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Nelson Textbook of Pediatrics. Volume 1 PDF

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Nelson TEXTBOOK of PEDIATRICS Nelson TEXTBOOK of PEDIATRICS EDITION 20 Robert M. Kliegman, MD Professor and Chair Emeritus Department of Pediatrics Medical College of Wisconsin Milwaukee, Wisconsin Bonita F. Stanton, MD Nina F. Schor, MD, PhD Vice-Dean of Research William H. Eilinger Professor and Chair Professor of Pediatrics Department of Pediatrics Wayne State University School of Medicine Professor Detroit, Michigan Department of Neurology Pediatrician-in-Chief Joseph W. St Geme III, MD Golisano Children’s Hospital Chair, Department of Pediatrics University of Rochester Medical Center Professor of Pediatrics and Microbiology Rochester, New York Perelman School of Medicine at the University of Pennsylvania Editor Emeritus Physician-in-Chief Richard E. Behrman, MD Leonard and Madlyn Abramson Endowed Chair in Pediatrics Nonprofit Healthcare and Educational Children’s Hospital of Philadelphia Consultants to Medical Institutions Philadelphia, Pennsylvania Santa Barbara, California 1600 John F. Kennedy Blvd. Ste. 1800 Philadelphia, PA 19103-2899 NELSON TEXTBOOK OF PEDIATRICS, TWENTIETH EDITION ISBN: 978-1-4557-7566-8 International Edition ISBN: 978-0-323-35307-6 Copyright © 2016 by Elsevier, Inc. All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. Details on how to seek permission and further information about the Publisher’s permissions policies and our arrangements with organizations such as the Copyright Clearance Center and the Copyright Licensing Agency can be found at our website: www.elsevier. com/permissions. This book and the individual contributions contained in it are protected under copyright by the Publisher (other than as may be noted herein). Notices Knowledge and best practice in this field are constantly changing. As new research and experience broaden our understanding, changes in research methods, professional practices, or medical treatment may become necessary. Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any information, methods, compounds, or experiments described herein. In using such information or methods they should be mindful of their own safety and the safety of others, including parties for whom they have a professional responsibility. With respect to any drug or pharmaceutical products identified, readers are advised to check the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered, to verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the responsibility of practitioners, relying on their own experience and knowledge of their patients, to make diagnoses, to determine dosages and the best treatment for each individual patient, and to take all appropriate safety precautions. To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors, assume any liability for any injury and/or damage to persons or property as a matter of products liability, negligence or otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the material herein. Previous editions copyrighted 2011, 2007, 2004, 2000, 1996, 1992, 1987, 1983, 1979, 1975, 1969, 1964, 1959 International Standard Book Number: 978-1-4557-7566-8 Content Strategy Director: Mary Gatsch Executive Content Strategist: Kate Dimock Content Development Specialist: Jennifer Shreiner Publishing Services Manager: Patricia Tannian Senior Project Manager: John Casey Printed in Canada Last digit is the print number: 9 8 7 6 5 4 3 2 1 To the Child’s Physician and especially to those who through their expressed confidence in past editions of this book have provided the stimulus for this revision. Waldo E. Nelson, 9/e, 1969 This is as true in 2015 as it was in 1969. R.M. Kliegman, 20/e, 2015 Contributors Mark J. Abzug, MD Michael A. Alexander, MD Alia Y. Antoon, MD Professor of Pediatrics Professor of Pediatrics and Rehabilitation Medicine Assistant Clinical Professor Division of Pediatric Infectious Diseases Thomas Jefferson Medical College Department of Pediatrics University of Colorado School of Medicine Philadelphia, Pennsylvania; Harvard Medical School Children’s Hospital Colorado Emeritus Medical Staff Chief of Pediatrics Aurora, Colorado Alfred I. duPont Hospital for Children Shriners Hospital for Children Nonpolio Enteroviruses Wilmington, Delaware Boston, Massachusetts Evaluation of the Child for Rehabilitative Services Burn Injuries David R. Adams, MD, PhD Cold Injuries National Human Genome Research Institute Omar Ali, MD National Institutes of Health Assistant Professor Susan D. Apkon, MD Bethesda, Maryland Department of Pediatrics Associate Professor Genetic Approaches to Rare and Undiagnosed Medical College of Wisconsin Department of Rehabilitation Medicine Diseases Division of Endocrinology University of Washington School of Medicine Children’s Hospital of Wisconsin Director, Rehabilitation Medicine Stewart L. Adelson, MD Milwaukee, Wisconsin Seattle Children’s Hospital Assistant Clinical Professor Hyperpituitarism, Tall Stature, and Overgrowth Seattle, Washington Department of Psychiatry Syndromes Ambulation Assistance Columbia University College of Physicians and Hypofunction of the Testes Surgeons Pseudoprecocity Resulting from Tumors of the Testes Stacy P. Ardoin, MD, MHS Adjunct Clinical Assistant Professor Gynecomastia Associate Professor of Clinical Medicine Weill Cornell Medical College of Cornell Adult and Pediatric Rheumatology University Namasivayam Ambalavanan, MD The Ohio State University Wexner Medical Center New York, New York Professor of Pediatrics Nationwide Children’s Hospital Gay, Lesbian, and Bisexual Adolescents Division of Neonatology Columbus, Ohio University of Alabama, Birmingham Systemic Lupus Erythematosus John J. Aiken, MD, FACS, FAAP Birmingham, Alabama Vasculitis Syndromes Professor of Surgery High-Risk Pregnancies Division of Pediatric General and Thoracic Surgery The Fetus Monica I. Ardura, DO, MSCS Medical College of Wisconsin Nervous System Disorders Assistant Professor of Pediatrics The Children’s Hospital of Wisconsin Hypoxia-Ischemic Encephalopathy Section of Infectious Disease and Immunology Milwaukee, Wisconsin Respiratory Tract Disorders The Ohio State University College of Medicine Acute Appendicitis Jaundice and Hyperbilirubinemia in the Newborn Nationwide Children’s Hospital Inguinal Hernias Kernicterus Columbus, Ohio Epigastric Hernia Genitourinary System Hansen Disease (Mycobacterium leprae) The Umbilicus Begum Akay, MD Metabolic Disturbances Michelle M. Ariss, MD Assistant Professor of Surgery The Endocrine System Assistant Professor Division of Pediatric Surgery Department of Ophthalmology Oakland University William Beaumont School of Karl E. Anderson, MD, FACP University of Missouri—Kansas City School of Medicine Professor Medicine Beaumont Health Departments of Preventive Medicine, Community Children’s Mercy Hospital Royal Oak, Michigan Health, Internal Medicine, and Pharmacology Kansas City, Missouri Surgical Conditions of the Anus and Rectum and Toxicology Growth and Development (Eye) Director, Porphyria Laboratory and Center Examination of the Eye Cezmi A. Akdis, MD University of Texas Medical Branch Abnormalities of Refraction and Accommodation Professor of Immunology Galveston, Texas Disorders of Vision Swiss Institute of Allergy and Asthma Research The Porphyrias Abnormalities of Pupil and Iris Christine Kühne Center for Allergy Research and Disorders of Eye Movement and Alignment Education Peter M. Anderson, MD, PhD Abnormalities of the Lids Davos, Switzerland; Curtis Distinguished Professor Disorders of the Lacrimal System Medical Faculty, University of Zurich Department of Pediatrics Disorders of the Conjunctiva Zurich, Switzerland University of Texas MD Anderson Cancer Center Abnormalities of the Cornea Allergy and the Immunologic Basis of Atopic Disease Houston, Texas Abnormalities of the Lens Neoplasms of the Kidney Disorders of the Uveal Tract Evaline A. Alessandrini, MD, MSCE Disorders of the Retina and Vitreous Professor of Clinical Pediatrics Kelly K. Anthony, PhD, PLLC Abnormalities of the Optic Nerve University of Cincinnati College of Medicine Assistant Professor Childhood Glaucoma Division of Emergency Medicine Department of Psychiatry and Behavioral Sciences Orbital Abnormalities Director, Quality Scholars Program in Health Care Duke University Medical Center Orbital Infections Transformation Durham, North Carolina Injuries to the Eye Cincinnati Children’s Hospital Medical Center Musculoskeletal Pain Syndromes Cincinnati, Ohio Thaís Armangué, MD Emergency Medical Services for Children: Outcomes Clinical Fellow and Predoctoral Researcher and Risk Adjustment ICREA-IDIBAPS Neuroimmunology Program Hospital Clinic Barcelona, Spain Autoimmune Encephalitis vi Contributors  vii Carola A.S. Arndt, MD Ellis D. Avner, MD Christina Bales, MD Professor of Pediatrics Professor Assistant Professor of Pediatrics Department of Pediatrics and Adolescent Medicine Departments of Pediatrics and Physiology University of Pennsylvania Perelman School of Division of Pediatric Hematology-Oncology Medical College of Wisconsin Medicine Mayo Clinic Milwaukee, Wisconsin Attending Physician Rochester, Minnesota Introduction to Glomerular Diseases Division of Gastroenterology, Hepatology, and Soft Tissue Sarcomas Clinical Evaluation of the Child with Hematuria Nutrition Neoplasms of Bone Isolated Glomerular Diseases with Recurrent Gross The Children’s Hospital of Philadelphia Hematuria Philadelphia, Pennsylvania Stephen S. Arnon, MD, MPH Glomerulonephritis Associated with Infections Intestinal Atresia, Stenosis, and Malrotation Chief, Infant Botulism Treatment and Prevention Membranous Nephropathy Program Branch Membranoproliferative Glomerulonephritis William F. Balistreri, MD Division of Communicable Disease Control Glomerulonephritis Associated with Systemic Lupus Medical Director Emeritus, Pediatric Liver Care Center for Infectious Diseases Erythematosus Center California Department of Public Health Henoch-Schönlein Purpura Nephritis Division of Pediatric Gastroenterology, Hepatology, Richmond, California Rapidly Progressive (Crescentic) Glomerulonephritis and Nutrition Botulism (Clostridium botulinum) Goodpasture Disease Cincinnati Children’s Hospital Medical Center Tetanus (Clostridium tetani) Hemolytic-Uremic Syndrome Cincinnati, Ohio Upper Urinary Tract Causes of Hematuria Morphogenesis of the Liver and Biliary System Stephen C. Aronoff, MD, MBA Hematologic Diseases Causing Hematuria Manifestations of Liver Disease Professor and Waldo E. Nelson Chair Anatomic Abnormalities Associated with Hematuria Cholestasis Department of Pediatrics Lower Urinary Tract Causes of Hematuria Metabolic Diseases of the Liver Temple University School of Medicine Introduction to the Child with Proteinuria Viral Hepatitis Philadelphia, Pennsylvania Transient Proteinuria Liver Disease Associated with Systemic Disorders Cryptococcus neoformans Orthostatic (Postural) Proteinuria Mitochondrial Hepatopathies Histoplasmosis (Histoplasma capsulatum) Fixed Proteinuria Paracoccidioides brasiliensis Nephrotic Syndrome Robert S. Baltimore, MD Sporotrichosis (Sporothrix schenckii) Tubular Function Professor of Pediatrics and Epidemiology Zygomycosis (Mucormycosis) Renal Tubular Acidosis Clinical Professor of Nursing Nonbacterial Food Poisoning Nephrogenic Diabetes Insipidus Associate Director of Hospital Epidemiology (for Bartter and Gitelman Syndromes and Other Pediatrics) David M. Asher, MD Inherited Tubular Transport Abnormalities Yale-New Haven Hospital Supervisory Medical Officer Tubulointerstitial Nephritis New Haven, Connecticut Chief, Laboratory of Bacterial and Transmissible Toxic Nephropathy Listeria monocytogenes Spongiform Encephalopathy Agents Cortical Necrosis Pseudomonas, Burkholderia, and Center for Biologics Evaluation and Research Renal Failure Stenotrophomonas (CBER) United States Food and Drug Administration Carlos A. Bacino, MD Manisha Balwani, MBBS, MS Silver Spring, Maryland Professor of Molecular and Human Genetics Assistant Professor Transmissible Spongiform Encephalopathies Baylor College of Medicine Departments of Medicine and Genetics and Chief, Genetics Service Genomic Sciences Ann Ashworth, PhD, Hon FRCPCH Director, Pediatric Genetics Clinic Icahn School of Medicine at Mount Sinai Professor Emeritus Texas Children’s Hospital New York, New York Department of Population Health Houston, Texas The Porphyrias Nutrition Group Cytogenetics London School of Hygiene and Tropical Medicine Christine E. Barron, MD London, United Kingdom Robert N. Baldassano, MD Associate Clinical Professor Nutrition, Food Security, and Health Colman Family Chair in Pediatric Inflammatory Department of Pediatrics Bowel Disease and Professor of Pediatrics Brown University Alpert Medical School Barbara L. Asselin, MD University of Pennsylvania Perelman School of Rhode Island Hospital Professor of Pediatrics and Oncology Medicine Providence, Rhode Island Department of Pediatrics Director, Center for Pediatric Inflammatory Bowel Adolescent Rape University of Rochester School of Medicine Disease Golisano Children’s Hospital The Children’s Hospital of Philadelphia Karyl S. Barron, MD Rochester, New York Philadelphia, Pennsylvania Deputy Director Epidemiology of Childhood and Adolescent Cancer Inflammatory Bowel Disease Division of Intramural Research Eosinophilic Gastroenteritis National Institute of Allergy and Infectious Joann L. Ater, MD Diseases Associate Professor Keith D. Baldwin, MD, MSPT, MPH National Institutes of Health Department of Pediatrics Assistant Professor Bethesda, Maryland University of Texas MD Anderson Cancer Center Department of Orthopaedic Surgery Amyloidosis Houston, Texas University of Pennsylvania Perelman School of Brain Tumors in Childhood Medicine Dorsey M. Bass, MD Neuroblastoma Neuromuscular Orthopaedics and Orthopaedic Associate Professor of Pediatrics Trauma Division of Pediatric Gastroenterology Erika F. Augustine, MD Children’s Hospital of Philadelphia Stanford University School of Medicine Assistant Professor of Neurology and Pediatrics Philadelphia, Pennsylvania Palo Alto, California Division of Child Neurology Growth and Development Rotaviruses, Caliciviruses, and Astroviruses University of Rochester Medical Center Evaluation of the Child Rochester, New York Torsional and Angular Deformities Dystonia Common Fractures Marilyn C. Augustyn, MD Professor of Pediatrics Boston University School of Medicine Boston Medical Center Boston, Massachusetts Impact of Violence on Children viii  Contributors Mark L. Batshaw, MD Susanne M. Benseler, MD, PhD Joshua A. Blatter, MD, MPH Professor and Chairman Associate Professor, Faculty of Medicine Instructor in Pediatrics Department of Pediatrics University of Calgary Division of Pediatric Allergy, Immunology, and Associate Dean, Academic Affairs Pediatric Rheumatologist, Section Chief Pulmonary Medicine George Washington University Rheumatology Associate Director, Pediatric Lung Transplantation School of Medicine and Health Sciences Alberta Children’s Hospital Center Executive Vice-President Calgary, Alberta, Canada Washington University School of Medicine in Chief Academic Officer and Physician-in-Chief Central Nervous System Vasculitis St. Louis Children’s National Medical Center St. Louis, Missouri Washington, DC Daniel Bernstein, MD Congenital Disorders of the Lung Intellectual Disability Alfred Woodley Salter and Mabel Smith Salter Endowed Professor in Pediatrics Archie Bleyer, MD, FRCP (Glasg) Nerissa S. Bauer, MD, MPH Stanford University School of Medicine Clinical Research Professor Assistant Professor Director, Division of Pediatric Cardiology Knight Cancer Center Department of General and Community Pediatrics Lucile Packard Children’s Hospital Oregon Health & Science University Section of Children’s Health Services Research Palo Alto, California Chair, Institutional Review Board for St. Charles Indiana University School of Medicine Cardiac Development Health System Indianapolis, Indiana The Fetal to Neonatal Circulatory Transition Portland, Oregon; Developmental-Behavioral Screening and History and Physical Examination Professor of Pediatrics Surveillance Laboratory Evaluation University of Texas MD Anderson Cancer Center Epidemiology and Genetic Basis of Congenital Heart Houston, Texas Michelle L. Bayer, MD Disease Principles of Treatment (Cancer and Benign Tumors) Resident Physician Evaluation and Screening of the Infant or Child with The Leukemias Department of Dermatology Congenital Heart Disease Congenital Disorders of the Lung Medical College of Wisconsin Acyanotic Congenital Heart Disease: Left-to-Right Children’s Hospital of Wisconsin Shunt Lesions Steven R. Boas, MD, FAAP, FACSM Milwaukee, Wisconsin Acyanotic Congenital Heart Disease: Obstructive Director, The Cystic Fibrosis Center of Chicago Disorders of the Mucous Membranes Lesions President and CEO, The Cystic Fibrosis Institute Acyanotic Congenital Heart Disease: Regurgitant Glenview, Illinois; Richard E. Behrman, MD Lesions Clinical Associate Professor of Pediatrics Nonprofit Healthcare and Educational Consultants Cyanotic Congenital Heart Disease: Evaluation of Northwestern University Feinberg School of to Medical Institutions the Critically Ill Neonate with Cyanosis and Medicine Santa Barbara, California Respiratory Distress Chicago, Illinois Overview of Pediatrics Cyanotic Congenital Heart Lesions: Lesions Emphysema and Overinflation Associated with Decreased Pulmonary Blood α-Antitrypsin Deficiency and Emphysema 1 Michael J. Bell, MD Flow Other Distal Airway Diseases Professor Cyanotic Congenital Heart Disease: Lesions Skeletal Diseases Influencing Pulmonary Function Departments of Critical Care Medicine, Neurologic Associated with Increased Pulmonary Blood Flow Surgery, and Pediatrics Other Congenital Heart and Vascular Walter O. Bockting, PhD University of Pittsburgh School of Medicine Malformations Professor of Medical Psychology (in Psychiatry and Director, Pediatric Neurocritical Care Pulmonary Hypertension Nursing) Director, Pediatric Neurotrauma Center General Principles of Treatment of Congenital Heart Research Scientist, New York State Psychiatric University of Pittsburgh Medical Center Disease Institute Pittsburgh, Pennsylvania Infective Endocarditis Division of Gender, Sexuality, and Health Neurologic Emergencies and Stabilization Rheumatic Heart Disease Department of Psychiatry Heart Failure Columbia University College of Physicians and John W. Belmont, MD, PhD Pediatric Heart and Heart-Lung Transplantation Surgeons Professor Diseases of the Blood Vessels (Aneurysms and New York, New York Departments of Molecular and Human Genetics, Fistulas) Sexual Identity Development Pediatrics, and Pathology and Immunology Baylor College of Medicine Zulfiqar Ahmed Bhutta, MBBS, PhD, Neal F. Boerkoel, MD, PhD Houston, Texas FRCPCH, FAAP National Human Genome Research Institute Genetics of Common Disorders Professor of Paediatrics, Nutritional Sciences, and National Institutes of Health Public Health Bethesda, Maryland Daniel K. Benjamin Jr., MD, PhD, University of Toronto Faculty of Medicine Genetic Approaches to Rare and Undiagnosed MPH Robert Harding Chair in Global Child Health and Diseases Professor of Pediatrics Policy Division of Pediatric Infectious Diseases Co-Director, SickKids Centre for Global Child Natalija Bogdanovic, MD Faculty Associate Director, Duke Clinical Research Health Department of Psychiatry Institute The Hospital for Sick Children Boston Medical Center Duke University Medical Center Toronto, Ontario, Canada; Boston, Massachusetts Durham, North Carolina Founding Director, Centre of Excellence in Women Mood Disorders Principles of Antifungal Therapy and Child Health Candida The Aga Khan University, South Central Asia and Mark Boguniewicz, MD East Africa Professor of Pediatrics Michael J. Bennett, PhD, FRCPath, Karachi, Pakistan Division of Pediatric Allergy-Immunology FACB Innovations in Addressing Child Health and University of Colorado School of Medicine Professor of Pathology and Laboratory Medicine Survival in Low-Income Settings National Jewish Health University of Pennsylvania Perelman School of Salmonella Denver, Colorado Medicine Acute Gastroenteritis in Children Ocular Allergies Director, Michael J. Palmieri Metabolic Disease Adverse Reactions to Drugs Laboratory Samra S. Blanchard, MD Children’s Hospital of Philadelphia Associate Professor of Pediatrics Daniel J. Bonthius, MD, PhD Philadelphia, Pennsylvania University of Maryland School of Medicine Professor of Pediatrics and Neurology Disorders of Mitochondrial Fatty Acid ß-Oxidation Baltimore, Maryland University of Iowa School of Medicine Peptic Ulcer Disease in Children Iowa City, Iowa Lymphocytic Choriomeningitis Virus Contributors  ix Brett J. Bordini Cynthia Etzler Budek, MS, APN/NP, Miguel M. Cabada, MD, MSc Assistant Professor CPNP-AC/PC Research Associate, Tropical Medicine Institute Department of Pediatrics Pediatric Nurse Practitioner Universidad Peruana Cayetano Heredia Medical College of Wisconsin Department of Pulmonary and Critical Care Lima, Peru; Pediatric Hospitalist Medicine Adjunct Instructor of Medicine Children’s Hospital of Wisconsin Transitional Care/Pulmonary Habilitation Unit Division of Infectious Diseases Milwaukee, Wisconsin Ann & Robert H. Lurie Children’s Hospital of University of Texas Medical Branch at Galveston Plastic Bronchitis Chicago Galveston, Texas Chicago, Illinois Echinococcosis (Echinococcus granulosus and Kenneth M. Boyer, MD Chronic Severe Respiratory Insufficiency Echinococcus multilocularis) Woman’s Board Professor and Chairman Rush Medical College of Rush University E. Stephen Buescher, MD Derya Caglar, MD Chicago, Illinois Professor of Pediatrics Assistant Professor Toxoplasmosis (Toxoplasma gondii) Eastern Virginia Medical School Department of Pediatrics Medical Director, Infection Control University of Washington School of Medicine Amanda M. Brandow, DO, MS Medical Director, Clinical Microbiology Attending Physician Associate Professor of Pediatrics Laboratory Division of Emergency Medicine Division of Pediatric Hematology/Oncology Children’s Hospital of the King’s Daughters Seattle Children’s Hospital Medical College of Wisconsin Norfolk, Virginia Seattle, Washington Milwaukee, Wisconsin Diphtheria (Corynebacterium diphtheriae) Drowning and Submersion Injury Polycythemia Non-Clonal Polycythemia Supinda Bunyavanich, MD, MPH Mitchell S. Cairo, MD Anatomy and Function of the Spleen Assistant Professor Professor Splenomegaly Departments of Pediatrics and Genetics and Departments of Pediatrics, Medicine, Pathology, Hyposplenism, Splenic Trauma, and Splenectomy Genomic Sciences Microbiology and Immunology and Cell Jaffe Food Allergy Institute Biology and Anatomy †David Branski, MD Mindich Child Heath and Development Institute New York Medical College Professor Emeritus Ichan School of Medicine at Mount Sinai Chief, Division of Pediatric Hematology, Oncology, The Hebrew University–Hadassah School of New York, New York and Stem Cell Transplantation Medicine Diagnosis of Allergic Disease Maria Fareri Children’s Hospital at Westchester Jerusalem, Israel Principles of Treatment of Allergic Disease Medical Center Disorders of Malabsorption New York Medical College Chronic Diarrhea Carey-Ann D. Burnham, PhD Valhalla, New York Assistant Professor of Pathology and Immunology Lymphoma David T. Breault, MD, PhD Assistant Professor of Pediatrics Assistant Professor of Pediatrics Washington University School of Medicine in St. Lauren E. Camarda, MD Harvard Medical School Louis Instructor in Pediatrics Division of Endocrinology Medical Director, Clinical Microbiology Northwestern University Feinberg School of Boston Children’s Hospital Barnes-Jewish Hospital Medicine Boston, Massachusetts St. Louis, Missouri Division of Pediatric Pulmonary Medicine Diabetes Insipidus Diagnostic Microbiology Ann & Robert H. Lurie Children’s Hospital of Other Abnormalities of Arginine Vasopressin Chicago Metabolism and Action Gale R. Burstein, MD, MPH Chicago, Illinois Clinical Professor Wheezing, Bronchiolitis, and Bronchitis William J. Britt, MD Department of Pediatrics Charles A. Alford Professor of Pediatric Infectious State University of New York at Buffalo Bruce M. Camitta, MD Diseases School of Medicine and Biomedical Sciences Rebecca Jean Slye Professor of Pediatrics Professor of Pediatrics and Microbiology and Commissioner Division of Pediatric Hematology/Oncology Neurobiology Erie County Department of Health Medical College of Wisconsin University of Alabama Birmingham School of Buffalo, New York Midwest Children’s Cancer Center Medicine Adolescent Physical and Social Development Milwaukee, Wisconsin Birmingham, Alabama The Epidemiology of Adolescent Health Problems Polycythemia Cytomegalovirus Delivery of Healthcare to Adolescents Non-Clonal Polycythemia The Breast Anatomy and Function of the Spleen Angela R. Bryan, MD Menstrual Problems Splenomegaly Fellow in Pediatric Rheumatology Contraception Hyposplenism, Splenic Trauma, and Splenectomy Duke University Health System Sexually Transmitted Infections Anatomy and Function of the Lymphatic System Durham, North Carolina Abnormalities of Lymphatic Vessels Juvenile Idiopathic Arthritis Amaya L. Bustinduy, MD, MPH, FAAP, Lymphadenopathy FRCPCH Rebecca H. Buckley, MD Paediatric Infectious Diseases Research Group Angela J.P. Campbell, MD, MPH J. Buren Sidbury Professor of Pediatrics (PIDRG) Medical Officer Professor of Immunology St. George’s University of London Epidemiology and Prevention Branch, Influenza Duke University School of Medicine London, United Kingdom Division Durham, North Carolina Schistosomiasis (Schistosoma) National Center for Immunization and Respiratory Evaluation of Suspected Immunodeficiency Flukes (Liver, Lung, and Intestinal) Diseases The T-, B-, and NK-Cell Systems Centers for Disease Control and Prevention T Lymphocytes, B Lymphocytes, and Natural Killer Atlanta, Georgia Cells Influenza Viruses Primary Defects of Antibody Production Parainfluenza Viruses Primary Defects of Cellular Immunity Primary Combined Antibody and Cellular Immunodeficiencies †Deceased x  Contributors Waldemar A. Carlo, MD Jennifer I. Chapman, MD Christine B. Cho, MD Edwin M. Dixon Professor of Pediatrics Assistant Professor of Pediatrics Assistant Professor of Pediatrics Director, Division of Neonatology George Washington University School of Medicine Division of Pediatric Allergy and Clinical University of Alabama, Birmingham Hospital and Health Sciences Immunology Birmingham, Alabama Program Director, Pediatric Emergency Medicine National Jewish Health Overview of Mortality and Morbidity Fellowship University of Colorado School of Medicine The Newborn Infant Children’s National Medical Center Denver, Colorado High-Risk Pregnancies Washington, DC Ocular Allergies The Fetus Principles Applicable to the Developing World Adverse Reactions to Drugs The High-Risk Infant Clinical Manifestations of Diseases in the Newborn Ira M. Cheifetz, MD, FCCM, FAARC Robert D. Christensen, MD Period Professor of Pediatrics and Anesthesiology Professor and Presidential Endowed Chair Nervous System Disorders Chief, Pediatric Critical Care Medicine Divisions of Neonatology and Hematology/ Delivery Room Emergencies Duke University School of Medicine Oncology Respiratory Tract Disorders Chief Medical Officer, Children’s Services Department of Pediatrics Digestive System Disorders Associate Chief Medical Officer, Duke Hospital University of Utah School of Medicine Blood Disorders Duke Children’s Hospital Director of Neonatology Research Genitourinary System Durham, North Carolina Intermountain Healthcare The Umbilicus Pediatric Emergencies and Resuscitation Salt Lake City, Utah Metabolic Disturbances Shock Development of the Hematopoietic System The Endocrine System Wassim Chemaitilly, MD Andrew Chu, MD Robert B. Carrigan, MD Director, Endocrinology Division Attending Physician Assistant Clinical Professor St. Jude Children’s Research Hospital Division of Gastroenterology Department of Orthopaedic Surgery Memphis, Tennessee Children’s Hospital of Pittsburgh of UPMC University of Pennsylvania Perelman School of Physiology of Puberty Pittsburgh, Pennsylvania Medicine Disorders of Pubertal Development Superior Mesenteric Artery Syndrome (Wilkie Pediatric Hand Surgeon Syndrome, Cast Syndrome, Arteriomesenteric Children’s Hospital of Philadelphia Yuan-Tsong Chen, MD, PhD Duodenal Compression Syndrome) Philadelphia, Pennsylvania Professor Ileus, Adhesions, Intussusception, and Closed-Loop The Upper Limb Departments of Pediatrics and Genetics Obstructions Duke University Medical Center Mary T. Caserta, MD Durham, North Carolina Michael J. Chusid, MD Professor of Pediatrics Defects in Metabolism of Carbohydrates Professor of Pediatrics Division of Pediatric Infectious Diseases Chief, Pediatric Infectious Diseases University of Rochester School of Medicine and Russell W. Chesney, MD Medical College of Wisconsin Dentistry Le Bonheur Professor and Former Chair Medical Director, Infectious Diseases Rochester, New York Department of Pediatrics Children’s Hospital of Wisconsin Roseola (Human Herpesviruses 6 and 7) University of Tennessee Health Science Center Milwaukee, Wisconsin Human Herpesvirus 8 Children’s Foundation Research Institute Infection Prevention and Control Memphis, Tennessee Other Anaerobic Infections Denise Casey, MD Rickets Associated with Renal Tubular Acidosis Medical Officer Bone Structure, Growth, and Hormonal Regulation Col. Theodore J. Cieslak, MD, FAAP, Pediatric Oncology, Neuro-Oncology, and Rare Primary Chondrodystrophy (Metaphyseal Dysplasia) FIDSA Tumors Team Hypophosphatasia Pediatric Infectious Diseases Office of Hematology and Oncology Products Hyperphosphatasia San Antonio Military Medical Center Food and Drug Administration Osteoporosis Department of Pediatrics U.S. Department of Health and Human Services Fort Sam Houston, Texas Silver Spring, Maryland Jennifer A. Chiriboga, PhD Biologic and Chemical Terrorism Hereditary Spherocytosis Pediatric and School Psychologist Assistant Professor Jeff A. Clark, MD Ellen Gould Chadwick, MD Department of Counseling, Psychology, and Associate Professor Irene Heinz Given and John LaPorte Given Chair Special Education Department of Pediatrics in Pediatrics Duquesne University School of Psychology Wayne State University School of Medicine Professor and Associate Chair for Education Pittsburgh, Pennsylvania Pediatric ICU Fellowship Director Department of Pediatrics Anxiety Disorders Children’s Hospital of Michigan Northwestern University Feinberg School of Detroit, Michigan Medicine Yvonne E. Chiu, MD Respiratory Distress and Failure Associate Director, Section of Pediatric, Assistant Professor of Dermatology and Pediatrics Respiratory Pathophysiology and Regulation Adolescent, and Maternal HIV Infection Medical College of Wisconsin Ann & Robert H. Lurie Children’s Hospital of Milwaukee, Wisconsin Thomas G. Cleary, MD Chicago Morphology of the Skin Professor of Pediatrics (Retired) Chicago, Illinois Evaluation of the Patient University of Texas Health Sciences Center Acquired Immunodeficiency Syndrome (Human Eczematous Disorders Houston, Texas Immunodeficiency Virus) Photosensitivity Shigella Diseases of the Epidermis Escherichia coli Lisa J. Chamberlain, MD, MPH Assistant Professor of Pediatrics John David Clemens, MD Stanford University School of Medicine Director Center for Health Policy International Vaccine Institute Center for Primary Care and Outcomes Research Seoul, South Korea Stanford, California International Immunization Practices Chronic Illness in Childhood

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