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Gkentzi D, Plotas P, Terzi M, Bertzouanis A, Karantaglis N, Gidaris D, Cassimos D, Tsalkidis A, Kostopoulou E, Karatza A, Sinopidis X, Dimitriou G, Fouzas S. Impact of COVID-19 vaccination on parental and childhood stress levels in Greece. Eur Rev Med Pharmacol Sci 2023; 27:7728-7737. [PMID: 37667951 DOI: 10.26355/eurrev_202308_33427] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 09/06/2023]
Abstract
OBJECTIVE The impact of COVID-19 vaccination on parental and childhood stress levels has not been thoroughly investigated. Our aim was to explore the above relationship and identify factors that may influence the dissemination of stress within the family during the pandemic. SUBJECTS AND METHODS A cross-sectional e-survey was conducted among a nationwide sample of parents in May 2021 in Greece. Parental stress was assessed using the Perceived Stress Scale (PSS) and the Revised Impact of Event Scale (IES-R) tools. Childhood mental well-being was evaluated with the Children's Revised Impact of Event 13 (CRIES 13) scale. RESULTS 1,703 unique questionnaires were analyzed; 19.5% of responders were completely vaccinated, 23.7% were partially vaccinated, 38.3% were awaiting vaccination, and 18.5% were classified as vaccine-hesitant (15.2% would delay, and 3.3% refused the vaccination). Stress levels were significantly lower in completely or partially vaccinated parents than in vaccine-hesitant ones (p<0.001 for PSS/IES-R). Vaccination status emerged as a strong and independent predictor of PSS and IES-R. A significant decrease in PSS and IES-R scores was observed in 991 participants between March 2020 and May 2021 (p<0.001 for PSS/IES-R). Vaccine uptake was associated with lower PSS and IES-R scores, irrespective of the phase of the pandemic or other sociodemographic factors. The CRIES 13 score of the participant's children (n=2,969) was 19.4 ±14.9 and positively correlated with the PSS and IES-R scores. Children whose parents were vaccinated had lower stress levels than those of vaccine-hesitant parents (p<0.001). CONCLUSIONS Parental vaccination against COVID-19 is a significant stress and anxiety predictor for both parents and their offspring. Parental and childhood stress levels were correlated, while the effect of vaccination was independent of the pandemic phase. The campaigns to promote vaccine uptake against COVID-19 should also highlight its potential benefit on the psychological well-being of the family.
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Affiliation(s)
- D Gkentzi
- Department of Pediatrics, Medical School, University of Patras, Rio, Patras, Greece.
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Ververi A, Laidou S, Chatzidimitriou A, Gidaris D, Mataftsi A, Kozeis N, Fidani L, Zafeiriou DI. Patient with recurrent mosaic KRAS variant: Rare oculoectodermal syndrome with severe neurologic phenotype. J Dermatol 2022; 49:e381-e382. [PMID: 35593416 DOI: 10.1111/1346-8138.16440] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2021] [Revised: 04/21/2022] [Accepted: 05/02/2022] [Indexed: 11/28/2022]
Affiliation(s)
- Athina Ververi
- Genetic Unit, 1st Department of Obstetrics & Gynaecology, Aristotle University of Thessaloniki, Papageorgiou General Hospital, Thessaloniki, Greece
| | - Stamatia Laidou
- Institute of Applied Biosciences, Centre for Research and Technology Hellas, Thessaloniki, Greece
| | | | - Dimos Gidaris
- University of Nicosia Medical School, Nicosia, Cyprus
| | - Asimina Mataftsi
- 2nd Department of Ophthalmology, Aristotle University of Thessaloniki, Papageorgiou General Hospital, Thessaloniki, Greece
| | - Nikolaos Kozeis
- Ophthalmica Institute of Ophthalmology and Microsurgery, Thessaloniki, Greece
| | - Liana Fidani
- 2nd Department of Pediatrics, Aristotle University of Thessaloniki, AHEPA Hospital, Thessaloniki, Greece.,Department of Medical Biology Genetics, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Dimitrios Ioannis Zafeiriou
- 1st Department of Pediatrics, Aristotle University of Thessaloniki, Hippokratio General Hospital Thessaloniki, Greece
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Kostopoulou E, Sinopidis X, Gidaris D, Karantaglis N, Cassimos D, Gkentzi D, Karatza AA, Paraskakis E, Jelastopulu E, Dimitriou G, Fouzas S. Parents under siege: the psychological impact of COVID-19 outbreak on children's caregivers. Swiss Med Wkly 2021; 151. [PMID: 34407364 DOI: 10.4414/smw.2021.w30012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2023] Open
Abstract
AIMS OF THE STUDY: It is well known that parenting stress is an important but often underestimated psychosocial variable. Data regarding the impact of the corona virus disease 2019 (COVID-19) outbreak on parental psychology are currently lacking. The aim of the present study was to assess parenting stress during the COVID-19 pandemic in Greece. METHODS: An Internet e-survey was conducted adhering to CHERRIES guidelines of the EQUATOR network and released from 16 March to 22 March 2020, using the Perceived Stress Scale (PSS) and Revised Impact of Event Scale (IES-R). A convenience sample of 1105 Greek parents of children with or without chronic or severe underlying disorders was enrolled, identified by a network of collaborating paediatricians across the country, and invited via personal emails. RESULTS: The participation rate was 91.6% and the completion rate was 100%. A total of 178 (16.1%) of the participants had children with underlying disorders (198 affected children in total). Parents of children with underlying disorders had significantly higher stress levels than those of healthy children (PSS 21.22 ± 5.06 vs 19.02 ± 6.85, p <0.001; IES-R 40.71 ± 11.58 v. 35.86 ± 12.69, p <0.001), particularly those caring for children with cardiovascular or respiratory disorders, or immunodeficiencies. The presence of children with underlying disorders was a strong predictor of PSS and IES-R scores, independently of parental sex, age, education and place of residence. CONCLUSIONS: The impact of COVID-19 outbreak on parental stress is substantial, and those caring for children with underlying disorders are more profoundly affected. Pending the global socioeconomic rebooting after the pandemic, the possible short- and long-term consequences of parental stress should not be ignored. As for other vulnerable groups, accurate health information and resources for psychological support should be provided to parents, especially those caring for children with underlying disorders.
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Antza C, Doundoulakis I, Akrivos E, Stabouli S, Chrysaidou K, Gidaris D, Kotsis V. Estimated Arterial Stiffness and Prediction of Vascular Aging: The Rising of a New Era. Curr Pharm Des 2021; 27:1871-1877. [PMID: 32723254 DOI: 10.2174/1381612826666200728150637] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2020] [Accepted: 06/24/2020] [Indexed: 11/22/2022]
Abstract
Arterial stiffness has been associated with cardiovascular events and correlated with cardiovascular risk factors. In the new guidelines of the European Society of Hypertension, the evaluation of arterial stiffness, and specifically carotid-femoral pulse wave velocity (c-f PWV), was taken into account for the detailed screening of the hypertensive population. Despite the importance of arterial stiffness as a target organ damage, the measurement is time-consuming, not practical, needs expensive equipment and experienced staff. For all these reasons, c-f PWV is not recommended for the everyday clinical practice and its current use is restricted for research purposes. The importance of arterial properties in clinical practice and cardiovascular prevention is well known. Hence, the estimation of arterial stiffness and vascular health based on parameters that affect arterial stiffness, but without the use of a machine, is a new promising field. Furthermore, the relationship between age-related MRI abnormalities as well as ultrafast ultrasound with vascular effect gives a new promise for future vascular aging assessment.
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Affiliation(s)
- Christina Antza
- Hypertension Center, 3rd Department of Medicine, Papageorgiou Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Ioannis Doundoulakis
- Hypertension Center, 3rd Department of Medicine, Papageorgiou Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Evangelos Akrivos
- Hypertension Center, 3rd Department of Medicine, Papageorgiou Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Stella Stabouli
- 1st Department of Pediatrics, Aristotle University Thessaloniki, Hippokration Hospital, Thessaloniki, Thessaloniki, Greece
| | - Katerina Chrysaidou
- 1st Department of Pediatrics, Aristotle University Thessaloniki, Hippokration Hospital, Thessaloniki, Thessaloniki, Greece
| | - Dimos Gidaris
- 1st Department of Pediatrics, Aristotle University Thessaloniki, Hippokration Hospital, Thessaloniki, Thessaloniki, Greece
| | - Vasilios Kotsis
- Hypertension Center, 3rd Department of Medicine, Papageorgiou Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece
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Nedelkopoulou N, Taparkou A, Raftopoulou S, Gidaris D, Xinias I, Mavroudi A, Dhawan A, Farmaki E. Association of IL-10 gene promoter polymorphisms with food allergy susceptibility and serum IL-10 level in a pediatric Caucasian population. Pediatr Allergy Immunol 2021; 32:552-559. [PMID: 33179333 DOI: 10.1111/pai.13407] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/20/2020] [Revised: 10/29/2020] [Accepted: 11/02/2020] [Indexed: 11/26/2022]
Abstract
BACKGROUND Interleukin 10 has been shown to play a critical role in the regulation of the immune responses in allergic diseases. AIM To investigate if genetic polymorphisms in the promoter region of the IL-10 gene are associated with food allergy (FA) susceptibility in Caucasian pediatric patients with concomitant allergic diseases and IL-10 levels. METHODS The single nucleotide polymorphisms (SNPs) at -1082A > G (rs1800896), -819 T > C (rs1800871), and -592A > C (rs1800872) of 62 pediatric patients with IgE-mediated FA were analyzed and correlated with clinical parameters, serum IgE and IL-10 levels. The results were compared with those of 92 healthy controls without FA, personal and/or family history of atopy. RESULTS Analysis and comparison of genotype distributions, allele frequencies, and haplotypes showed that none of the genotypes confers an increased risk of FA. The genotype -1082 AA in FA patients was associated with moderate to severe symptoms of FA, the development of atopic asthma, and higher levels of IL-10. In a linear regression study, we confirmed that the genotype -1082 AA acts as an independent factor for the higher levels of IL-10. A positive association was also observed between -819T/C and -592 A/C SNPs and later onset of FA. CONCLUSION Polymorphisms in the promoter region of the IL-10 gene are not associated with FA susceptibility in our cohort. In FA patients, -1082 A/G SNPs seem to influence the production of IL-10, the severity of FA symptoms, and the development of atopic asthma in this population.
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Affiliation(s)
- Natalia Nedelkopoulou
- 1st Department of Paediatrics, Paediatric Immunology and Rheumatology Referral Centre, Hippokration General Hospital, Aristotle University, Thessaloniki, Greece.,Pediatric Gastroenterology Department, Sheffield Children's Hospital Foundation Trust, Sheffield, UK
| | - Anna Taparkou
- 1st Department of Paediatrics, Paediatric Immunology and Rheumatology Referral Centre, Hippokration General Hospital, Aristotle University, Thessaloniki, Greece
| | - Sofia Raftopoulou
- Laboratory of Immunology and Histocompatibility, Department of Medicine, University of Thessaly, Larisa, Greece
| | - Dimos Gidaris
- 1st Department of Paediatrics, Hippokration General Hospital, Aristotle University, Thessaloniki, Greece.,University of Nicosia, Nicosia, Cyprus
| | - Ioannis Xinias
- 3rd Department of Paediatrics, Hippokration General Hospital, Aristotle University, Thessaloniki, Greece
| | - Antigoni Mavroudi
- 3rd Department of Paediatrics, Hippokration General Hospital, Aristotle University, Thessaloniki, Greece
| | - Anil Dhawan
- Pediatric Liver, GI and Nutrition Centre, King's College Hospital and MowatLabs, London, UK
| | - Evangelia Farmaki
- 1st Department of Paediatrics, Paediatric Immunology and Rheumatology Referral Centre, Hippokration General Hospital, Aristotle University, Thessaloniki, Greece
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Gidaris D, Stabouli S, Eleftheriou K, Cassimos D, Urquhart D, Kotsis V, Zafeiriou D. Subjective sleep-related breathing disorders and executive function in children with intermittent or mild persistent asthma. Clin Respir J 2021; 15:794-799. [PMID: 33752268 DOI: 10.1111/crj.13364] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Received: 10/29/2020] [Revised: 03/14/2021] [Accepted: 03/17/2021] [Indexed: 11/28/2022]
Abstract
OBJECTIVE The impact on executive function performance of sleep-related disorders in asthmatic children has been scarcely studied in community settings. The aims of the present study were to assess the prevalence of sleep-related breathing disorders (SRBD) in children with intermittent or mild persistent asthma in primary care settings, and to examine the possible correlations with measures of executive function. METHODS We performed a case-control study including 76 children with asthma (intermittent or mild persistent) and 85 healthy controls. The parents of both patients and controls completed the Paediatric Seep Questionnaire (PSQ) and the Behaviour Rating Inventory of Executive Function (BRIEF) questionnaire. RESULTS We did not find any statistically significant differences regarding the scales of PSQ. Additionally, there were no statistical differences between asthmatic children and controls regarding the scales of the BRIEF questionnaire. In both asthmatic children and controls the score of the scale of obstructive sleep-related breathing disorder was significantly correlated with the T scores of the two composite scales (BRI and MI) and the Global Executive Composite. CONCLUSION In children with intermittent or mild persistent asthma under the care of private general paediatricians there were no statistically significant differences regarding subjective SBD compared to the healthy controls. Also there were no statistical differences between asthmatic children and controls regarding behavioural correlates of executive function during everyday life.
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Affiliation(s)
- Dimos Gidaris
- 1st Department of Pediatrics, Hippokratio General Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.,University of Nicosia Medical School, Nicosia, Cyprus
| | - Stella Stabouli
- 1st Department of Pediatrics, Hippokratio General Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | | | - Dimitrios Cassimos
- Department of Paediatrics, Medical School, Democritus University of Thrace, Alexandroupolis, Greece
| | - Don Urquhart
- Department of Paediatric Respiratory and Sleep Medicine, Royal Hospital for Sick Children, Edinburgh, UK
| | - Vasilios Kotsis
- 3rd Department of Medicine, Papageorgiou Hospital, Aristotle University of Thessaloniki, Greece
| | - Dimitrios Zafeiriou
- 1st Department of Pediatrics, Hippokratio General Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece
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Stabouli S, Chrysaidou K, Chainoglou A, Gidaris D, Kotsis V, Zafeiriou D. Uric Acid Associates With Executive Function in Children and Adolescents With Hypertension. Hypertension 2021; 77:1737-1744. [PMID: 33745301 DOI: 10.1161/hypertensionaha.120.16761] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
[Figure: see text].
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Affiliation(s)
- Stella Stabouli
- First Pediatric Department, School of Medicine, Faculty of Health Sciences, Aristotle University Thessaloniki, Hippocratio Hospital, Greece (S.S., K.C., A.C., D.G., D.Z.)
| | - Katerina Chrysaidou
- First Pediatric Department, School of Medicine, Faculty of Health Sciences, Aristotle University Thessaloniki, Hippocratio Hospital, Greece (S.S., K.C., A.C., D.G., D.Z.)
| | - Athanasia Chainoglou
- First Pediatric Department, School of Medicine, Faculty of Health Sciences, Aristotle University Thessaloniki, Hippocratio Hospital, Greece (S.S., K.C., A.C., D.G., D.Z.)
| | - Dimos Gidaris
- First Pediatric Department, School of Medicine, Faculty of Health Sciences, Aristotle University Thessaloniki, Hippocratio Hospital, Greece (S.S., K.C., A.C., D.G., D.Z.).,University of Nicosia Medical School, Cyprus (D.G.)
| | - Vasilios Kotsis
- Hypertension-24h ABPM ESH Center of Excellence, Third Department of Medicine, School of Medicine, Faculty of Health Sciences, Aristotle University Thessaloniki, Papageorgiou Hospital, Greece (V.K.)
| | - Dimitrios Zafeiriou
- First Pediatric Department, School of Medicine, Faculty of Health Sciences, Aristotle University Thessaloniki, Hippocratio Hospital, Greece (S.S., K.C., A.C., D.G., D.Z.)
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Fouzas S, Gidaris D, Karantaglis N, Opsimos H, Alexopoulos EI, Douros K, Kirvassilis F, Paraskakis E, Anthracopoulos MB, Marangos M, Tsanakas I. Pediatric Pulmonary Function Testing in COVID-19 Pandemic and Beyond. A Position Statement From the Hellenic Pediatric Respiratory Society. Front Pediatr 2021; 9:673322. [PMID: 34095031 PMCID: PMC8175853 DOI: 10.3389/fped.2021.673322] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/27/2021] [Accepted: 04/27/2021] [Indexed: 12/14/2022] Open
Abstract
As the COVID-19 pandemic is still evolving, guidelines on pulmonary function testing that may dynamically adapt to sudden epidemiologic changes are required. This paper presents the recommendations of the Hellenic Pediatric Respiratory Society (HPRS) on pulmonary function testing in children and adolescents during the COVID-19 era. Following an extensive review of the relevant literature, we recommend that pulmonary function tests should be carried out after careful evaluation of the epidemiologic load, structured clinical screening of all candidates, and application of special protective measures to minimize the risk of viral cross infection. These principles have been integrated into a dynamic action plan that may readily adapt to the phase of the pandemic.
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Affiliation(s)
- Sotirios Fouzas
- Pediatric Respiratory Unit, University Hospital of Patras, Patras, Greece
| | - Dimos Gidaris
- School of Medicine, University of Nicosia, Nicosia, Cyprus
| | - Nikolaos Karantaglis
- Pediatric Pulmonology Unit, 3rd Department of Pediatrics, Hippokration Hospital of Thessaloniki, Thessaloniki, Greece
| | | | | | - Konstantinos Douros
- Pediatric Respiratory and Allergy Unit, 3rd Department of Pediatrics, Attikon Hospital, Athens, Greece
| | - Fotios Kirvassilis
- Pediatric Pulmonology Unit, 3rd Department of Pediatrics, Hippokration Hospital of Thessaloniki, Thessaloniki, Greece
| | | | | | - Markos Marangos
- Department of Infectious Diseases, University Hospital of Patras, Patras, Greece
| | - Ioannis Tsanakas
- Pediatric Pulmonology Unit, 3rd Department of Pediatrics, Hippokration Hospital of Thessaloniki, Thessaloniki, Greece
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Frima ES, Theodorakopoulos I, Gidaris D, Karantaglis N, Chatziparasidis G, Plotas P, Anthracopoulos M, Fouzas S. Lung Function Variability in Children and Adolescents With and Without Asthma (LUV Study): Protocol for a Prospective, Nonrandomized, Clinical Trial. JMIR Res Protoc 2020; 9:e20350. [PMID: 32763874 PMCID: PMC7442949 DOI: 10.2196/20350] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2020] [Revised: 06/21/2020] [Accepted: 06/23/2020] [Indexed: 01/09/2023] Open
Abstract
Background Variability analysis of peak expiratory flow (PEF) and forced expiratory volume at 1 second (FEV1) has been used in research to predict exacerbations in adults with asthma. However, there is a paucity of data regarding PEF and FEV1 variability in healthy children and adolescents and those with asthma. Objective The objective of this study is the assessment of PEF and FEV1 variability in (1) healthy children and adolescents, to define the normal daily fluctuation of PEF and FEV1 and the parameters that may influence it, and (2) children and adolescents with asthma, to explore the differences from healthy subjects and reveal any specific variability changes prior to exacerbation. Methods The study will include 100 healthy children and adolescents aged 6-18 years (assessment of normal PEF and FEV1 variability) and 100 children and adolescents of the same age with diagnosed asthma (assessment of PEF and FEV1 variability in subjects with asthma). PEF and FEV1 measurements will be performed using an ultraportable spirometer (Spirobank Smart; MIR Medical International Research) capable of smartphone connection. Measurements will be performed twice a day between 7 AM and 9 AM and between 7 PM and 9 PM and will be dispatched via email to a central database for a period of 3 months. PEF and FEV1 variability will be assessed by detrended fluctuation and sample entropy analysis, aiming to define the normal pattern (healthy controls) and to detect and quantify any deviations among individuals with asthma. The anticipated duration of the study is 24 months. Results The study is funded by the “C. Caratheodory” Programme of the University of Patras, Greece (PN 47014/24.9.2018). It was approved by the Ethics Committee (decision 218/19-03-2019) and the Scientific Board (decision 329/02-04-2019) of the University Hospital of Patras, Greece. Patient recruitment started in January 2020, and as of June 2020, 100 healthy children have been enrolled (74 of them have completed the measurements). The anticipated duration of the study is 24 months. The first part of the study (assessment of lung function variability in healthy children and adolescents) will be completed in August 2020, and the results will be available for publication by October 2020. Conclusions Healthy children and adolescents may present normal short- and long-term fluctuations in lung function; the pattern of this variability may be influenced by age, sex, and environmental conditions. Significant lung function variability may also be present in children and adolescents with asthma, but the patterns may differ from those observed in healthy children and adolescents. Such data would improve our understanding regarding the chronobiology of asthma and permit the development of integrated tools for assessing the level of control and risk of future exacerbations. Trial Registration ClinicalTrials.gov NCT04163146; https://clinicaltrials.gov/ct2/show/NCT04163146 International Registered Report Identifier (IRRID) DERR1-10.2196/20350
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Affiliation(s)
- Eirini-Sofia Frima
- Pediatric Respiratory Unit, University Hospital of Patras, Patras, Greece.,Pediatric Respiratory Research Group, University of Patras, Patras, Greece
| | - Ilias Theodorakopoulos
- Pediatric Respiratory Research Group, University of Patras, Patras, Greece.,Electronics Laboratory, Department of Physics, University of Patras, Patras, Greece
| | | | - Nikolaos Karantaglis
- Pediatric Pulmonology Unit, 3rd Pediatric Department, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Grigorios Chatziparasidis
- Department of Primary Ciliary Dyskinesia, School of Medicine, University of Thessaly, Larissa, Greece
| | - Panagiotis Plotas
- Department of Public Health, School of Medicine, University of Patras, Patras, Greece
| | - Michael Anthracopoulos
- Pediatric Respiratory Unit, University Hospital of Patras, Patras, Greece.,Pediatric Respiratory Research Group, University of Patras, Patras, Greece
| | - Sotirios Fouzas
- Pediatric Respiratory Unit, University Hospital of Patras, Patras, Greece.,Pediatric Respiratory Research Group, University of Patras, Patras, Greece
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Nedelkopoulou N, Dhawan A, Xinias I, Gidaris D, Farmaki E. Interleukin 10: the critical role of a pleiotropic cytokine in food allergy. Allergol Immunopathol (Madr) 2020; 48:401-408. [PMID: 32046867 DOI: 10.1016/j.aller.2019.10.003] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2019] [Revised: 10/08/2019] [Accepted: 10/17/2019] [Indexed: 01/19/2023]
Abstract
Despite advances in research, the pathophysiology of food allergy has not yet been fully elucidated. IL-10 has both a pro- and anti-inflammatory effect on the development of food allergy and in order to understand its different immune-modulatory effects the factors that influence the inflammatory microenvironment need to be taken into account. Specific single nucleotide polymorphisms of the IL-10 gene seem to confer an increased risk of developing food allergy, but to date there is a substantial lack of genome- wide association studies regarding the genetic and epigenetic underpinnings of the disease. Special interest has been drawn to the development of allergen-specific regulatory CD4+CD25+ T-cells secreting IL-10 in the immunotherapy of allergic diseases. In addition, a distinct population of human tolerogenic dendritic cells (DC), DC-10 seems to hold great potential and could potentially serve as a therapeutic tool to improve the management of food allergy.
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Affiliation(s)
- Natalia Nedelkopoulou
- Pediatric Immunology and Rheumatology Referral Center, 1(st)Department of Paediatrics, Hippokration General Hospital, Aristotle University, Thessaloniki, Greece; Sheffield Children's Hospital NHS Foundation Trust, Sheffield, UK.
| | - Anil Dhawan
- King's College Hospital NHS Foundation Trust and MowatLabs, London, UK
| | - Ioannis Xinias
- 3(rd) Department of Paediatrics, Hippokration General Hospital, Aristotle University, Thessaloniki, Greece
| | | | - Evangelia Farmaki
- Pediatric Immunology and Rheumatology Referral Center, 1(st)Department of Paediatrics, Hippokration General Hospital, Aristotle University, Thessaloniki, Greece.
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11
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Stabouli S, Gidaris D, Printza N, Dotis J, Papadimitriou E, Chrysaidou K, Papachristou F, Zafeiriou D. Sleep disorders and executive function in children and adolescents with chronic kidney disease. Sleep Med 2019; 55:33-39. [DOI: 10.1016/j.sleep.2018.11.020] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/01/2018] [Revised: 11/07/2018] [Accepted: 11/14/2018] [Indexed: 10/27/2022]
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Stabouli S, Printza N, Dotis I, Papadimitriou E, Gidaris D, Antza C, Kotsis V, Zafeiriou D, Papachristou F. [PP.LB02.16] EXECUTIVE FUNCTION PERFORMANCE IN HYPERTENSIVE CHILDREN. J Hypertens 2016. [DOI: 10.1097/01.hjh.0000492166.59774.72] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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13
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Urquhart DS, Gallella S, Gidaris D, Brady E, Blacklock S, Tsirikos AI. Six-year follow-up study on the effect of combined anterior and posterior spinal fusion on lung function and quality of life in young people with adolescent idiopathic scoliosis. Arch Dis Child 2014; 99:922-6. [PMID: 24861049 DOI: 10.1136/archdischild-2013-305739] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
OBJECTIVES The effects of spinal surgery on lung function and quality of life (QoL) are important patient outcomes. Long-term follow-up of lung function and QoL in those undergoing combined anterior and posterior spinal fusion (A/PSF) for adolescent idiopathic scoliosis (AIS) is poorly documented with only one study extending beyond 2 years, though available evidence points to a decrement in lung function. Our study evaluated long-term change in lung function and QoL following A/PSF for AIS. DESIGN Prospective cohort study. PATIENTS Patients with AIS. SETTING Tertiary paediatric respiratory centre and national spinal service. DESIGN Spirometry was performed along with QoL (Scoliosis Research Society-22 (SRS-22) questionnaire). Paired t test and one-way analysis of variance were used to compare pre-A/PSF and post-A/PSF data. RESULTS Data were available for 12 patients (9 female) who underwent A/PSF at mean 13.8 (range 11.8-15) years. Mean follow-up was undertaken 5.8 (range 4.1-6.8) years postoperatively. Height increased from mean (SD) 169 (9) cm preoperatively to 175 (5) cm at follow-up (p<0.01). Scoliosis corrected from 100 (15)° to 29 (11)° (p<0.001). Mean (SD) forced expiratory volume in 1 s was -3.4 (1.4) z scores preoperatively versus -3.3 (1) z scores postoperatively (p=0.85); and forced vital capacity was -3.4 (1.7) ) z scores pre-A/PSF and -3.4 (1.1) z scores post-A/PSF (p=0.83). SRS-22 scores improved mean (SD) of 3.6 (0.3) preoperatively to 4.2 (0.3) at 2 years postoperatively, and 4.4 (0.4) at 6 year follow-up (p<0.001, analysis of variance). High patient satisfaction rates (4.8 (0.3)) were recorded. No correlation was noted between changes in forced expiratory volume in 1 s (r=-0.15, p=0.63) or forced vital capacity (r=-0.12, p=0.71) and change in long-term SRS-22 score. CONCLUSIONS Long-term follow-up of patients with AIS suggests no deficit in pulmonary function, while QoL shows incremental improvement and patient satisfaction is high over 6 years after A/PSF.
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Affiliation(s)
- D S Urquhart
- Department of Paediatric Respiratory and Sleep Medicine, Royal Hospital for Sick Children, Edinburgh, UK
| | - S Gallella
- Department of Paediatric Respiratory and Sleep Medicine, Royal Hospital for Sick Children, Edinburgh, UK
| | - D Gidaris
- Department of Paediatric Respiratory and Sleep Medicine, Royal Hospital for Sick Children, Edinburgh, UK
| | - E Brady
- Scottish National Spine Deformity Centre, Royal Hospital for Sick Children, Edinburgh, UK
| | - S Blacklock
- Department of Paediatric Respiratory and Sleep Medicine, Royal Hospital for Sick Children, Edinburgh, UK
| | - A I Tsirikos
- Scottish National Spine Deformity Centre, Royal Hospital for Sick Children, Edinburgh, UK
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Gidaris D, Urquhart D, Anthracopoulos MB. 'They said it was bronchiolitis; is it going to turn into asthma doctor?'. Respirology 2014; 19:1158-64. [PMID: 25138566 DOI: 10.1111/resp.12371] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2014] [Revised: 05/26/2014] [Accepted: 07/15/2014] [Indexed: 12/14/2022]
Abstract
Acute bronchiolitis is a common paediatric disease of infancy. Its association with subsequent asthma development has puzzled clinicians and epidemiologists for decades. This article reviews the current state of knowledge regarding the role of acute bronchiolitis in the inception of asthma. There is little doubt that acute bronchiolitis is associated with an increased risk of recurrent wheezing throughout the primary school years although the direction of causality--i.e. whether bronchiolitis in infancy leads to asthma or it merely represents the first clinical presentation of predisposition to asthma--is uncertain. Existing evidence suggests that both host factors (e.g. prematurity, atopic predisposition) and acute viral infection characteristics (e.g. type of virus, severity) are operating in this relationship, perhaps with variable involvement in different individuals. Further clarification of these issues will help paediatricians provide evidence-based information regarding the long-term prognosis of this common disease to the families, and at the same time, it will facilitate prophylactic approaches and therapeutic strategies.
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Affiliation(s)
- Dimos Gidaris
- 1st Paediatric Department, Aristotle University of Thessaloniki, Hippokrateion General Hospital, Thessaloniki, Greece
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15
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Dotis J, Printza N, Marneri A, Gidaris D, Papachristou F. Urinary tract infections caused by extended-spectrum betalactamase-producing bacteria in children: a matched casecontrol study. Turk J Pediatr 2013; 55:571-574. [PMID: 24577973] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
Extended-spectrum beta-lactamase (ESBL)-producing pathogens are emerging as a cause of urinary tract infections (UTI) worldwide. In this matched-case control study, clinical characteristics and associated risk factors for ESBL UTI were evaluated. In a total of 463 positive urine cultures, 48 (10.4%) (from 39 patients, 23 boys) were phenotypically ESBL-producing bacteria. The most frequently isolated microorganism was , followed by Klebsiella spp. and Enterobacter cloacae. Children with ESBL UTI (n=39) were on prophylaxis more (21% vs. 6%, p=0.01), had higher rates of urinary tract anomalies (36% vs. 10%, p=0.0007), presented abnormal 99m Tcdimercaptosuccinic acid (DMSA) findings (i.e. scars) (23% vs. 4%, p=0.001), and had longer hospitalization (9.8 vs. 7.4 days, p=0.004) compared to those with non-ESBL UTI (n=117). The recognition of risk factors for UTI caused by ESBL bacteria in children may aid in the identification of high-risk cases and may enable proper management of these patients.
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Affiliation(s)
- John Dotis
- Department of Pediatrics, Aristotle University, Hippokratio Hospital, Thessaloniki, Greece.
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16
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Abstract
Wheeze is both a symptom to parents (reported as noisy breathing) and a sign to clinical staff - with very differing perspectives between parents and clinicians on what constitutes "wheeze". The purpose of this article is to consider these differences of understanding from the perspective of different stakeholders so that nobody is "lost in translation". Misunderstandings may lead to epidemiologic and treatment faults. Every effort should be made to educate parents and improve their communications with clinicians.
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Affiliation(s)
- Dimos Gidaris
- 1st Paediatric Department, Aristotle University of Thessaloniki, Hippokrateion General Hospital, Thessaloniki, Greece.
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17
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Kirvassilis F, Gidaris D, Ventouri M, Zampouri A, Mylona M, Keramidiotis A, Kontakiotis T, Tsanakas I. Flexible fiberoptic bronchoscopy in Greek children. Hippokratia 2011; 15:312-315. [PMID: 24391411 PMCID: PMC3876845] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
BACKGROUND AND AIM Flexible fiberoptic bronchoscopy (FFB) is one of the most important procedures in paediatric pulmonology. To the best of our knowledge there is no review - audit summarising the experience with FFB in children in Greece. We therefore analysed retrospectively all FFBs performed by the paediatric pulmonology team in our hospital in order to analyse indications for bronchoscopy in our population, explore diagnostic yield for each indication and highlight potential complications. Material - Methods: Three hundred and sixteen (316) diagnostic FFBs performed in 305 children during a six years period were retrospectively analysed. RESULTS Seventy five (75) % of bronchoscopies had a meaningful outcome. Diagnostic yield for individual indications ranged from 41% to 91%. Stridor was the most rewarding indication (91%). Fever was the most common side effect (7%). The rest of complications were in small numbers and easily reversible. CONCLUSIONS Bronchoscopy is a safe procedure and in our diverse population the overall diagnostic yield was 75%.
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Affiliation(s)
- F Kirvassilis
- 3 Paediatric Clinic, Hippokratio Hospital, Aristotle University of Thessaloniki, Greece
| | - D Gidaris
- 1 Paediatric Clinic, Hippokratio Hospital, Aristotle University of Thessaloniki, Greece
| | - M Ventouri
- Anaesthesiology Department, Hippokratio Hospital, Thessaloniki, Greece
| | - A Zampouri
- Anaesthesiology Department, Hippokratio Hospital, Thessaloniki, Greece
| | - M Mylona
- Anaesthesiology Department, Hippokratio Hospital, Thessaloniki, Greece
| | - A Keramidiotis
- 3 Paediatric Clinic, Hippokratio Hospital, Aristotle University of Thessaloniki, Greece
| | - Th Kontakiotis
- University Pulmonology Clinic, G. Papanicolaou Hospital, Aristotle University of Thessaloniki, Greece
| | - I Tsanakas
- 3 Paediatric Clinic, Hippokratio Hospital, Aristotle University of Thessaloniki, Greece
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18
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Gidaris D, Printza N, Batzios S, Belechri AM, Papachristou F. A "sweet" hydrothorax in a child on peritoneal dialysis. Hippokratia 2011; 15:358-360. [PMID: 24391421 PMCID: PMC3876855] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
Peritoneal dialysis (PD) is an established, effective long term renal replacement treatment modality for children with end stage renal disease (ESRD). A rarely reported complication of PD in children is the development of hydrothorax1. We report the case of an 8-year-old boy that developed a right-sided pleural effusion during automated PD (APD), in order to raise awareness amongst paediatricians; we also review the diversity of clinical presentation and the available diagnostic tools, discuss theories regarding aetiology and highlight the available treatment options.
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Affiliation(s)
- D Gidaris
- 1 Paediatric Clinic, Hippokratio General Hospital, Aristotle University of Thessaloniki, Thessaloniki, GREECE
| | - N Printza
- 1 Paediatric Clinic, Hippokratio General Hospital, Aristotle University of Thessaloniki, Thessaloniki, GREECE
| | - S Batzios
- 1 Paediatric Clinic, Hippokratio General Hospital, Aristotle University of Thessaloniki, Thessaloniki, GREECE
| | - A M Belechri
- University Department of Nephrology, Hippokratio General Hospital, Thessaloniki, Greece
| | - F Papachristou
- 1 Paediatric Clinic, Hippokratio General Hospital, Aristotle University of Thessaloniki, Thessaloniki, GREECE
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Printza N, Ververi A, Bandouraki M, Vargiami E, Gidaris D, Papachristou F. Life-threatening hyponatremia and acute renal failure due to iatrogenic neonatal bladder rupture. Urol Int 2011; 88:238-40. [PMID: 21952529 DOI: 10.1159/000331495] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2011] [Accepted: 07/19/2011] [Indexed: 11/19/2022]
Abstract
Neonatal urinary ascites is a rare entity, usually associated with a spontaneous rupture of the bladder with an underlying pathology such as high pressure or wall disruption. Its presentation involves abdominal distension, metabolic derangement and respiratory compromise. We report the case of a male neonate with solitary functioning kidney presented with life-threatening persistent hyponatremia and acute renal failure due to iatrogenic bladder rupture after catheterization. The aim of our report is to raise awareness on the possibility of bladder perforation in neonates even in the absence of technical faults. We discuss the uncommon presentation of our case and highlight the need for early recognition and management of urinary ascites, addressing all subspecialties involved in diagnostic or therapeutic procedures of neonates with urinary abnormalities.
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Affiliation(s)
- Nikoleta Printza
- First Pediatric Department, Aristotle University, Hippokration General Hospital, Thessaloniki, Greece.
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20
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Gidaris D, Economou M, Hatzidemetriou V, Gombakis N, Athanassiou-Metaxa M. Use of propranolol in infantile haemangiomas: report of five cases and review of the literature. Hippokratia 2011; 15:81-3. [PMID: 21607042 PMCID: PMC3093152] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
Infantile haemangiomas are common benign tumours that do not require treatment unless they cause significant functional impairment or disfigurement. We report our experience with the off-label use of propranolol in 5 children with haemangiomas and review the relevant literature.
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Affiliation(s)
- D Gidaris
- 1 Paediatric Department, Aristotle University, Thessaloniki, Greece
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21
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Gidaris D, Economou M, Valeri R, Gombakis N, Athanasiou-Metaxa M. Successful treatment of a spontaneous haemothorax with recombinant factor VIIa in a haemophilic child with inhibitors. Hippokratia 2010; 14:289-290. [PMID: 21311642 PMCID: PMC3031328] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
Haemophilia A is an X-linked disorder caused by a deficiency of factor VIII. Haemorrhage in various sites may occur spontaneously or secondary to trauma depending on the severity of the deficiency. Common manifestations include haemarthrosis, epistaxis, gastrointestinal haemorrhage and haematuria. Spontaneous haemothorax has rarely been reported both in children and adults1,2. We report the case of a haemophiliac child presenting with spontaneous haemothorax due to the rarity of this clinical presentation in order to raise the awareness among clinicians.
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Affiliation(s)
- D Gidaris
- 1 Paediatric Clinic, Hippokratio General Hospital, Aristotle University of Thessaloniki, Thessaloniki, Creece
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22
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Gidaris D, Kanakoudi-Tsakalidou F, Papakosta D, Tzimouli V, Taparkou A, Ventouri M, Tsanakas I. Bronchoalveolar lavage in children with inflammatory and non inflammatory lung disease. Hippokratia 2010; 14:109-114. [PMID: 20596266 PMCID: PMC2895289] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Abstract
BACKGROUND Bronchoalveolar lavage (BAL) is a useful bronchoscopic technique. Studies in "normal" children are limited. AIM To provide data on BAL reference values from Greek children and compare BAL cellular and noncellular components in children with inflammatory and non-inflammatory lung diseases. METHODS Seventy two children, aged 2.5 months to 16 years, underwent diagnostic bronchoscopy and BAL. Patients were divided in two groups whether lung inflammation was absent or present. Differential cytology, flow cytometry for lymphocyte subsets and cytokine and chemokine measurements were performed on BAL fluid. RESULTS Alveolar macrophages were the predominant cellular population in normal children. Patients with inflammatory pneumonopathies had significantly more neutrophils. There was no difference in lymphocyte subpopulations. Values of CD4+/CD8+ ratio in BAL was similar to that reported in adults. Levels of IL-8 and TNF- alpha were significantly higher in children with inflammatory lung diseases. CONCLUSION This study provides the first data on BAL of "normal" Greek children. BAL from patients with pulmonary inflammation was characterised by neutrophilia. Finally, we propose that measurement of IL-8 and TNF-a levels in BAL could help in early identification of inflammation in the tracheobronchial tree.
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Gidaris D, Zafeiriou D, Mavridis P, Gombakis N. Scarlet Fever and hepatitis: a case report. Hippokratia 2008; 12:186-187. [PMID: 18923666 PMCID: PMC2504399] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Abstract
Scarlet fever is a streptococcal infection with a good prognosis. Complications are well described. Hepatitis is a rare complication. We describe a 6-year old boy with scarlet fever, jaundice and elevated liver transaminases.
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Affiliation(s)
- D Gidaris
- 1 Paediatric Department, Aristotle University of Thessaloniki, Hippokratio Hospital, Thessaloniki, Greece.
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