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Bozzola E.,Bambino Gesu Pediatric Hospital and Research Institute | Villani A.,Bambino Gesu Pediatric Hospital and Research Institute
Acta Otorhinolaryngologica Italica

This report focuses on tuberculous otomastoiditis treated at a third level Italian paediatric hospital. We reviewed the clinical charts of 4077 children who underwent middle ear surgery at the Audiology and Otology Unit of the Institution’s ENT Department from January 1995 to December 2011. A tubercular aetiology was identified in 2 cases: A 4-year old boy who presented with primary ear involvement, i.e. with no other infected sites but the middle ear, and a 5-year old girl with secondary tuberculous otomastoidits, who was treated for pulmonary and mediastinal tuberculosis at the age of 7 months. © 2015, Pacini Editore S.p.A. All Rights Reserved. Source

Verrillo E.,Bambino Gesu Pediatric Hospital and Research Institute | Bizzarri C.,Bambino Gesu Pediatric Hospital and Research Institute | Cappa M.,Bambino Gesu Pediatric Hospital and Research Institute | Bruni O.,University of Rome La Sapienza | And 2 more authors.
Hormone Research in Paediatrics

Background: Laron syndrome (LS), known as growth hormone (GH) receptor deficiency, is a rare form of inherited GH resistance. Sleep disorders were described as a common feature of adult LS patients, while no data are available in children. Bi-directional interactions between human sleep and the somatotropic system were previously described, mainly between slow wave sleep and the nocturnal GH surge. Aims: To analyze the sleep macro-and microstructure in LS and to evaluate the influence of substitutive insulin-like growth factor 1 (IGF-1) therapy on it. Methods: Two young LS females underwent polysomnography; the first study was performed during IGF-1 therapy, the second one after a 3-month wash-out period. Results: In both patients, the sleep macrostructure showed that time in bed, sleep period time, total sleep time, sleep efficiency and rapid eye movement (REM) percentage were all increased during wash-out. The sleep microstructure (cyclic alternating pattern: CAP) showed significantly higher EEG slow oscillations (A1%) in NREM sleep, both during IGF-1 therapy and wash-out. Conclusions: Sleep macrostructure in LS children is slightly affected by substitutive IGF-1 therapy. Sleep microstructure shows an increase of A1%, probably related to abnormally high hypothalamic GHRH secretion, due to GH insensitivity. © 2010 S. Karger AG. Source

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