| چکیده انگلیسی مقاله |
Background: ROHHAD syndrome (rapid-onset obesity, hypoventilation, hypothalamic dysfunction, and autonomic dysregulation) is an extremely rare disease in children. This article describes the clinical features, laboratory findings, imaging results, and treatment of a case of ROHHAD syndrome with ganglioneuroma. Case Report: An 8-year-old girl in Covid-19 pandemic was admitted to our emergency department due to dyspnea, cyanosis, and respiratory distress. She had a history of close contact with his father (a case of covid 19) prior to hospital admission. Spiral chest CT scan of the patient revealed bilateral ground-glass opacities and also a right paravertebral mass. She had a history of rapid onset morbid obesity that had started 2 years ago. Furthermore, she had sleep disturbances and hypoventilation, electrolyte imbalance, polyuria and enuresis, irritability, and impulsivity. She was diagnosed as a case of ROHHAD syndrome based on her clinical manifestations. She was also diagnosed as a case of SARS-COV-2 infection. The paravertebral mass was resected which pathology was consistent with ganglioneuroma. Conclusion: Because of the high prevalence of morbidity and mortality in ROHHAD syndrome and accompanying neural crest tumors, early diagnosis of this syndrome should be kept in mind. It is essential to pay attention to the cases with rapid onset obesity associated with hypoventilation to prevent severe complications. |
| نویسندگان مقاله |
| Ghamartaj Khanbabaei Pediatric pulmonologist, Department of Pediatric Pulmonology, Mofid Children’s Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
| Seyed Ahmad Tabatabaei Pediatric pulmonologist, Department of Pediatric Pulmonology, Mofid Children’s Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
| Nazanin Farahbakhsh Pediatric pulmonologist, Department of Pediatric Pulmonology, Mofid Children’s Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
| Seyedeh Zalfa Modarresi Pediatric Pulmonology Fellowship, Department of Pediatric Pulmonology, Mofid Children’s Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
| Matin Poorghasem Pediatric Pulmonology Fellowship, Department of Pediatric Pulmonology, Mofid Children’s Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
| Ebrahim Tabiei Pediatric Pulmonology Fellowship, Department of Pediatric Pulmonology, Mofid Children’s Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
| Abdolhamid Taghizadeh Pediatric Pulmonology Fellowship, Department of Pediatric Pulmonology, Mofid Children’s Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
| Morteza Managheb Anesthesiologist, Fellowship of cardiac Anesthesia, Erfan Niayesh Hospital. Tehran, Iran
| Hosein Behzad Moghadam Pediatrician and Neonatologist, Neonatal and NICU ward, Erfan Niayesh hospital, Tehran, Iran
| Kourosh Vahidshahi Associate Professor of Pediatric Cardiology, School of Medicine, Modarres Teaching Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| Seyed Morteza Tabatabaei Yazdi Pediatric Congenital Hematologic Disorders Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| Hossein Taheri Student Research Committee, Shahid Beheshti University of Medical Sciences, Tehran, Iran
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