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Belgian Journal of Paediatrics) Verderzijn Krijgen Talrijk: De Leden Ook Gratis Het Tijdschrift “Belgian Journal of Paediatrics”

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Belgian Journal of Paediatrics) Verderzijn Krijgen Talrijk: De Leden Ook Gratis Het Tijdschrift “Belgian Journal of Paediatrics” B P Belgian Journal BELGISCHE VERENIGING of Paediatrics VOOR KINDERGENEESKUNDE J SOCIÉTÉ BELGE DE PÉDIATRIE Publication of the Belgian Society of Paediatrics 2018 - Volume 20 - number 3 - September Theme: Pediatric rheumatology Perspectives : Problem solving approach in pediatric rheumatology Recognition of rheumatic condition at the emergency unit Back pain: when to refer to a paediatric rheumatologist ? A concise review on juvenile spondyloarthritis Beyond recurrent fever, inflammasome-related auto-inflammatory diseases Dermatological presentations of paediatric rheumatic diseases Paediatric non-infectious Uveitis New therapies for children with rheumatic conditions Article An adjusted Bristol Stool Scale for non-toilet-trained children: the Brussels Infant and Toddler Stool Scale (BITSS) Review Article Congenital pulmonary malformations: Case series and review of the literature Case Report Lactose breath tests in pediatrics: “A tailwind towards diagnosis or a whiff of confusion?” Pacemaker implantation as a successful treatment of complicated breath holding spells: a case report and review of the literature Two cases of pyelonephritis following voiding cystourethrography: why this warrants a different approach. Short Communication Seasonality of respiratory syncytial virus (RSV) in Belgium Paediatric Cochrane Corner Antibiotics may be effective to treat prolonged wet cough in children Belgische Vereniging voor Kindergeneeskunde Société Belge de Pédiatrie QUARTERLY VV.U./E.R. S. Cadranel (ULB), M. Raes (KUL) ISSN 2466-8907 (printed version) UZ Leuven, Herestraat 49, 3000 Leuven ISSN 2566-1558 (digital version) E-mail: [email protected] NAAM VAN HET GENEESMIDDEL Enterol 250 mg poeder voor orale suspensie kingen: De bijwerkingen worden hier- Enterol 250 mg harde capsules. Saccharomyces boulardii CNCM I-745. KWALITATIE- onder geklasseerd per orgaansys- VE EN KWANTITATIEVE SAMENSTELLING Enterol 250 mg poeder voor orale suspensie: teem en volgens de frequentie. Die Elk zakje poeder voor orale suspensie bevat 250 mg gelyofiliseerdeSaccharomyces laatste wordt als volgt gedefinieerd: 10 9,16 € 10 9,16 € 10 9,25 € 9 boulardii CNCM I-745 (hetzij minstens 6 x 10 levensvatbare cellen op het ogenblik zeer vaak (≥ 1/10), vaak (≥ 1/100, 20 16,96 € 20 16,96 € 20 17,50 € 9 van de fabricage en 1 x 10 gelyofiliseerde levensvatbare cellen op de vervaldatum). < 1/10), soms (≥1/1.000, < 1/100), 50 36,95 € Enterol 250 mg harde capsules: Elke harde capsule bevat 250 mg gelyofiliseerdeSac - zelden (≥ 1/10.000, < 1/1.000), charomyces boulardii CNCM I-745 (hetzij minstens 6 x 109 levensvatbare cellen op het zeer zelden (< 1/10.000), niet be- ogenblik van de fabricage en 1 x 109 gelyofiliseerde levensvatbare cellen op de verval- kend (kan met de beschikbare gegevens niet worden bepaald).Infecties en parasitaire datum). Hulpstof(fen) met bekend effect: Enterol 250 mg poeder voor orale suspensie: aandoeningen: Zeer zelden: fungemie in patiënten met een centraal veneuze katheter fructose, lactose. katheter en in pa- Enterol 250 mg tiënten in kritieke harde capsules: toestand of im- lactose. Voor de muungecompro- volledige lijst van mitteerde patiën- hulpstoffen, zie ten, mycose door rubriek 6.1 van Saccharomyces de SKP. FARMA- boulardii CNCM CEUTISCHE VORM: Acute diarree* behandeld I-745. Immuun- Enterol 250 mg bij kinderen tot 12 jaar, ter aanvulling van orale rehydratie systeemaan- poeder voor orale * doeningen: Zeer suspensie: Poeder zelden: anafylac- voor orale sus- Darmevenwicht hersteld tische shock. pensie. Enterol Bloedvataan- 250 mg harde doeningen: Zeer capsules: Harde Uw patiënt gerustgesteld zelden: anafylac- capsule. KLINI- tische shock. SCHE GEGEVENS: Ademhalingsstel- Therapeutische sel-, borstkas- en indicaties: Preven- mediastinumaan- tie van diarree bij doeningen: Zeer behandeling met zelden: dyspneu. breedspectruman- Maagdarmstel- tibiotica van pati- selaandoenin- enten voorbeschikt gen: Zeer zelden: tot het ontwikkelen verstopping, van diarree door epigastralgie, Clostridium diffi- abdominaal me- cile of hervallen teorisme (epi- in een diarree gastralgie en veroorzaakt door abdominaal me- Clostridium diffi- teorisme werden cile. Adjuverende waargenomen in behandeling naast klinische studies) orale rehydratie Huid- en onder- van acute diarree huidaandoenin- bij kinderen tot gen: Zeer zelden: 12 jaar. Dosering jeuk, exantheem, en wijze van toe- Quincke-oe- diening: Dosering: deem. Algemene Volwassenen: 2 aandoeningen tot 4 harde cap- en toedienings- sules of 2 tot 4 plaatsstoornis- zakjes per dag, in sen: Zeer zelden: 2 innames. Pedi- dorst. Melding atrische patiënten: van vermoedelijke Kinderen: 2 har- bijwerkingen: Het de capsules of 2 PROBIOTISCH is belangrijk om zakjes per dag, in GENEESMIDDEL na toelating van 2 innames. Wijze het geneesmid- van toediening: del vermoedelijk Harde capsules: bijwerkingen te de harde capsules melden. Op deze met wat water in- wijze kan de ver- slikken. Zakjes: het Een juiste reflex bij diarree houding tussen poeder mengen in voordelen en risi- een glas water. Te co’s van het ge- nemen voorzorgen neesmiddel voort- voorafgaand aan durend worden gebruik of toedie- gevolgd. Beroeps- ning van het geneesmiddel. Vanwege een risico op besmetting via de lucht, mogen beoefenaren in de gezondheidszorg wordt verzocht alle vermoedelijke bijwerkingen te zakjes of capsules nooit worden opengemaakt in patiëntenkamers. Beroepsbeoefena- melden via het nationale meldsysteem (België: www.fagg.be, adversedrugreactions@ ren in de gezondheidszorg moeten tijdens het hanteren en het toedienen van probiotica fagg-afmps.be; Luxembourg: http://www.ms.public.lu/fr/activites/pharmacie-medica- handschoenen dragen, waarna de handschoenen onmiddellijk moeten worden weg- ment/index.html). HOUDER VAN DE VERGUNNING VOOR HET IN DE HANDEL BRENGEN gegooid en de handen moeten worden gewassen. Duur van de behandeling: Preventie BIOCODEX Benelux NV/SA - Marie Curiesquare 20 - 1070 Brussel - België - Tel: van een nieuwe episode of recidief van diarree door Clostridium difficile: 4 weken. Be- 0032(0)23704790. NUMMERS VAN DE VERGUNNING VOOR HET IN DE HANDEL handeling van diarree als aanvulling op orale rehydratie bij het kind: 1 week. Contra-in- BRENGEN: Enterol 250 mg poeder voor orale suspensie: BE 269026. Enterol 250 dicaties: Overgevoeligheid voor de werkzame stof of voor één van de in rubriek 6.1 van mg harde capsules in glazen flesje: BE 269035. Enterol 250 mg harde capsules in de SKP vermelde hulpstoffen. Patiënten met een centrale veneuze katheter, patiënten blisterverpakking: BE 397896. AFLEVERINGSWIJZE: Vrije aflevering. DATUM VAN in kritieke toestand of immuungecompromitteerde patiënten, vanwege een risico op HERZIENING VAN DE TEKST: Herziening: 01/2018. Goed- fungemie. Allergie voor gisten, vooral . Bijwer- keuring: 03/2018. Saccharomyces boulardii CNCM I-745 2018_ENT_HP_019 122 Editorial Board Founding editors BVK-SBP Executive Committee L. Corbeel, W. Proesmans A. Malfroot, president Chief Editors Ch. Vermeylen, vice-president S. Cadranel, M. Raes M. Raes, secretary D. Dewolf, treasurer Co-Editors Ph. Lepage, past-president N. Francotte, M. Wojciechowski, S. Cadranel, partnership A. Rochtus, Ch. Barrea Associations Secretariat A. Deguchtenaere (VVK) N. Meignen P. Philippet (GBPF) Universities Belgian Academy of Paediatrics G. Buyse (UZL), MC Seghaye (ULG), G. Casimir, president P. Smeesters (ULB), S. Van Daele (UZG), M. Pletincx, vice-president Y. Vandenplas (UZB), S. Verhulst (UZA), C. Vermylen (UCL) Y. Vandenplas, secretary P. Philippet, treasurer Contents • Editorial 125 • President's address 127 • Theme: Pediatric rheumatology Perspectives : Problem solving approach in pediatric rheumatology P. Philippet, C. Wouters 137 Recognition of rheumatic condition at the emergency unit P. Philippet 138 Back pain: when to refer to a paediatric rheumatologist ? A concise review on juvenile spondyloarthritis B. Ogunjimi, R. Joos 140 Beyond recurrent fever, inflammasome-related auto-inflammatory diseases C. Boulanger, V. Badot, L. Goffin 142 Dermatological presentations of paediatric rheumatic diseases B. Brasseur, O. Gilliaux 146 Paediatric non-infectious Uveitis M. Van Slycken, H. Van Overschelde, I. De Schrijver, C. Thomee, J. Dehoorne 151 New therapies for children with rheumatic conditions L. De Somer, C. Wouters 155 • Article An adjusted Bristol Stool Scale for non-toilet-trained children: the Brussels Infant and Toddler Stool Scale (BITSS) C. De Geyter, K. Huysentruyt, Y. Vandenplas 160 • Review Article Congenital pulmonary malformations: Case series and review of the literature C. Van Rossem, S. Verhulst, A. Mulder, P. Lauwers, K. Van Hoorenbeeck 165 • Case Report Lactose breath tests in pediatrics: “A tailwind towards diagnosis or a whiff of confusion?” S. Verelst, K. Verbeke, J. Toelen 170 Pacemaker implantation as a successful treatment of complicated breath holding spells: a case report and review of the literature D. Custers, B. Eyskens, M. Gewillig, R. Willems 174 Two cases of pyelonephritis following voiding cystourethrography: why this warrants a different approach. A. El Amouri, K. Meesters, C. Ernst C, V. De Boe, R. Mauel 176 • Short Communication Seasonality of respiratory syncytial virus (RSV) in Belgium M. Raes, B. Cox, D. Strens 180 • Paediatric Cochrane Corner Antibiotics may be effective to treat prolonged wet cough in children B. Avau, T. Bekkering, F. Cools 182 • Editorial Policy 185 123 Les bons choix commencent tôt L’eau minérale naturelle SPA REINE a été fi ltrée par la nature pendant plusieurs années dans
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