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  1. Artikel ; Online: Low placental weight may be involved in the etiology of congenital cryptorchidism in neonatal boys.

    Igata, Yuhei / Sakemi, Yoshihiro / Fujikawa, Ryota / Nakashima, Toshinori / Yamashita, Hironori / Sugino, Noriko / Shono, Takeshi

    European journal of obstetrics, gynecology, and reproductive biology

    2023  Band 289, Seite(n) 136–139

    Abstract: Introduction: Several factors have been reported to be associated with the etiology of cryptorchidism; however, clear evidence regarding the risk factors for cryptorchidism is elusive. In the present study, we evaluated the clinical characteristics of ... ...

    Abstract Introduction: Several factors have been reported to be associated with the etiology of cryptorchidism; however, clear evidence regarding the risk factors for cryptorchidism is elusive. In the present study, we evaluated the clinical characteristics of cryptorchidism using the common neonatal intensive-care unit (NICU) database of the National Hospital Organization and explored one of possible factors associated with the development of cryptorchidism.
    Methods: A total of 7882 male neonates were included in this study. We separated them into two groups: those without cryptorchidism (n = 7852) and those with cryptorchidism (n = 30) at the time of discharge from the NICU. Cryptorchidism was defined as a condition in which the testis was located out of the scrotum on the route of descent at the time of NICU discharge. The associations between cryptorchidism and the maternal, placental, and neonatal information were analyzed. Analyses were performed statistically to compare nominal variables between the groups using Fisher's direct establishment calculation method and logistic regression analyses.
    Results: Univariate analyses showed the placental weight <10% tile (odds ratio 3.31, 95% confidence interval [CI] 1.18-8.64), birth height <-2 standard deviations (SD) (odds ratio 3.65, 95% CI 0.92-10.6), birth weight <-2SD (odds ratio 4.06, 95% CI 1.55-9.51), and small for gestational age (odds ratio 3.82, 95% CI 1.46-8.97) were significantly associated with the development of cryptorchidism. Multivariate analyses showed that placental weight <10th percentile (odds ratio 2.86, 95% CI 1.11-7.44) was significantly associated with the development of cryptorchidism.
    Discussion: Although, this study population was limited to infants admitted to the ICU, the data indicated a possible association between low placental weight and the development of cryptorchidism in neonatal boys.
    Mesh-Begriff(e) Pregnancy ; Infant ; Infant, Newborn ; Humans ; Female ; Male ; Cryptorchidism/epidemiology ; Cryptorchidism/etiology ; Placenta ; Causality ; Risk Factors
    Sprache Englisch
    Erscheinungsdatum 2023-08-26
    Erscheinungsland Ireland
    Dokumenttyp Journal Article
    ZDB-ID 190605-7
    ISSN 1872-7654 ; 0301-2115 ; 0028-2243
    ISSN (online) 1872-7654
    ISSN 0301-2115 ; 0028-2243
    DOI 10.1016/j.ejogrb.2023.08.378
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  2. Artikel ; Online: The Etiology and Outcome of Area Postrema Syndrome in Childhood: Two Cases and a Literature Review.

    Tomari, Yuriko / Igata, Yuhei / Chong, Pin Fee / Kajiwara, Kenta / Hatai, Eriko / Sonoda, Yuri / Oba, Utako / Kaku, Noriyuki / Koga, Yuhki / Sakai, Yasunari / Ohga, Shouichi

    Pediatric neurology

    2023  Band 152, Seite(n) 11–15

    Abstract: Background: Area postrema syndrome (APS), a rare childhood condition, manifests as intractable nausea and hiccups. APS has high diagnostic significance in neuromyelitis optica syndrome spectrum disorders (NMOSD) and can be the initial presentation of ... ...

    Abstract Background: Area postrema syndrome (APS), a rare childhood condition, manifests as intractable nausea and hiccups. APS has high diagnostic significance in neuromyelitis optica syndrome spectrum disorders (NMOSD) and can be the initial presentation of other critical diseases, including brainstem glioma.
    Methods: We described two representative cases of unrelated Japanese patients with APS. An etiologic evaluation, including a detailed intracranial neuroradiological examination and autoantibodies assessment, was performed. We also reviewed the literature focusing on the prognosis of pediatric APS symptoms.
    Results: A 14-year-old girl with aquaporin-4 antibody-positive NMOSD showed a good prognosis with immunotherapy, whereas another nine-year-old girl with irresectable medullary low-grade glioma had persistent symptoms for more than 10 years. All reported children aged >12 years were diagnosed with NMOSD, and patients aged <13 years showed heterogeneous etiologies.
    Conclusions: Distinctive time courses and neuroimaging features were key clinical findings for the diagnostic and therapeutic processes in these patients. This literature review highlights the wide spectrum and prognosis of pediatric-onset APS.
    Mesh-Begriff(e) Female ; Humans ; Child ; Adolescent ; Area Postrema/diagnostic imaging ; Vomiting/etiology ; Neuromyelitis Optica/complications ; Neuromyelitis Optica/diagnostic imaging ; Neuromyelitis Optica/therapy ; Nausea/etiology ; Syndrome ; Autoantibodies ; Rare Diseases/complications ; Glioma/complications ; Aquaporin 4
    Chemische Substanzen Autoantibodies ; Aquaporin 4
    Sprache Englisch
    Erscheinungsdatum 2023-12-18
    Erscheinungsland United States
    Dokumenttyp Review ; Case Reports ; Journal Article
    ZDB-ID 639164-3
    ISSN 1873-5150 ; 0887-8994
    ISSN (online) 1873-5150
    ISSN 0887-8994
    DOI 10.1016/j.pediatrneurol.2023.12.010
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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