- Acetonemic syndrome in children: diagnosis and management
 
Acetonemic syndrome in children: diagnosis and management
SOVREMENNAYA PEDIATRIYA.2018.2(90):114–123; doi 10.15574/SP.2018.90.114
	Shutova O. V.
	Kharkiv Medical Academy of Postgraduate Education, Ukraine
	The article presents the key aspects of diagnosis and management of acetonemic syndrome (AS) that is one of the most frequent pathological conditions in children. The detailed components of pathogenesis are singled out, the management regimen depending on the period of disease course is substantiated. Particular attention is paid to complex therapy aimed at arresting metabolic disorders in the acetonemic crisis (AC) in children, contributing to regression and relief of clinical symptoms.
	Key words: acetonemic syndrome, children, diagnosis, management.
References
1. Belousova OYu, Shutova EV, Solodovnichenko IG, Babadzhanyan EN, Voloshina LG. (2017). Korrektsiya metabolicheskih narusheniy pri atsetonemicheskom sindrome u detey na fone funktsionalnyih rasstroystv biliarnogo trakta. Zdorove rebenka. 12; 2.1(36): 4–5.
2. Berezhnoy VV, Korneva VV, Kozachuk VG et al. (2012). Atsetonemicheskiy sindrom u detey — takticheskie shagi doktora-praktika. Sovremennaya pediatriya. 2: 96–101.
3. Volosovets AP, Krivopustov SP, Kozhina AN i dr. (2009). Atsetonemicheskiy sindrom u detey: sovremennyiy vzglyad na problemu Zdorove rebenka. 6(21): 76–81.
4. Georgiyants MA, Shilova EV. (2006). Atsetonemicheskie sostoyaniya v pediatricheskoy praktike. Meditsina neotlozhnyih sostoyaniy. 4(5): 79–82.
5. Hnatenko TM. (2016). Do pytannia diietoterapii syndromu atsetonemichnoho bliuvannia v ditei. Zdorove rebenka. 5.1; (73.1): 107–109. doi 10.22141/2224–0551.5.1.73.1.2016.78952
6. Duka ED, Yaroshevskaya TV, Nedava OA i dr. (2011). Novyie podhodyi k lecheniyu detey s atsetonemicheskim sindromom. Zdorove rebenka. 3. http://www.mifua.com/archive/article_print/21923.
7. Zaytseva NE, Sapa IYu, Pyankova AV i dr. (2013). Atsetonemicheskiy sindrom u detey kak energodefitsitnoe sostoyanie: profilaktika razvitiya s primeneniem dieticheskoy dobavki «Askonova». Pediatriya. Vostochnaya Evropa. 4(04): 98–107.
8. Zryachkin NI, Hmilevskaya SA, Zaytseva GV i dr. (2013). Osobennosti atsetonemicheskogo sindroma u detey. Rossiyskiy pediatricheskiy zhurnal. 3: 22–26.
9. Konyisheva NV, Galaeva YaYu i dr. (2015). Sovremennyie vozmozhnosti metabolicheskoy terapii atsetonemicheskogo sindroma u detey. Kryimskiy terapevticheskiy zhurnal. 2: 36–40.
10. Maidanyk VH. (2009). Syndrom tsyklichnoi bliuvoty u ditei. PAH. 3: 5–13.
11. Marushko YuV, Shef GG, Polkovnichenko LN, Moshkina TV. (2012). Terapevticheskie podhodyi pri atsetonemicheskom sindrome u detey. Zdorove rebenka. 1(36): 4–5.
12. Saltyikova GV. (2016). Maski atsetonemicheskogo sindroma u detey. Mizhnarodnyi zhurnal pediatrii, akusherstva ta hinekolohii. 9; 2: 41–45.
13. Sorokman TV, Sokolnyk SV, Popeliuk O3MV, Shvyhar LV. (2016). Syndrom tsyklichnoho bliuvannia u ditei. Zdorovia dytyny. 5.1(73.1): 53–59.doi: 10.22141/2224-0551.5.1.73.1.2016.78941.
14. Tyazhkaya AV, Buzhinskaya NR. (2009). Atsetonemicheskiy sindrom u detey: osobennosti metabolizma, reabilitatsiya. Dytiachyi likar. 1(1): 76–80.
15. Unifikovani klinichni protokoly medychnoi dopomohy ditiam iz zakhvoriuvanniamy orhaniv travlennia. (2013). Nakaz MOZ Ukrainy № 59 vid 29.01.2013. http://www.moz.gov.ua/docfiles/dod59_2_2013.pdf.
16. Shadrin O.G. (2014). An acetonemic vomiting syndrome among children, the therapeutic approaches to the treatment. Sovremennaya pediatriya. 6(62): 108–111. doi 10.15574/SP.2014.62.24
17. Chogle A, Velasco3Benitez CA, Koppen IJ et al. (2016). A populationbased study on the epidemiology of functional gastrointestinal disorders in young children. J. Pediatr.179:139—143. https://doi.org/10.1016/j.jpeds.2016.08.095. PMID: 27726867.
18. Douglas A Drossman, William L Haster. (2016). Rome — IV — The Functional Gastrointestinal Disorders: Disorders of Gut — Brain Interaction.Gastroenterology. 150; 5: 1257—1261. https://doi.org/10.1053/j.gastro.2016.03.035.
19. Evans RW, Whyte C. (2013). Cyclic vomiting syndrome and abdominal migraine in adults and children. Headache. 53; 6: 984—993. https://doi.org/10.1111/head.12124. PMID: 23721241.
20. Kaul A, Kaul KK. (2015).Cyclic vomiting syndrome: a functional disorder. Pediatr. Gastroenterol. Hepatol. Nutr. 18; 4: 224—229. https://doi.org/10.5223/pghn.2015.18.4.224. PMCID:PMC4712534.
21. Lewis ML, Palsson OS, Whitehead WE, van Tilburg MA. (2016). Prevalence of functional gastrointestinal disorders in children and adolescents. J Pediatr. 177: 39—43. https://doi.org/10.1016/j.jpeds.2016.04.008. PMID:27156185.
22. Mettu S, Animireddy D, Kanumuri PK, Muppa R. (2016). Symptomatic management of a child with cyclic vomiting syndrome.BMJ Case Rep. PII: bcr2016216499. https://doi.org/10.1136/bcr-2016-216499. PMID: 27530876.
      
 
 
 
 
 
 