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Article ; Online: Isolated unilateral amazia: an exceptional breast anomaly.

Nso-Roca, A P / Aguirre-Balsalobre, F J / Juste Ruiz, M

Journal of pediatric and adolescent gynecology

2012 Volume 25, Issue 6, Page(s) e147–8

Abstract: Background: Amazia is a rare breast anomaly. It consists of the absence of the mammary gland, with normal nipple-areola complex. It usually presents associated with a syndrome and it can be diagnosed during infancy or at the beginning of puberty.: ... ...

Abstract	Background: Amazia is a rare breast anomaly. It consists of the absence of the mammary gland, with normal nipple-areola complex. It usually presents associated with a syndrome and it can be diagnosed during infancy or at the beginning of puberty. Case: Here we report a case of a 13-year-old female with a late diagnosis of unilateral amazia. No distinctive body or anatomic abnormalities were found. She was referred for surgical reconstruction. Comments: Amazia is an uncommon entity with a lack of incidence information in the literature. Early diagnosis and proper treatment are essential to avoid body image complications, especially among adolescent women.
MeSH term(s)	Adolescent ; Breast/abnormalities ; Breast Diseases/diagnosis ; Breast Diseases/psychology ; Breast Diseases/therapy ; Female ; Humans
Language	English
Publishing date	2012-12
Publishing country	United States
Document type	Case Reports ; Journal Article
ZDB-ID	1325079-6
ISSN	1873-4332 ; 1083-3188
ISSN (online)	1873-4332
ISSN	1083-3188
DOI	10.1016/j.jpag.2012.08.002
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Article ; Online: Insulin Resistance as a Diagnostic Criterion for Metabolically Healthy Obesity in Children.

Nso-Roca, Ana Pilar / Cortés Castell, Ernesto / Carratalá Marco, Francisco / Sánchez Ferrer, Francisco

Journal of pediatric gastroenterology and nutrition

2021 Volume 73, Issue 1, Page(s) 103–109

Abstract: ... 0.546-0.771; P = 0.009) versus the area under the ROC curve of 0.854 (95% CI 0.777-0.931; P < 0.001 ... The patients with MHO according to the HOMA criterion were younger (P = 0.001), had a lower body mass index ... BMI) z score (P = 0.006), waist-height index (P = 0.009), hip-height index (P = 0.010), blood glucose ...

Abstract	Objectives: In recent years, a subgroup of individuals with obesity has been described as having a lower risk of metabolic and cardiovascular complications. These individuals have what is referred to as metabolically healthy obesity (MHO), which has a favorable metabolic profile and a lower probability of long-term complications. The definition of this subtype in children is not clear. The aim of the present study was to determine whether Homeostasis Model Assessment (HOMA) above a set threshold could be the marker of metabolically unhealthy obesity (MUO) in children, or a parameter that can be used in the overall assessment. It is intended to compare the International Diabetes Federation (IDF) criteria against HOMA in the diagnosis of MUO. Methods: This observational, retrospective, cohort study included children with obesity and analyzed their metabolic state by means of blood testing and dual-energy X-ray absorptiometry. Results: A total of 96 patients were included, 44.8% boys and 55.2% girls, ages 6-17 years. The patients with MHO according to the HOMA criterion were younger (P = 0.001), had a lower body mass index (BMI) z score (P = 0.006), waist-height index (P = 0.009), hip-height index (P = 0.010), blood glucose (P = 0.003), insulin (P < 0.001), and lower percentages of total fat (P = 0.002), trunk fat (P = 0.001), and android fat (P = 0.009) than those with MUO. The logistic regression analysis according to IDF criteria detected an area under the receiver operating characteristic (ROC) curve of 0.659 (95% CI 0.546-0.771; P = 0.009) versus the area under the ROC curve of 0.854 (95% CI 0.777-0.931; P < 0.001) for the HOMA definition. Therefore, the determination of the metabolic state according to HOMA has greater sensitivity and specificity than the IDF criteria. The multivariate analysis in children classified according to HOMA revealed that the percentage of total fat and gynoid fat distributions and triglyceride level could be markers of a healthy or unhealthy metabolic state in children with obesity (P < 0.001). Conclusions: The use of HOMA as a single criterion was demonstrated to be an effective and simple detector of adiposity, which predicts the metabolically healthy obesity in children.
Language	English
Publishing date	2021-04-15
Publishing country	United States
Document type	Journal Article
ZDB-ID	603201-1
ISSN	1536-4801 ; 0277-2116
ISSN (online)	1536-4801
ISSN	0277-2116
DOI	10.1097/MPG.0000000000003097
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Article: Malformaciones vasculares abdominales y síndrome de Down.

Nso Roca, A P / García Sánchez, P / Quero Jiménez, J

Anales de pediatria (Barcelona, Spain : 2003)

2007 Volume 66, Issue 4, Page(s) 410–412

Abstract: Malformations of the abdominal venous system are rare vascular disorders. These entities are associated with other malformations and with chromosomal anomalies such as trisomy 21. Abdominal venous malformations are probably the most frequent congenital ... ...

Title translation	Abdominal vascular malformations and Down syndrome.
Abstract	Malformations of the abdominal venous system are rare vascular disorders. These entities are associated with other malformations and with chromosomal anomalies such as trisomy 21. Abdominal venous malformations are probably the most frequent congenital vascular malformations in Down syndrome. Prenatal diagnosis allows the early follow-up and treatment of complications. We present a case of Down syndrome associated with an abdominal venous malformation diagnosed at the first trimester of pregnancy.
MeSH term(s)	Abdomen/blood supply ; Aorta, Abdominal/abnormalities ; Arteriovenous Malformations/complications ; Down Syndrome/complications ; Female ; Fetal Diseases/diagnosis ; Hepatic Artery/abnormalities ; Humans ; Infant, Newborn ; Magnetic Resonance Angiography ; Portal Vein/abnormalities ; Pregnancy ; Prenatal Diagnosis ; Venae Cavae/abnormalities
Language	Spanish
Publishing date	2007-02-13
Publishing country	Spain
Document type	Case Reports ; English Abstract ; Journal Article
ZDB-ID	2102669-5
ISSN	1695-4033
ISSN	1695-4033
DOI	10.1157/13101247
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Article: Angioedema hereditario: una entidad a recordar.

Nso Roca, A P / Mora, M Ferrando / De Murcia Lemauviel, S / González de Dios, J

Anales de pediatria (Barcelona, Spain : 2003)

2009 Volume 71, Issue 4, Page(s) 376–377

Title translation	Hereditary angioedema. A condition to remember.
MeSH term(s)	Angioedemas, Hereditary/diagnosis ; Child ; Humans ; Male
Language	Spanish
Publishing date	2009-10
Publishing country	Spain
Document type	Case Reports ; Letter
ZDB-ID	2102669-5
ISSN	1695-4033
ISSN	1695-4033
DOI	10.1016/j.anpedi.2009.06.014
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Article: Parotiditis aguda neonatal por Streptococcus agalactiae.

Nso Roca, A P / Baquero-Artigao, F / García-Miguel, M J / del Castillo Martín, F

Anales de pediatria (Barcelona, Spain : 2003)

2007 Volume 67, Issue 1, Page(s) 65–67

Abstract: We report two cases of group B streptococcal acute neonatal parotitis. Both patients showed late-onset infections in association with acute parotid swelling, without cellulitis or purulent drainage from Stensen's duct. Neither of the infants had ... ...

Title translation	Acute neonatal parotitis due to Streptococcus agalactiae.
Abstract	We report two cases of group B streptococcal acute neonatal parotitis. Both patients showed late-onset infections in association with acute parotid swelling, without cellulitis or purulent drainage from Stensen's duct. Neither of the infants had meningitis, and Streptococcus agalactiae was isolated from blood cultures. Differential diagnosis with cellulitis-adenitis syndrome was based on clinical manifestations with supporting radiographic findings, which revealed parotid swelling with increased vascularization. Both infants were treated with a 2-week-course of intravenous cefotaxime, with complete recovery. Although the most common cause of acute neonatal bacterial parotitis is Staphylococcus aureus, Streptococcus agalactiae should be included in the differential diagnosis, especially in infants with late-onset sepsis.
MeSH term(s)	Acute Disease ; Female ; Humans ; Infant, Newborn ; Male ; Parotitis/diagnosis ; Parotitis/drug therapy ; Parotitis/microbiology ; Streptococcal Infections/diagnosis ; Streptococcal Infections/drug therapy ; Streptococcus agalactiae
Language	Spanish
Publishing date	2007-04-27
Publishing country	Spain
Document type	Case Reports ; English Abstract ; Journal Article
ZDB-ID	2102669-5
ISSN	1695-4033
ISSN	1695-4033
DOI	10.1157/13108082
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Article ; Online: Hashimoto's disease in a cohort of 29 children and adolescents. Epidemiology, clinical course, and comorbidities in the short and long term.

Gómez López, Eliot / Nso-Roca, Ana P / Juste Ruiz, Mercedes / Cortés Castell, Ernesto

Archivos argentinos de pediatria

2018 Volume 116, Issue 1, Page(s) 56–58

Abstract: Hashimoto's thyroiditis is the most common cause of goiter and hypothyroidism among children and adolescents. Its clinical manifestations and course vary. The objective of this study was to review the clinical and evolutionary characteristics of ... ...

Title translation	Enfermedad de Hashimoto en una cohorte de 29 niños y adolescentes. Epidemiología, evolución y comorbilidad a corto y largo plazo.
Abstract	Hashimoto's thyroiditis is the most common cause of goiter and hypothyroidism among children and adolescents. Its clinical manifestations and course vary. The objective of this study was to review the clinical and evolutionary characteristics of Hashimoto's disease in the pediatric population. Clinical, analytical, ultrasound, epidemiological, and evolutionary data of patients with autoimmune thyroiditis seen at Hospital Universitario San Juan de Alicante between January 2010 and January 2016 were analyzed. A total of 29 patients were included in the study. A higher prevalence of girls was observed, at a 2:1 ratio. The main reason for consultation was the accidental detection of high thyroid stimulating hormone levels or positive anti-thyroid antibodies in a lab test done for other reason. In the initial analysis, 53.3% of patients had subclinical hypothyroidism and only 10% of them had frank hypothyroidism. Two patients developed thyroid cancer.
MeSH term(s)	Adolescent ; Child ; Child, Preschool ; Female ; Hashimoto Disease/complications ; Hashimoto Disease/diagnosis ; Hashimoto Disease/epidemiology ; Humans ; Male ; Retrospective Studies ; Time Factors
Language	Spanish
Publishing date	2018-01-13
Publishing country	Argentina
Document type	Journal Article
ZDB-ID	424449-7
ISSN	1668-3501 ; 0325-0075 ; 0004-0487
ISSN (online)	1668-3501
ISSN	0325-0075 ; 0004-0487
DOI	10.5546/aap.2018.eng.56
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Article: Shock tóxico como manifestación inicial de leucemia aguda linfoblástica.

Nso Roca, A P / Menéndez Suso, J J / Riesco Riesco, S / Benito Gutiérrez, M / Ruza Tarrío, F J

Anales de pediatria (Barcelona, Spain : 2003)

2008 Volume 69, Issue 6, Page(s) 589–591

Title translation	Toxic shock as an initial sign of acute lymphoblastic leukaemia.
MeSH term(s)	Child ; Female ; Humans ; Precursor Cell Lymphoblastic Leukemia-Lymphoma/complications ; Precursor Cell Lymphoblastic Leukemia-Lymphoma/diagnosis ; Shock, Septic/etiology
Language	Spanish
Publishing date	2008-12-18
Publishing country	Spain
Document type	Case Reports ; Letter
ZDB-ID	2102669-5
ISSN	1695-4033
ISSN	1695-4033
DOI	10.1016/s1695-4033(08)75254-8
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Article: Ulcera lingual crónica de diagnóstico difícil (enfermedad de Riga-Fede).

Benito Gutiérrez, M / Nso Roca, A P / Del Castillo Martín, F / Leal de la Rosa, J

Anales de pediatria (Barcelona, Spain : 2003)

2007 Volume 68, Issue 1, Page(s) 79–80

Title translation	Difficult-to-diagnose chronic lingual ulcer (Riga-Fede disease).
MeSH term(s)	Chronic Disease ; Humans ; Infant, Newborn ; Male ; Oral Ulcer/diagnosis ; Tongue Diseases/diagnosis
Language	Spanish
Publishing date	2007-11-28
Publishing country	Spain
Document type	Case Reports ; Letter
ZDB-ID	2102669-5
ISSN	1695-4033
ISSN	1695-4033
DOI	10.1157/13114482
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Article ; Online: Degree of Accuracy of the BMI Z-Score to Determine Excess Fat Mass Using DXA in Children and Adolescents

David Monasor-Ortolá / Jose Antonio Quesada-Rico / Ana Pilar Nso-Roca / Mercedes Rizo-Baeza / Ernesto Cortés-Castell / Asier Martínez-Segura / Francisco Sánchez-Ferrer

International Journal of Environmental Research and Public Health, Vol 18, Iss 12114, p

2021 Volume 12114

Abstract: ... Higher BMI Z-scores were associated with a higher percentage of total fat ( p < 0.001). However, there ...

Abstract	Obesity is caused by fat accumulation. BMI Z-score is used to classify the different degrees of weight status in children and adolescents. However, this parameter does not always express the true percentage of body fat. Our objective was to determine the degree of agreement between the fat mass percentage measured by DXA and the stratification of weight according to BMI Z-score in the pediatric age group. We designed a descriptive cross-sectional study. The patients were classified as underweight/normal weight with Z-scores between −2 and +0.99, overweight from 1 to 1.99, obese from 2 to 2.99, and very obese ≥3. We included 551 patients (47% girls), with a mean age of 11.5 ± 2.8 years (3.7–18 years). Higher BMI Z-scores were associated with a higher percentage of total fat ( p < 0.001). However, there were important overlaps between both parameters, such that the BMI Z-score classified patients with the same percentage of total fat mass as having a different nutritional status classification. In conclusion, the stratification of weight status according to BMI Z-score revealed that 46.7% of patients had a fat percentage that did not correspond to their classification. For a more accurate weight assessment in clinical practice, we recommend combining anthropometric indices with diagnostic tools that better correlate with DXA, such as electrical bioimpedance.
Keywords	BMI Z-score ; childhood obesity ; body composition ; fat mass ; growth charts ; Medicine ; R
Subject code	796
Language	English
Publishing date	2021-11-01T00:00:00Z
Publisher	MDPI AG
Document type	Article ; Online
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Article: Síndrome de escaldadura estafilocócica.

Nso Roca, A P / Baquero-Artigao, F / García-Miguel, M J / de José Gómez, M I / Aracil Santos, F J / del Castillo Martín, F

Anales de pediatria (Barcelona, Spain : 2003)

2008 Volume 68, Issue 2, Page(s) 124–127

Abstract: Introduction: Staphylococcal scalded skin syndrome is a rare disease caused by Staphylococcus aureus that produces exfoliative toxins. There are few epidemiological data in our environment.: Patients and methods: We present an observational cohort ... ...

Title translation	Staphylococcal scalded skin syndrome.
Abstract	Introduction: Staphylococcal scalded skin syndrome is a rare disease caused by Staphylococcus aureus that produces exfoliative toxins. There are few epidemiological data in our environment. Patients and methods: We present an observational cohort study. We review the cases of staphylococcal scalded skin syndrome monitored at La Paz Children Hospital during the last ten years (January 1997 to December 2006). Results: We obtained 26 patients, 7 in the first 5 years and 19 more in the following years. The mean age at diagnosis was 19 months. Four cases (15%) occurred during the neonatal period. Sixty-seven percent of the cases were diagnosed during spring and summer. Main clinical signs were: erythroderma with blisters and posterior desquamation (100%), perioral fissures (54%), fever (46%), conjunctivitis (42%) and palpebral edema (31%). No significant increases in leukocytes (mean: 11,341/.l) or C-reactive protein (mean: 9 mg/l) were found on blood analysis. Diagnosis was made by clinical findings. S. aureus was isolated in nasal or conjunctival samples on 59% of cases. All strains were sensitive to cloxacillin, clindamycin and vancomycin. The patients were treated with cloxacillin with good progress. Conclusions: Staphylococcal scalded skin syndrome seems to be more common in the last few years. It must be suspected in children with acute erythroderma and perioral or conjunctival lesions. Treatment with cloxacillin leads to healing without sequelae.
MeSH term(s)	Child ; Child, Preschool ; Cohort Studies ; Humans ; Infant ; Infant, Newborn ; Staphylococcal Scalded Skin Syndrome/diagnosis ; Staphylococcal Scalded Skin Syndrome/drug therapy
Language	Spanish
Publishing date	2008-02-16
Publishing country	Spain
Document type	English Abstract ; Journal Article
ZDB-ID	2102669-5
ISSN	1695-4033
ISSN	1695-4033
DOI	10.1157/13116226
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