Idiopathic chronic eosinophilic pneumonia is a rare and serious disease mostly encountered in female asthmatic patients in their fifth decade of life and rarely in children. Herein, we describe an 11- year-old boy presenting with clubbing of fingers and post-exertional cough without asthma and peripheral eosinophilia. He had had a restrictive pattern in his pulmonary function test that showed a dramatic response to corticosteroid therapy.

We describe a young boy with epigastric pains and transiently altered consciousness, admitted for surgery. After cardiology consultation and transthoracic echocardiography, a distal type aortic dissection was diagnosed. Computed tomography angiography for the evaluation of the aortic dissection was performed. Given the patient’ s hemodynamically stable state and the distal type of the aortic dissection, he was discharged with medical follow-up.

Aims: This study sought to present a case report of a rare form of primary liver tumor known as fetal type Childhood hepatoblastoma, which belongs to the category of embryonal liver tumors. Patient & Methods: This case report describes an eleven-year-old boy who experienced pain in the upper right quadrant of his abdomen after being hit by a bicycle handle during a fall while riding a bicycle. Subsequent imaging of the abdomen revealed the incidental diagnosis of a hepatoblastoma tumor. Prior to this incident, the patient was clinically asymptomatic. Findings: Imaging examinations revealed the presence of a solid mass measuring 91 × 86 × 84 mm that originated in the right lobe of the liver. This mass exerted pressure on the renal cortex. Pathology analysis indicated that the mass was of the pure fetal epithelial subtype. Conclusion: It is possible for older children to develop hepatoblastoma of the pure fetal epithelial type.

In this case report we present an-year-old boy with a history of trauma to distal phalanx of the forth finger of this left hand from three years ago. This trauma led to a lesion, which was resistant to antibiotic therapy. Underline bone and nail of finger have been destructed by tumor. Microscopic examination revealed plump spindle cells arranged in sheets with paralleled orientation and foci of calcification. Final diagnosis was calcified aponeurotic fibroma. A very rare tumor of soft tissue, which has been reported only in few cases since its discovery. Additionally, clinical presentation of tumor in this case is also very rare.

An 11 year old boy was referred to Mashhad dental school for his several oral ulcers with recurrences from 4 years ago. After clinical examinations, the diagnosis was recurrent aphthous stomatitis. Laboratory findings showed anemia, a high degree of ESR and positive CRP.Moreover, he sufferred from periodic abdomenal pain after eating and loss of weight. This associated clinical signs and laboratory changes required more comprehensive search about possible systemic diseases which can have similar oral manifestations .So, with this objective, he was referred to a specialist for considering his digestive signs.The findings of the colonoscopy revealed that the entire colon was normal but there was increased thickening as well as edema of the terminal mucosa. In the transit of the small bowel, thinning of the distal ileum and loop of geogenum were seen. Also, an increase of the terminal ileum loop was shown. In the serologic finding (ASCA), Anti- Saccharomyces Cervisia was positive.Due to the pain of ankle’s leg which then occurs in the sacral region, a decrease of bone density was seen in the MRI. All of these finding approve our strong suspicion to Crohn's disease .Now, he is under treatment by a gastroenterologist.

Coronavirus disease 2019 (COVID-19) first emerged in Wuhan, China, in December 2019. Then, it spread to the whole world so that THEWorld Health Organization (WHO) declared a worldwide pandemic on March 11, 2020. Coronavirus disease 2019 is a novel and mysterious infectious disease that causes respiratory illness, multiorgan failure (MOF), and death. Although pediatric COVID-19 accounts for a small percentage of patients and is often milder than in adults, it can progress to severe disease in some cases. Liver involvement in COVID-19 and its severity have not been clearly investigated. In this paper, we present an 11-year-old boy admitted to a Pediatric Intensive Care Unit (PICU) with COVID-19 diagnosis in combination with elevated liver enzymes and bilirubin.

There is a great challenge in the treatment of deeply fractured and un-restorable teeth among dentists. Orthodontic force eruption is a method of treatment for these teeth to preserve natural root system and periodontal structures. This technical report is a new modification of this procedure presented in an 11- year old boy with deeply fractured left second mandibular incisor. The fractured teeth were treated with root canal therapy and a file #80 was modified to become a hook cemented into the fractured tooth.Anterior teeth were splinted and used as anchorage to help the root extrusion.1-year follow up of the tooth showed the convenience of the treatment.This simple and low-cost method can be an acceptable alternative to the current high cost techniques, achieving the same results.

Wilson’ s disease (WD) is a rare autosomal recessive disease due to copper metabolism disturbance. The clinical presentation spectrum of Wilson’ s disease is wide and initial findings of the disease depend on the organ involved. Neurologic disorders can develop insidiously or precipitously with intention tremor, dysarthria, rigid dystonia, Parkinsonism, deterioration in school performance or behavioral changes. This article is presenting an 11-yr old boy with chief complaint of falling and upper limb spasm. He referred to the Neurology Department, Ghaem Hospital, Mashhad, northeastern Iran in 2016. His symptoms began from 6 months earlier as mood instability (prolonged spontaneous crying). He was also suffering from occasionally tremor and micrographia. Initial investigations were normal and with diagnosis of depression and psychiatric problems, he had undergone treatment with fluoxetine and risperidone. Wilson’ s disease should be considered in the diagnosis of all children with psychiatric and musculoskeletal symptoms.

Meningitis retention syndrome (MRS) is an underreported clinical syndrome in children that presents with meningitis and acute retention of urine. It is usually associated with aseptic meningitis, but there are case reports of MRS associated with viral and other kind of meningitis. There is no imaging abnormalities in the brain and spine associated with acute urinary retention. Here we report a case of an 11-year-old boy who presented with signs of meningism and acute urinary retention. Further evaluation revealed features of meningitis in cerebrospinal fluid analysis and normal imaging of the brain and spine. He completely recovered from urinary retention after meningitis treatment.

Background: Broad Beta disease is one of the genetically disorders in lipoprotein that cause aggregation of lipoprotein in plasma and Incidence risk of Ischemic heart disease among these patients is high.Case presentation: An eight year old boy was admitted to the hospital because of an abrupt onset chest pain, faint and ST depression in inferior leads. He has been well one day earlier, when an exertional chest pain developed. Laboratory values obtained before admission showed hypercholesterolemia, and physical exam showed mild supravalvular aortic stenosis. ECG: ST depression in inferior leads. TT Echo: Mild supravalvular aortic stenosis. Angiography: Three vessel disease. Lab: Only hypercholesterolemia. (Cholesterol upper than 400 mg/100). Treatment: CABG, Three graft.Conclusion: There are few data regarding the preoperative risk in patients with hypercholesterolemia. In patients with familial hypercholesterolemia, there is a high incidence of premature Coronary Artery Disease.These patients are also at risk for both valvular and supravalvular aortic stenosis as well as atherosclerosis of the carotid and femoral arteries. There is a higher than expected incidence of proximal lesions in the coronery and in the left main artery in patients with familial hypercholesterolemia.