O papel do pediatra na investigação de doenças neuromusculares da infancia

OBJECTIVE: Help the pediatrician in the suspicion of neuromuscular diseases when the child has complaints or altered findings in neuropsychomotor development, presenting one review on the topic. METHODOLOGY: Non-systematic literature review using articles published between 2015 and 2021 obtained wi...

Full description

Bibliographic Details
Main Authors: Alexandra Prufer de Queiroz Campos Araújo, Clarisse Pereira Dias Drumond Fortes, Flavia Nardes, Eduardo Jorge, Salmo Raskin
Format: Article
Language:English
Published: Sociedade Brasileira de Pediatria 2023-12-01
Series:Residência Pediátrica
Subjects:
Online Access:https://cdn.publisher.gn1.link/residenciapediatrica.com.br/pdf/v13n4e901.pdf
_version_ 1797215240214020096
author Alexandra Prufer de Queiroz Campos Araújo
Clarisse Pereira Dias Drumond Fortes
Flavia Nardes
Eduardo Jorge
Salmo Raskin
author_facet Alexandra Prufer de Queiroz Campos Araújo
Clarisse Pereira Dias Drumond Fortes
Flavia Nardes
Eduardo Jorge
Salmo Raskin
author_sort Alexandra Prufer de Queiroz Campos Araújo
collection DOAJ
description OBJECTIVE: Help the pediatrician in the suspicion of neuromuscular diseases when the child has complaints or altered findings in neuropsychomotor development, presenting one review on the topic. METHODOLOGY: Non-systematic literature review using articles published between 2015 and 2021 obtained with the terms “neuromuscular disorders” and “children”; “neuromuscular disorders” and “pediatric”; “milestones” and “delay”; “motor development” and “delay”; “development”and “neuromuscular disorders”; “neuromuscular disorder” and “evaluation”; “neuromuscular disorders” and “examination” in the Lilacs, Medline, Paho, Wholis and Scielo research bases. RESULTS: Data found in the review were compiled and divided into three topics: (1) Warning signs for neuromuscular diseases: how history and physical examination help define hypotonia and signs of muscle weakness; (2) Differential Etiological Diagnoses: most common clinical presentations and brief description of the main diseases with available therapies; and (3) Investigation of Neuromuscular Diseases: examples of situations divided between those with central or peripheral hypotonia, the use of creatine phosphokinase dosage in cases of muscle weakness and motor delay and examples of confirmatory tests of neuromuscular diseases with therapeutic possibilities. CONCLUSION: Although neuromuscular diseases are individually rare, they may have specific treatment that modifies their natural history, then the important differential diagnosis when there is a delay in neuropsychomotor development. It is imperative that the pediatrician, as a reference professional for families, have a high degree of suspicion and knowledge that allows initial assessment and referral to a specialized service.
first_indexed 2024-04-24T11:26:55Z
format Article
id doaj.art-8c4369fa587443caadf7b77348b23a9e
institution Directory Open Access Journal
issn 2236-6814
language English
last_indexed 2024-04-24T11:26:55Z
publishDate 2023-12-01
publisher Sociedade Brasileira de Pediatria
record_format Article
series Residência Pediátrica
spelling doaj.art-8c4369fa587443caadf7b77348b23a9e2024-04-10T14:33:29ZengSociedade Brasileira de PediatriaResidência Pediátrica2236-68142023-12-0113410.25060/residpediatr-2023.v13n4-901O papel do pediatra na investigação de doenças neuromusculares da infanciaAlexandra Prufer de Queiroz Campos Araújo0Clarisse Pereira Dias Drumond Fortes1Flavia Nardes2Eduardo Jorge3Salmo Raskin4UFRJ, Serviço de Neuropediatria do IPPMG - RIO DE JANEIRO - RJ - Brasil; UFRJ, Instituto de Puericultura e Pediatria Martagão Gesteira (IPPMG) - RIO DE JANEIRO - RJ - BrasilUFRJ, Serviço de Neuropediatria do IPPMG - RIO DE JANEIRO - RJ - Brasil; UFRJ, Instituto de Puericultura e Pediatria Martagão Gesteira (IPPMG) - RIO DE JANEIRO - RJ - BrasilUFRJ, Serviço de Neuropediatria do IPPMG - RIO DE JANEIRO - RJ - Brasil; UFRJ, Instituto de Puericultura e Pediatria Martagão Gesteira (IPPMG) - RIO DE JANEIRO - RJ - BrasilUERJ, Hospital Universitario Pedro Ernesto - RIO DE JANEIRO - RJ - BrasilCentro de Aconselhamento e Laboratório Genetika, Genética - Curitiba - Paraná - BrasilOBJECTIVE: Help the pediatrician in the suspicion of neuromuscular diseases when the child has complaints or altered findings in neuropsychomotor development, presenting one review on the topic. METHODOLOGY: Non-systematic literature review using articles published between 2015 and 2021 obtained with the terms “neuromuscular disorders” and “children”; “neuromuscular disorders” and “pediatric”; “milestones” and “delay”; “motor development” and “delay”; “development”and “neuromuscular disorders”; “neuromuscular disorder” and “evaluation”; “neuromuscular disorders” and “examination” in the Lilacs, Medline, Paho, Wholis and Scielo research bases. RESULTS: Data found in the review were compiled and divided into three topics: (1) Warning signs for neuromuscular diseases: how history and physical examination help define hypotonia and signs of muscle weakness; (2) Differential Etiological Diagnoses: most common clinical presentations and brief description of the main diseases with available therapies; and (3) Investigation of Neuromuscular Diseases: examples of situations divided between those with central or peripheral hypotonia, the use of creatine phosphokinase dosage in cases of muscle weakness and motor delay and examples of confirmatory tests of neuromuscular diseases with therapeutic possibilities. CONCLUSION: Although neuromuscular diseases are individually rare, they may have specific treatment that modifies their natural history, then the important differential diagnosis when there is a delay in neuropsychomotor development. It is imperative that the pediatrician, as a reference professional for families, have a high degree of suspicion and knowledge that allows initial assessment and referral to a specialized service.https://cdn.publisher.gn1.link/residenciapediatrica.com.br/pdf/v13n4e901.pdfdevelopment indicatorschild developmentmuscle hypotonia
spellingShingle Alexandra Prufer de Queiroz Campos Araújo
Clarisse Pereira Dias Drumond Fortes
Flavia Nardes
Eduardo Jorge
Salmo Raskin
O papel do pediatra na investigação de doenças neuromusculares da infancia
Residência Pediátrica
development indicators
child development
muscle hypotonia
title O papel do pediatra na investigação de doenças neuromusculares da infancia
title_full O papel do pediatra na investigação de doenças neuromusculares da infancia
title_fullStr O papel do pediatra na investigação de doenças neuromusculares da infancia
title_full_unstemmed O papel do pediatra na investigação de doenças neuromusculares da infancia
title_short O papel do pediatra na investigação de doenças neuromusculares da infancia
title_sort o papel do pediatra na investigacao de doencas neuromusculares da infancia
topic development indicators
child development
muscle hypotonia
url https://cdn.publisher.gn1.link/residenciapediatrica.com.br/pdf/v13n4e901.pdf
work_keys_str_mv AT alexandrapruferdequeirozcamposaraujo opapeldopediatranainvestigacaodedoencasneuromuscularesdainfancia
AT clarissepereiradiasdrumondfortes opapeldopediatranainvestigacaodedoencasneuromuscularesdainfancia
AT flavianardes opapeldopediatranainvestigacaodedoencasneuromuscularesdainfancia
AT eduardojorge opapeldopediatranainvestigacaodedoencasneuromuscularesdainfancia
AT salmoraskin opapeldopediatranainvestigacaodedoencasneuromuscularesdainfancia