Basal Cell Carcinoma at Pediatric Age Gorlin-Goltz Syndrome Clinic Experience

The nevoid basal cell carcinoma syndrome is an autosomal dominant inherited disease, associated with PTCH gene mutation. Its presentation is polymorphous, being frequent to appear the clinical triad carcinomas basal cell, odontogenic cysts and skeletal abnormalities. Skin lesions are a very frequent reason for consultation in the paediatric age, being evaluated in most cases in primary care. Sometimes, patients need the intervention of other specialists to deep in a given area. The medical literature shows a fragmented view of the disease, possibly related to the low frequency of appearance of this syndrome, and by the need for intervention of not transversal knowledge specialist, which is why we feel interesting to evaluate the role of specialist who is developing the activity at primary care, with patients who require a multidisciplinary intervention.

Effect of age on computed tomography findings:Specificity and sensitivity in coronavirus disease 2019 infection

BACKGROUND Coronavirus disease 2019(COVID-19)is a pandemic caused by the severe acute respiratory syndrome coronavirus in 2019.Although the real-time reverse transcription PCR test for viral nucleic acids is the gold standard for COVID-19 diagnosis,computed tomography(CT)has grown in importance.AIM To evaluate the sensitivity and specificity of thoracic CT findings of COVID-19 pneumonia according to age groups.METHODS PCR and CT results from 411 patients were reviewed.The diagnosis of COVID-19 pneumonia was made by three radiologists.Lymphadenopathy,pericardial effusion,pleurisy,pleural thickening,pleural effusion,location features of the lesions,ground glass,consolidation,air bronchogram,vascular enlargement,bronchial dilatation,halo finding,inverted halo sign,nodularity,air bubble,subpleural band(curvilinear density),reticular density,crazy paving pattern,and fibrosis findings were recorded.The patients were divided into nine groups by decades while calculating the sensitivity,specificity,and diagnostic efficacy for CT positivity.RESULTS The mean age of the cases was 48.1±22.7 years.The CT finding with the highest diagnostic power was ground glass.Vascular enlargement and bronchial dilatation followed ground glass.Pericardial effusion was the finding with the lowest diagnostic accuracy.The incidence of lymphadenopathy,pleurisy,pleural thickening,peripheral localization,bilateral,ground glass,vascular enlargement,bronchial dilatation,subpleural band,reticular density,crazy paving appearance,and fibrosis all increased increase significantly with age in patients with positive real-time reverse transcription PCR test.CONCLUSION There are few publications comparing sensitivity and specificity of thoracic CT findings according to age.In cases of COVID-19 pneumonia,there is an increase in the variety and frequency of CT findings with age,and parallel to this the sensitivity and specificity of the findings increase.COVID-19 cases in the pediatric age group have fewer lung findings than adults,and this situation decreases the diagnostic value of CT in pediatric patients.