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Your search keyword '"Baldassarre, M.E."' showing total 24 results
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24 results on '"Baldassarre, M.E."'

23. Reply.

Author

Passariello, A., Terrin, G., Baldassarre, M.E., Bisceglia, M., Ruotolo, S., and Berni Canani, R.

Subjects
LETTERS to the editor, ATOPY
Abstract

A response by A. Passariello and colleagues to a letter to the editor about their article regarding the prevention of atopic dermatitis.

Published
2011
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24. Cyclic Vomiting Syndrome in Children

Author

Umberto Raucci, Osvaldo Borrelli, Giovanni Di Nardo, Renato Tambucci, Piero Pavone, Silvia Salvatore, Maria Elisabetta Baldassarre, Duccio Maria Cordelli, Raffaele Falsaperla, Enrico Felici, Michela Ada Noris Ferilli, Salvatore Grosso, Saverio Mallardo, Diego Martinelli, Paolo Quitadamo, Licia Pensabene, Claudio Romano, Salvatore Savasta, Alberto Spalice, Caterina Strisciuglio, Agnese Suppiej, Massimiliano Valeriani, Letizia Zenzeri, Alberto Verrotti, Annamaria Staiano, Maria Pia Villa, Martino Ruggieri, Pasquale Striano, Pasquale Parisi, Raucci U., Borrelli O., Di Nardo G., Tambucci R., Pavone P., Salvatore S., Baldassarre M.E., Cordelli D.M., Falsaperla R., Felici E., Ferilli M.A.N., Grosso S., Mallardo S., Martinelli D., Quitadamo P., Pensabene L., Romano C., Savasta S., Spalice A., Strisciuglio C., Suppiej A., Valeriani M., Zenzeri L., Verrotti A., Staiano A., Villa M.P., Ruggieri M., Striano P., Parisi P., Raucci, U., Borrelli, O., Di Nardo, G., Tambucci, R., Pavone, P., Salvatore, S., Baldassarre, M. E., Cordelli, D. M., Falsaperla, R., Felici, E., Ferilli, M. A. N., Grosso, S., Mallardo, S., Martinelli, D., Quitadamo, P., Pensabene, L., Romano, C., Savasta, S., Spalice, A., Strisciuglio, C., Suppiej, A., Valeriani, M., Zenzeri, L., Verrotti, A., Staiano, A., Villa, M. P., Ruggieri, M., Striano, P., and Parisi, P.

Subjects
medicine.medical_specialty, Pediatrics, vomiting, Nausea, Socio-culturale, differential diagnosi, lcsh:RC346-429, 03 medical and health sciences, 0302 clinical medicine, Pharmacotherapy, Internal medicine, differential diagnosis, medicine, migraine, functional gastrointestinal disorders, lcsh:Neurology. Diseases of the nervous system, Pediatric gastroenterology, anticonvulsants, antiemetics, cyclic vomiting syndrome, episodic syndromes that may be associated with migraine, business.industry, Cyclic vomiting syndrome, antiemetic, functional gastrointestinal disorder, Hepatology, medicine.disease, anticonvulsants, antiemetics, cyclic vomiting syndrome, differential diagnosis, episodic syndromes that may be associated with migraine, functional gastrointestinal disorders, migraine, vomiting, Neurology, Migraine, Vomiting, 030211 gastroenterology & hepatology, Systematic Review, Neurology (clinical), medicine.symptom, Differential diagnosis, anticonvulsant, business, 030217 neurology & neurosurgery
Abstract

Cyclic Vomiting Syndrome (CVS) is an underdiagnosed episodic syndrome characterized by frequent hospitalizations, multiple comorbidities, and poor quality of life. It is often misdiagnosed due to the unappreciated pattern of recurrence and lack of confirmatory testing. CVS mainly occurs in pre-school or early school-age, but infants and elderly onset have been also described. The etiopathogenesis is largely unknown, but it is likely to be multifactorial. Recent evidence suggests that aberrant brain-gut pathways, mitochondrial enzymopathies, gastrointestinal motility disorders, calcium channel abnormalities, and hyperactivity of the hypothalamic-pituitary-adrenal axis in response to a triggering environmental stimulus are involved. CVS is characterized by acute, stereotyped and recurrent episodes of intense nausea and incoercible vomiting with predictable periodicity and return to baseline health between episodes. A distinction with other differential diagnoses is a challenge for clinicians. Although extensive and invasive investigations should be avoided, baseline testing toward identifying organic causes is recommended in all children with CVS. The management of CVS requires an individually tailored therapy. Management of acute phase is mainly based on supportive and symptomatic care. Early intervention with abortive agents during the brief prodromal phase can be used to attempt to terminate the attack. During the interictal period, non-pharmacologic measures as lifestyle changes and the use of reassurance and anticipatory guidance seem to be effective as a preventive treatment. The indication for prophylactic pharmacotherapy depends on attack intensity and severity, the impairment of the QoL and if attack treatments are ineffective or cause side effects. When children remain refractory to acute or prophylactic treatment, or the episode differs from previous ones, the clinician should consider the possibility of an underlying disease and further mono- or combination therapy and psychotherapy can be guided by accompanying comorbidities and specific sub-phenotype. This review was developed by a joint task force of the Italian Society of Pediatric Gastroenterology Hepatology and Nutrition (SIGENP) and Italian Society of Pediatric Neurology (SINP) to identify relevant current issues and to propose future research directions on pediatric CVS.

Published
2020

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