News

The US Food and Drug Administration (FDA) approved in October an over-the-counter medication to relieve eye itch. Zaditor (ketotifen fumarate), manufactured by Novartis Pharmaceuticals Corp., is an eye itch relief drop safe for children as young as three years of age. With just one drop, Zaditor provides up to 12 hours of continuous relief.

The National Institute of Mental Health (NIMH), part of the National Institutes of Health, is funding five new research projects on antidepressant medications, notably selective serotonin reuptake inhibitors (SSRIs), and their association with suicidal thoughts and actions (suicidality). SSRI use in children and adolescents has become a controversial issue, with the US Food and Drug Administration (FDA), issuing a black box warning for all SSRIs in 2005.

New products for 2006

This year: A CLIA-waived test for blood lead levels, a high-tech hearing screener, nonsurgical help for OME, a quieter electronic stethoscope, great software, and more. Plus, a 25th-birthday salute to the personal computer.

"He is always sick"

A 5-year-old boy arrives at the ED for management of sepsis and evaluation of "blast cells" on a peripheral blood smear. His guardian says that he is "always sick." What's causing this medical mystery?

As the prevalence of obesity in children increases, so does metabolic syndrome, with its attendant health risks-chiefly cardiovascular disease. Early identification and treatment are essential to stave off complications and lower the risk of premature death in adulthood.

An almost 7-year-old girl was referred to Child Protective Services for evaluation of suspected sexual abuse after a school nurse noticed marks on her neck (Figure). The nurse was concerned that the marks were "hickeys," or suction marks, made by another person's mouth.

Parents Do Listen

We, as physicians, complain about patients not following our advice and not listening to us. We should not forget that they are listening, that our words are not ignored, and that therefore, they should be well chosen.

A 3-month-old infant presented with a 4-week history of a symmetric skin eruption on her face, axillae, distal extremities, and external genitalia. The infant was otherwise healthy, although colicky since birth. She was exclusively breast-fed and had a good appetite. Voiding and stooling patterns were normal. Her growth was appropriate for age.