Diagnosis and treatment advances in childhood speech sound disorders
[Journal Article]LI Yue-chang, HU Yun-yi, HUANG Kai-yi-Chinese Journal of Practical Pediatrics2025, No.07

Abstract:Childhood speech sound disorders is a common problem of language development,characterized by pronunciation abnormalities and phonological processing difficulties.This article sorts out the latest advances in this field,focusing on classification,assessment,and intervention approaches.Modern classification divides speech sound disorders into organic and functional disorders,with the latter comprising of articulation and phonological disorders.Contemporary assessment combines standardized tools with error pattern analysis to enhance diagnostic accuracy.Intervention strategies demonstrate diversification:minimal pair therapy proves effective for phonological disorders,while systematic articulation training benefits articulation disorders.The analysis of this article extends to personalized treatment principles,offering evidence-based guidance for clinical practice.

Prioritizing the diagnosis and treatment of comorbid language disorders and associated conditions in attention deficit hyperactivity disorder

Abstract:This article provides a comprehensive examination of the definition of language disorder and the related problems,focusing on the clinical presentation of children with attention-deficit hyperactivity disorder(ADHD)comorbid with language disorder and speech sound disorder.It explores the influence of language disorder on ADHD and specific learning disorder,while also identifying key areas requiring further research.The study underscores the critical role of early identification of language disorder and associated conditions in the diagnosis and treatment of complex ADHD.Additionally,it offers evidence-based insights to advance standardized diagnosis and treatment of children with ADHD and associated conditions and scientific management in China.

Report on 3 cases of infantile fatty liver disease
[Journal Article]LI Xue-song, SHU Sai-nan, CHEN Fan et al.-Chinese Journal of Practical Pediatrics2025, No.07

Abstract:A retrospective analysis was conducted concerning the clinical manifestations,biochemical indicators,liver tissue pathology features,genetic testing,and follow-up results of infantile fatty liver disease caused by different etiologies in 3 cases collected from 2018 to 2023.Additionally,relevant literature was reviewed to explore diagnostic and therapeutic strategies for infantile fatty liver disease,in order to provide reference for early accurate diagnosis and improving prognosis of infantile fatty liver disease The results showed that among the three cases,two were male and one was female,with onset age ranging from 2 to 7 months.Case 1 and Case 3 initially presented with cholestasis,while Case 2 presented with abnormal transaminase levels.The primary clinical manifestations and auxiliary examination features included:Case 1 was with cholestasis,elevated transaminases,increased AFP levels,hypoglycemia,coagulation dysfunction,hyperornithinemia,hepatomegaly and hepatic steatosis,harboring a homozygous mutation c.852-855del in the SLC25A13 gene.Case 2 presented with elevated transaminases,hypertriglyceridemia,increased total bile acids and bilirubin,along with hepatomegaly,hepatic steatosis,and liver fibrosis,having a heterozygous mutation c.220-2A>G and c.806G>A(p.R269Q)in the GPD1 gene.Case 3 exhibited cholestasis,elevated transaminases,coagulation dysfunction,hepatomegaly,and steatosis,accompanied by neurological symptoms,with a homozygous mutation c.207G>C(p.W69C)in the MPV17 gene.After dietary management and hepatoprotective and choleretic treatment,Cases 1 and 2 recovered well,while Case 3 died of liver failure.The causes of infantile fatty liver disease are complex,and clinical diagnosis and treatment require a comprehensive assessment of biochemical indicators,coagulation function,and physical examination.Genetic testing helps to clarify the etiology.