Author: Ellen Greenlaw

Rethinking fever: New study redefines body temperature

Researchers at Boston CHildren's Innovation & Digital Health Accelerator take new look at body temperature.
PHOTO ILLUSTRATION: PATRICK BIBBINS/BOSTON CHILDREN’S HOSPITAL

Your first patient of the day presents with a sore throat and a temperature of 99.5 degrees. Although a little higher than normal, it’s not technically a fever, right? Jonathan Hausmann, MD, a rheumatologist at Boston Children’s Hospital and Beth Israel Deaconess Medical Center, might disagree.

Hausmann, Fatma Dedeoglu, MD, and their colleagues from the Boston Children’s Hospital Innovation & Digital Health Accelerator, recently published a study in the Journal of General Internal Medicine that they hope will begin a larger dialogue among physicians and others about normal body temperature and the definition of fever. …Read More

Caring for children around the world

A doctor holds a stethoscope to a globe

At Boston Children’s Hospital, we believe that all children deserve the same opportunity to live a healthy life, no matter where they are born. Boston Children’s Global Health Program helps solve pediatric global health care challenges by transferring our expertise through long-term partnerships with scalable impact.

Here are just a few examples of the ongoing work our cardiac clinicians are involved in to care for children around the world. …Read More

Tuberous sclerosis: Clinical clues for early diagnosis

A scan of the brain of a tuberous sclerosis patient.

Tuberous sclerosis is a rare neurological condition characterized by benign tumor growth in various parts of the body. It often affects the brain, eventually causing epilepsy and neurodevelopmental disorders. One challenge has been diagnosing the condition in infants, as they often don’t present with many clinical signs. However, a recent study published in Pediatrics has shed some light on early manifestations of this condition that may help lead to earlier diagnosis — and possibly earlier and more aggressive treatment.

To better understand clinical clues that may be seen in pediatric practice, Notes sat down with principal investigator of the study, Mustafa Sahin, MD, PhD, director of the Translational Neuroscience Center at Boston Children’s Hospital. He and his team in the Tuberous Sclerosis Program at Boston Children’s follow about 300 children with the condition. …Read More

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Is it Kawasaki disease? Diagnosing challenging cases

Is it Kawasaki disease?A young child presents in your office with a fever of several days, erythema of the palms and soles of the feet, a rash on the trunk and a bright red tongue. For most pediatricians, this classic presentation of Kawasaki disease is fairly straightforward to diagnose.

“A majority of pediatricians have seen at least one case of Kawasaki in training,” says David Fulton, MD, chief emeritus of the Division of Cardiology Outpatient Services at Boston Children’s Hospital. “And most know how to make a diagnosis when all the clinical signs are present. But it’s important to understand the features of this disease that can make diagnosis more challenging.” …Read More