of these proteins in renal cell carcinomas (RCCs), considering the immunoreactive score (IRS), the positivity and the intensity, and to find any association with patients' clinical characteristics, histologic type and other pathological features that imply a possible pathophysiological or prognostic role of FAK/Src and paxillin in RCC.

Methods: Patients with RCC who had undergone partial or radical nephrectomy from January 2009 to September 2010 were eligible for this retrospective cross-sectional study.

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Ataxia-telangiectasia (A-T) is an autosomal-recessive disorder caused by pathogenic variants (PVs) of the ATM gene, predisposing children to hematological malignancies. We investigated their characteristics and outcomes to generate data-based treatment recommendations. In this multinational, observational study we report 202 patients aged ≤25 years with A-T and hematological malignancies from 25 countries.

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Background: To compare the morbidity and work absenteeism associated with coronavirus disease 2019 (COVID-19) and influenza among health care personnel (HCP) in 2022 to 2023.

Methods: We followed 5,752 hospital-based HCP in Greece from November 14, 2022 through May 28, 2023. Symptomatic HCP was tested for SARS-CoV-2 and influenza by real-time polymerase chain reaction and/or rapid antigen detection test.

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Background: Helicobacter pylori may be found during upper gastrointestinal endoscopy (UGE) performed to diagnose celiac disease (CeD), inflammatory bowel disease (IBD), and eosinophilic esophagitis (EoE). We aimed to describe the frequency of H. pylori in children undergoing UGE for CeD, IBD, and EoE and the number of children receiving eradication treatment.

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"Deconstructing" upper limb function in dyskinetic cerebral palsy.

Eur J Paediatr Neurol

May 2024

Pediatric Rehabilitation Unit, Pan & Aglaias Kyriakou Children's Hospital, Leof. Antrea Siggrou 290, Kalithea, 17673, Greece. Electronic address:

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Aim: We assessed the vaccination effectiveness (VE) of a COVID-19 booster vaccine dose and the association between morbidity and absenteeism with COVID-19 booster vaccine receipt among healthcare personnel (HCP) in 2022-2023 in Greece.

Methods: We followed 5752 HCP from November 14, 2022 through May 28, 2023 for episodes of absenteeism. Absenteeism for non-infectious causes, pregnancy leave, or annual leave was not recorded.

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Expression of DNA Repair Genes in Ewing Sarcoma.

Cancer Diagn Progn

May 2024

Division of Pediatric Oncology, First Department of Pediatrics, Aghia Sofia Children's Hospital, Athens, Greece.

Article Synopsis
  • Ewing sarcoma is a serious cancer that mainly affects children and teens, with the EWSR1/FLI1 fusion gene being a common genetic factor, but it hasn’t been targeted for treatment or used to predict outcomes.
  • This study looked at 35 Ewing sarcoma patients to see how DNA repair mechanisms correlate with different clinical features of the disease, focusing on two DNA repair pathways: non-homologous end joining (NHEJ) and homologous recombination (HR).
  • Findings indicate that these repair pathways are disrupted in Ewing sarcoma, and low levels of the XRCC4 gene are linked to better survival, suggesting potential new targets for therapy.
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