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Italian Journal of Pediatrics
Published in: Italian Journal of Pediatrics 1/2017

Open Access 01-12-2017 | Review

Apparent Life-Threatening Events (ALTE): Italian guidelines

Authors: Raffaele Piumelli, Riccardo Davanzo, Niccolò Nassi, Silvia Salvatore, Cinzia Arzilli, Marta Peruzzi, Massimo Agosti, Antonella Palmieri, Maria Giovanna Paglietti, Luana Nosetti, Raffaele Pomo, Francesco De Luca, Alessandro Rimini, Salvatore De Masi, Simona Costabel, Valeria Cavarretta, Anna Cremante, Fabio Cardinale, Renato Cutrera

Published in: Italian Journal of Pediatrics | Issue 1/2017

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Abstract

Five years after the first edition, we have revised and updated the guidelines, re-examining the queries and relative recommendations, expanding the issues addressed with the introduction of a new entity, recently proposed by the American Academy of Pediatrics: BRUE, an acronym for Brief Resolved Unexplained Events. In this manuscript we will use the term BRUE only to refer to mild, idiopathic cases rather than simply replace the acronym ALTE per se.
In our guidelines the acronym ALTE is used for severe cases that are unexplainable after the first and second level examinations.
Although the term ALTE can be used to describe the common symptoms at the onset, whenever the aetiology is ascertained, the final diagnosis may be better specified as seizures, gastroesophageal reflux, infection, arrhythmia, etc. Lastly, we have addressed the emerging problem of the so-called Sudden Unexpected Postnatal Collapse (SUPC), that might be considered as a severe ALTE occurring in the first week of life.
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Metadata
Title
Apparent Life-Threatening Events (ALTE): Italian guidelines
Authors
Raffaele Piumelli
Riccardo Davanzo
Niccolò Nassi
Silvia Salvatore
Cinzia Arzilli
Marta Peruzzi
Massimo Agosti
Antonella Palmieri
Maria Giovanna Paglietti
Luana Nosetti
Raffaele Pomo
Francesco De Luca
Alessandro Rimini
Salvatore De Masi
Simona Costabel
Valeria Cavarretta
Anna Cremante
Fabio Cardinale
Renato Cutrera
Publication date
01-12-2017
Publisher
BioMed Central
Published in
Italian Journal of Pediatrics / Issue 1/2017
Electronic ISSN: 1824-7288
DOI
https://doi.org/10.1186/s13052-017-0429-x

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