Pleural infection (parapneumonic effusion and empyema) has an annual incidence of 3.3 per 100 000 children. The incidence of childhood empyema may be increasing in the UK. If so, it is not clear ...

Children's Emergency Department, Watford General Hospital, Watford, Hertfordshire WD18 0HB, UK Children's Emergency Department, Watford General Hospital, Vicarage Road, Watford, Hertfordshire WD18 0HB ...

Correspondence to Dr Ben Christopher Reynolds, Department of Paediatric Nephrology, Great North Children's Hospital, Victoria Road, Newcastle-upon-Tyne NE1 4LP, UK; pinkdoc{at}doctors.org.uk Disorders ...

Lack of sleep in children is a very difficult stress factor, especially in the case of children with disabilities. This can have severe detrimental effects on the family, particularly when already ...

Acne is an extremely common condition, affecting up to 80% of adolescents. Many cases are mild and may be considered “physiological”, but others can be very severe and lead to permanent scarring.

Determining severity of illness and undertaking an adequate risk assessment is a fundamental part of acute paediatric practice. This review highlights physiology, communication, heuristics and ...

A child presented to the emergency department with fever, reduced consciousness, irritability and reduced oral intake. Infective meningitis and encephalitis were within the differential diagnoses. Is ...

A boy presented after his gross motor development plateaued at around 1 year of age. He sat unsupported at 8 months, cruised and could stand unsupported at 12 months with minimal progression ...

Background In the UK, the number of junior doctors completing foundation programme, and the number of trainees applying to paediatrics has been in decline in recent years. The NHS is at ‘breaking ...

Correspondence to Dr Leanne C Callaghan, Department of Anaesthesia, Aintree University Hospitals NHS Foundation Trust, Liverpool L97AL, UK; leannecallaghan{at}doctors ...

1 Department of Paediatric Surgery, Great Ormond Street Hospital for Children, London, UK 2 Department of Paediatric Surgery, Royal Hospital for Sick Children, Yorkhill, Glasgow, UK Correspondence to ...

This review provides an overview of the use of antihistamines in children. We discuss types of histamine receptors and their mechanism of action, absorption, onset and duration of action of ...