2009; 11(4) : 311 INDIAN JOURNAL OF IJPP PRACTICAL PEDIATRICS • IJPP is a quarterly subscription journal of the Indian Academy of Pediatrics committed to presenting practical pediatric issues and management updates in a simple and clear manner • Indexed in Excerpta Medica, CABI Publishing. Vol.11 No.4 OCT.-DEC.2009 Dr. K.Nedunchelian Dr. S. Thangavelu Editor-in-Chief Executive Editor CONTENTS FROM THE EDITOR'S DESK 317 TOPICS FROM “IAP-IJPP CME 2009” Fluid management in shock 320 - Indira Jayakumar, Sarfaraz Navaz R Follow- up of the high risk neonates 329 - Kumutha J Treatment of malaria – Recent guidelines 337 - Ravisekar C V Approach to single ring enhancing CT Lesions 342 - Thilothammal N Management of cerebral edema 350 - Abishek Narayanan, Bala Ramachandran Revised national tuberculosis control programme 355 - Gowrishankar N C Acute rheumatic fever – Update 363 - Gnanasambandam S What is new in neonatal resuscitation? 370 - Ratna Kumari TL, Ramkumar S Journal Office and address for communications: Dr. K.Nedunchelian, Editor-in-Chief, Indian Journal of Practical Pediatrics, 1A, Block II, Krsna Apartments, 50, Halls Road, Egmore, Chennai - 600 008. Tamil Nadu, India. Tel.No. : 044-28190032 E.mail : [email protected] 1 Indian Journal of Practical Pediatrics 2009; 11(4) : 312 GENERAL Evaluation and management of hypertension 376 - Aditi Sinha, Arvind Bagga Childhood obesity and risk of cardiovascular disease : Role of pediatrician 398 - Mangla Sood DERMATOLOGY Superficial fungal infections - Tinea corporis 404 - Vijayabhaskar C RADIOLOGIST TALKS TO YOU Disorders of neuronal proliferation, differentiation and histogenesis (contd.) 408 - Vijayalakshmi G, Elavarasu E, Anita A, Venkatesan MD CASE STUDY A rare case of seizure - Dysgenesis of corpus callosum 411 - Rajib Ray, Subhranshu Sekhar Kar, Samarendra Mahapatro, Radha Tripathy, Renuka Mohanty Dermatomyositis presenting as pyrexia of unknown origin 415 - Jayasree P, Chitra, Sukumaran TU BOOK REVIEW 362 NEWS AND NOTES 328, 336, 341, 349, 369, 375, 403, 407, 414, 417 AUTHOR INDEX 418 SUBJECT INDEX 419 FOR YOUR KIND ATTENTION * The views expressed by the authors do not necessarily reflect those of the sponsor or publisher. Although every care has been taken to ensure technical accuracy, no responsibility is accepted for errors or omissions. * The claims of the manufacturers and efficacy of the products advertised in the journal are the responsibility of the advertiser. The journal does not own any responsibility for the guarantee of the products advertised. * Part or whole of the material published in this issue may be reproduced with the note "Acknowledgement" to "Indian Journal of Practical Pediatrics" without prior permission. - Editorial Board Published by Dr.K.Nedunchelian, Editor-in-Chief, IJPP, on behalf of Indian Academy of Pediatrics, from 1A, Block II, Krsna Apartments, 50, Halls Road, Egmore, Chennai - 600 008. Tamil Nadu, India and printed by Mr. D. Ramanathan, at Alamu Printing Works, 9, Iyyah Street, Royapettah, Chennai - 14. 2 2009; 11(4) : 313 3 Indian Journal of Practical Pediatrics 2009; 11(4) : 314 4 2009; 11(4) : 315 Venue: Hyderabad International Convention Centre & Hitex Exhibition Centre, Hyderabad Date: January 7th to January 10th, 2010 We welcome you to Hyderabad for the 47th National Conference of the Indian Academy of Pediatrics. Exuding the atmosphere of 400 years old Deccan splendour, Hyderabad is city of infinite variety. Founded in the 16th century by Quli Qutub Shah, this new city which encircled pre-historic rock structures was laid on the east bank of the river Musi and was named after Hyder Mahal wife of the ruler Quli Qutab Shah. A multitude of influences have shaped the character of the city. Its language and mannerisms still exude it’s rich and legendary past. The elegant buildings, marbled temples, minarets and monuments stand testimony to it and have a history and an architectural individuality of their own, which makes Hyderabad a city of enchantment We, on behalf of the organizing committee invite you to an academic feast and hope you have a pleasant stay in Hyderabad. ORGANIZING COMMITTEE : Dr.P.Sudershan Reddy Dr.Sanjay Srirampur Dr.U.S.Jagadish Chandra Chairman, Organizing Committee Chief Organizing Secretary Chairman Reception Committee REGISTRATION FEES Category 16/02/09 to 16/05/09 to 01/08/09 to 01/10/09 to 15/05/09 31/07/09 30/09/09 30/11/09 INR INR INR INR IAP Member 5,500 6,800 8,200 11,000 Non-IAP Member 6,800 8,200 9,600 12,500 Accompanying Delegate 5,500 6,800 8,200 11,000 *1 P G Student 4,200 5,000 6,000 7,500 *2 Sr.Citizen 4,200 5,600 6,300 7,700 SAARC Delegates 6,800 7,500 9,600 12,500 Foreign Delegates $600 $650 $720 $850 Note: 1. For PG Student, certificate to be produced from Institute signed by HOD 2. Senior Citizens more than 70 years of age – Registration fees is waivered. 3. For Sr.Citizens , Valid age proof ( Driving License / Voters Id/Passport ) is required. 4. Registrations close by 30th September. Duly filled registration forms along with DD to be sent by Registered Post / Courier to the conference secretariat Dr.Sanjay Srirampur Chief Organizing Secretary, PEDICON 2010 H.no: 3-4-178, “Guru-Krupa” Lingampally, Hyderabad, AP -500 027 Email id: [email protected] www.pedicon2010.org 5 Indian Journal of Practical Pediatrics 2009; 11(4) : 316 REGISTRATION FORM Receipt No: _________ IAP Member No: ________________ Non IAP Member PG Student Sr.Citizen Foreign Delegate /SAARC Surname: ____________ Middle Name ____________ First Name ____________ Vegetarian / Nonvegetarian Accommodation Yes / No CME Yes / No Accompanying Delegate Name: 1. 2. 3. 4. Hospital Name / Name of Institute: ___________________________ Designation: ___________________ Mailing Address: _______________________________________ _______________________________________ _____________________ Pin Code: __________ Email ______________________ * Mobile: ____________* Residence: ____________ Office: ____________ (*compulsory fields) IAP Delegate Fee: Rs ____________ Non IAP Delegate Fee: Rs ____________ Accompanying Person: Rs ____________ PG Student: Rs ____________ Sr.Citizen: Rs ____________ Total: Rs ____________ Mode of Payment: by Demand Draft, drawn in favor of Pedicon 2010, payable at Hyderabad OR Online at www.pedicon2010.org through credit card or cash at Conference Secretariat. DD NO: ____________ Dated: __________ Bank Details: ____________________________ Signature of Delegate Duly filled registration forms along with DD to be sent by Registered Post / Courier to the conference secretariat Dr.Sanjay Srirampur Chief Organizing Secretary, PEDICON 2010 H.no: 3-4-178, “Guru-Krupa” , Lingampally Hyderabad, AP -500027 Email id: [email protected] www.pedicon2010.org 6 2009; 11(4) : 317 FROM THE EDITOR’S DESK This issue is devoted to the topics covered The initial management of any sick child is in “IAP-IJPP CME 2009” organized by IJPP on crucial to tide over the crisis effectively. 7th June 2009 at Chennai, which was a great Article on “Fluid management in shock” attempts success. It was uniformly felt that the topics from to cover various issues on resuscitation with fluid the previous two CMEs were practical and useful. in cases of shock. Other article under critical care There were requests for scientific material in print is on “Management of cerebral edema”. or CDs. To fulfill this need, the topics in the CME The article on “Malaria-Recent Guidelines” gives which did not appear in the journal in the recent clear-cut guidelines on the treatment of malaria past have been brought out as a separate issue. in situations of malarial parasite sensitive to chloroquine, resistant to chloroquine, complicated The topics are selected in such a way that malaria and artesunate combination therapy, etc. they are of practical importance to the Other programme of national importance is “Revised National Tuberculosis Control pediatricians and general practioners alike. programme” (RNTCP). The basics of the These topics are from different specialties programme and other practical aspects of the (eg. Neurology, Pulmonology, etc).Infant mortality programme are brought out very well in the article. rate after the initial decline has come to a halt Extensive review on hypertension in children been and is not reducing any further in the recent past. done in an article and an over view of obesity The main reason for this is the neonatal mortality with its risk for cardiovascular morbidity has been related to perinatal events like hypoxia, asphyxia, dealt with in another article. infection and gestational age and birth weight Apart from the articles from the topics related problems. One intervention which can covered in the CME, the regular features such save the babies born with perinatal hypoxia/ as articles under Dermatology series, “Superficial asphyxia is “Neonatal Resuscitation Programme fungal infection - Tinea corporis” and under (NRP)”. In this programme, there are few “Radiologist talks to you” the topic of “Disorders modifications incorporated recently. The article of neuronal proliferation, differentiation and “What is new in Neonatal Resuscitation?” covers histogenesis” is continued in this issue. Two case the relevant issues. The care to be given to the studies, one on “Dysgenesis of corpus collosum neonates after successful resuscitation, should be presenting with intractable convulsions” and the adequate, other wise the efforts taken to make other on “Dermatomyositis presenting as pyrexia these babies survive go waste. Broad guidelines of unknown origin” also have been included. on continued care are elaborated in the article Dr.K.Nedunchelian “Follow up of high risk new born”. Editor-in-Chief 7 Indian Journal of Practical Pediatrics 2009; 11(4) : 318 INSTRUCTIONS TO AUTHORS General Print the manuscript on one side of standard size A4, white bond paper, with margins of at least 2.5 cm (1”) in double space typescript on each side. Use American English using Times New Roman font 12 size. Submit four complete sets of the manuscript. They are considered for publication on the understanding that they are contributed to this journal solely.