Phthalates, heavy metals and PAHs in an overpopulated coastal region: Inferences from Abruzzo, central Italy.

Phthalates are an emerging class of environmental pollutants whose distribution and effects in aquatic environments are not well characterized. We analyzed intertidal and emerged beach sediments from the Abruzzo coastline, along the Adriatic Sea, finding significant phthalate concentrations in marine sediments. Phthalate baseline levels in the intertidal environment, marked by substantial interplay of sediment, water and air, were determined. We used statistical rank methods to select representative phthalate compositions, for which we derived risk levels for ingestion, dermal absorption and inhalation. Our study shows that phthalates are a major cause of pollution along the Abruzzo coast, with river transport of sediments a continuous source of replenishment. Phthalate concentrations in two specific sites were determined to be of the same order of magnitude as the safety, remediation-warranting, threshold set by Italian law. Phthalates, heavy metals, PAHs appear to be correlated. We discuss possible intervention and mitigation strategies.

A rare case of scurvy in an otherwise healthy child: diagnosis through oral signs.

The purpose of this paper was to report the case of a 2-year-old Caucasian female who was referred with a presumed diagnosis of pediatric rheumatoid arthritis. The patient presented widespread gingival swelling with bleeding, sharp pain, and halitosis. The patient also presented pain and swelling of the right knee joint, and psychomotor restlessness associated with muscular frailty. Little compliance on the part of both the patient and parents was also noted. Oral manifestations, together with an accurate medical history, led to the diagnosis of infantile scurvy, caused by an inadequate dietary supply of vitamin C. Administering 250 mg of ascorbic acid orally twice a day led to the remission of gingival swelling and of the other symptoms. The parents were advised to feed the child appropriate foods. Nutritional problems are traditionally linked to an insufficient availability of food, but can also be associated with child- or family-related psychological problems.