[Iatrogenic Cushing syndrome in infants. Report of a case with dwarfism]. / Syndrome de Cushing iatrogène du nourrisson. Une observation avec nanisme.

We report a case of iatrogenic Cushing syndrome with dwarfism (-6 SD) in an eight-month-old infant. The respective role of exposure to corticosteroids in utero (the mother took 30 mg prednisolone per day throughout pregnancy) and postnatally (oral prednisolone, prednisolone in breast milk, and betamethasone cream) is discussed. Two other features are pointed out, i.e. presence of a food allergy and favorable outcome under hydrocortisone therapy.

[Rescue from sudden death syndrome and allergy to milk proteins (apropos of a case)]. / Syndrome de rescapé de mort subite et allergie aux protéines du lait (à propos d'une observation).

Allergy to milk proteins may be responsible for the syndrome of unexplained, sudden death of infants, but well-documented cases are rare. The authors report an observation where clinical history and complementary investigations support the incrimination of this factor.

[Intrarectal clonazepam in children. Plasma and CSF levels]. / Clonazépam intrarectal chez l'enfant. Taux plasmatique et dans le LCR.

Eleven children with seizures were treated with clonazepam by rectal route. Thirty minutes after the administration, the plasma (8 to 28 ng/ml) and CSF (0.9 to 2.26 ng/ml) levels were satisfactory and correlated with a good clinical result. Since the tolerance of the drug was excellent, clonazepam appears to be as useful as diazepam in the management of childhood seizures.

[Rod myopathy. A fatal neonatal case]. / Myopathie à bâtonnets. Une observation néonatale létale.

A new lethal case of nemaline myopathy is reported. Muscle biopsy at 20 days of age permitted the diagnosis but this boy died at the 35th day of life. In a review of the literature (15 similar cases) the authors analyse the diagnostic, histopathogenic, genetic and evolutive aspects of this heterogeneous disorder, apparently less "benign" than previously thought.