[Ménétrier's disease of childhood and acute cytomegalus virus infection]. / Enfermedad de Ménétrier infantil e infección aguda por citomegalovirus.

Menetrier's disease of childhood, or protein-losing hypertrophic gastropathy, is a rare entity of unknown etiology, characterized by hypertrophy of the gastric mucosa as well as secondary protein loss. Most published cases are associated with infection, mainly viral. These infections could alter the factors regulating growth and the function of gastric cells. In children, the disease is mild and resolved within a few weeks. We present the case of a 15-month-old child with a 72-hour history of intractable vomiting, hypoproteinemia and generalized progressive edema. We describe the characteristics of this case, as well as the clinical, ultrasonographic and endoscopic findings required for a diagnosis of this disease.

Enfermedad de Ménétrier infantil e infección aguda por citomegalovirus / Ménétrier’s disease of childhood and acute cytomegalus virus infection

La enfermedad de Ménétrier infantil o gastropatía hipertrófica perdedora de proteínas de la infancia es una rara entidad de origen desconocido, caracterizada por la hipertrofia de la mucosa gástrica y pérdida proteica secundaria. La mayoría de casos publicados se asocian a infecciones, sobre todo virales. Se cree que éstas podrían alterar los factores que regulan el crecimiento y función de las células gástricas. En los niños la enfermedad es benigna y cura en semanas. Presentamos el caso de un lactante de 15 meses con vómitos incoercibles de 72 h de evolución, hipoproteinemia y edemas progresivos generalizados. Se describen las características del caso, los hallazgos clínicos, ecográficos y endoscópicos necesarios para el diagnóstico de esta enfermedad

Menetrier's disease of childhood, or protein-losing hypertrophic gastropathy, is a rare entity of unknown etiology, characterized by hypertrophy of the gastric mucosa as well as secondary protein loss. Most published cases are associated with infection, mainly viral. These infections could alter the factors regulating growth and the function of gastric cells. In children, the disease is mild and resolved within a few weeks. We present the case of a 15-month-old child with a 72-hour history of intractable vomiting, hypoproteinemia and generalized progressive edema. We describe the characteristics of this case, as well as the clinical, ultrasonographic and endoscopic findings required for a diagnosis of this disease

[Breast-feeding in southern Catalonia. Epidemiological analysis of sociocultural and health factors influencing choice and duration]. / Lactancia materna en el sur de Cataluña. Estudio de los factores socioculturales ysanitarios que influyen en su elección y mantenimiento.

OBJECTIVE: To study the incidence and prevalence of breast-feeding and to determine the factors that influence the mother's decision to breast-feed or to use adapted milk. MATERIAL AND METHODS: Two hundred families were included in a survey in the hospital's maternity department. Those who breast-fed were followed up by means of a telephone call on days 15, 30, 90, and 180. RESULTS: On leaving hospital 78% of the neonates were receiving breast milk only. After 15 days, 89.7% of the neonates continued to receive breast milk and at 6 months this figure was 39%. Breast-feeding was discontinued after a mean of 2.5 months. The mean age of mothers who breast-fed was 30.2 years and that of mothers using adapted milk was 27.9 years (p,0.05). Mothers decided on the type of feeding before pregnancy (52.5%). This decision was unchanged by prenatal information except in the case of information provided by the family, especially if both parents were breast-fed (p,0.05). Doctors provided little information. The mother's level of education did not influence the decision to breast-feed although the higher the mother's education, the greater the tendency to breast-feed (74.7% with primary education vs 81.5% with higher education). Being in paid employment did not influence the decision to breast-feed (76% of mothers worked vs 79% of mothers who did not). The main reasons for discontinuance were hypogalactia, "feeling hungry", and work. In general, giving up breast-feeding was the mother's decision. CONCLUSIONS: The information pregnant women receive on breast-feeding should be based on unified criteria. The implementation of joint protocols between primary and hospital care as well as breast-feeding support groups help mothers to begin and continue breast-feeding.