• Walks with the head tilted.
• Shoulder blade (a bone in the back) sticks out.
• A tilted hip bone or one hip or shoulder higher than the other.
• Leans to one side when standing or walking.

We are featuring a childhood/infant disease or condition informational post every other Friday. Today's topic is HIV/AIDS.

Definition

HIV (Human Immunodeficiency Virus) is a disease that attacks and destroys the body's immune system. The immune system is the body's defense against diseases and sickness. If the immune system does not work well, a person can develop deadly infections and cancers.

AIDS (Acquired Immune Deficiency Syndrome) is the most serious stage of HIV infection. This stage means the immune system of the infected person has been destroyed.

Being infected with HIV does not mean a person has AIDS, but rather that the person's immune system may be damaged, leading to AIDS.


Effects on a Child's Health

How HIV infection will affect a child's health differs with each child. Some children show symptoms of the infection as early as the year they are born; others may not show any signs of disease until much later. How old the child is when symptoms start to show is an important clue to how your child's health may be affected.

HIV makes your child's immune system weak and hard to fight off infections or cancer, and it can make your child more vulnerable to other problems and diseases. Sometimes it can even cause strokes. The medicines used to treat HIV can have many side effects. Medicine used to treat HIV can help, but not cure the disease. Some possible side effects of the treatment include:

• Fever.
• Nausea or being sick to the stomach.
• Fatigue or tiring often and easily.

• Eight or more ear infections in a year.
• Two or more serious sinus infections within a year. (Sinuses are the air passages in the bones of the cheeks, forehead and jaw.)
• Two or more pneumonia cases within a year.
• Need for intravenous antibiotics to clear infections. (Medications go directly into your child's veins in a hospital.)
• A family history of immune system problems.

• Losing consciousness after the brain injury.
• Loss of memory after the trauma (brain injury) when they wake up after losing consciousness (called post-traumatic amnesia).
• Personality change (meaning they will not act and react as they did before the injury).
• Cognitive deficits (a change in the ability to think or reason). Changes can vary widely because no two head injuries are alike.
• The black center of the eye is large and does not get smaller in light (called dilated pupils).
• Tires easily and often.
• Language deficits (problems talking as before; may have "lost" language or words they can't remember).
• Behavior problems. Acting out or angry.
• Can't "keep up" and doing poorly in school.
• May not grow and develop normally. Skills delayed or not develop at all.
• Recovery times are long, up to five years.
• Different from other children their age. This becomes more obvious as time goes on, and they don't "catch up."

• Causing a short time during which the child can't use one of the senses (ability to taste, feel, see, hear or smell).
• Causing a child to go unconscious for a short time or just sit staring into space for a time.
• Causing convulsions.

• Seem to be daydreaming or not paying attention.
• Suddenly stop while talking or doing something and stare with a blank face, followed by rolling eyes and fluttering eyelids.
• Suddenly go stiff (especially the arms and legs).
• Make a crying sound.
• Have increased saliva (drooling).
• Shake a leg/arm or whole body repeatedly, with or without blacking out.
• In extreme cases stop breathing.

• May feel sleepy and confused, or upset.
• Have a headache.
• Feel sick to stomach (nausea) or throw up (vomit).
• May slur speech or be hard to understand for a little while.

• Inattentive type: Many children with ADHD have problems paying attention. Children with the inattentive type of ADHD often:
  
  
  
  
  • Don't pay close attention to details and make careless mistakes.
  • Cannot focus on the same task for long.
  • Don't follow through on instructions or finish schoolwork or chores.
  • Cannot organize tasks and activities well.
  • Get distracted easily.
  • Often lose things such as toys, school work and books.
• Hyperactive-impulsive type: Being more active than other children is probably the most visible sign of ADHD. The hyperactive child is "always on the go." As he or she gets older, the activity level may go down. These children are also impulsive, meaning they often act before thinking, like running across the street without looking. Hyperactivity and impulsivity tend to go together. Children with the hyperactive-impulsive type of ADHD often may:
  
  
  
  
  • Fidget and squirm more than other children.
  • Have a hard time staying in their seats.
  • Run around or climb constantly or when they are told not to.
  • Have trouble playing quietly.
  • Talk too much.
  • Blurt out answers before questions have been completed.
  • Have trouble waiting their turn.
  • Interrupt others when they're talking.
  • Butt in on the games others are playing.
• Combined type: Children with the combined type of ADHD have symptoms of both these types described above. They have problems with paying attention, with hyperactivity and with controlling their impulses. Of course, from time to time, all children are inattentive, impulsive and too active. With children who have ADHD though, these behaviors are the rule, not the exception. 

• Frequent pneumonia.
• Diarrhea
  
  
  
  
  (http://digestive.niddk.nih.gov/ddiseases/pubs/diarrhea_ez/index.htm)
  and/or greasy, bulky stools.
• Poor weight gain.
• Cough lasting more than a month.
• Shortness of breath.
• Constant upset stomach.
• Very salty-tasting skin, often noticed by parents when they kiss their child.

• As a baby, he/she does not imitate other children and does not reach out to you.
• Doesn't look up or respond to his/her name. May seem deaf at times.
• Does not seek you out for attention or for only social reasons.
• Does not point or gesture.
• Voice and facial expressions can be flat, lacking "feeling" and may not match what the child is saying.
• Difficulty understanding what people around them think and feel.
• Delay in speaking, or has speech and then loses it.
• Speaks in great detail about one subject of topic (for example, only wants to talk about dinosaurs).
• Has difficulty having a conversation (back and forth)
• Has difficulty talking about abstract ideas or emotions; takes everything at face value.
• Does not develop age-appropriate peer relationships (does not play well or have friendships with same-age children), and has difficulty mixing with others.
• Obsessive (must do something the same way each time) or doesn't play in a usual way. (for example, needing to line up toys or spin objects over and over again).
• Eats only certain foods or only likes clothes that feel a certain way.
• Has a hard time relating with people around them.
• Does not handle change well.
• Problems with motor skills such as tying shoes, buttoning a shirt and handwriting.
• Upset when normal routines are changed in any way.
• May smell or lick toys.
• May react strongly to loud noises such as car horns.

• Slanted eyes with folds of skin at the inner corners.
• Short, broad hands with a single crease along the palm.
• Flat bridge of the nose.
• Short, low-set ears.
• Short neck.
• Small head.
• Tongue sticks out.
• Broad feet with short toes.
• Low muscle tone, causing muscles to feel floppy.
• Levels of mental retardation vary by child.