Document Detail


Advances in pediatric restless legs syndrome: Iron, genetics, diagnosis and treatment.
MedLine Citation:
PMID:  20620105     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A substantial literature characterizes pediatric restless legs syndrome (RLS), which occurs in about 1.9% of individuals between 8 and 18years of age. Diagnostic interview techniques and an updated inventory of pediatric RLS mimics are presented. Evidence for comorbidity of pediatric RLS with attention-deficit/hyperactivity disorder, depression, and anxiety is reviewed as is the relationship to periodic limb movements in sleep and periodic limb movement disorder. The role of relative iron deficiency in pediatric RLS is discussed, along with new data indicating the benefit of iron therapy in reducing symptoms. Five genetic variants have been linked to RLS, an important finding in a condition that is highly familial in early-onset cases. Numerous case reports and case series indicate benefit for moderate to severe pediatric RLS with medication. However, to date, there have been no double-blind, placebo-controlled studies of therapy for pediatric RLS published. These and other recent advances relevant to pediatric RLS research are reviewed.
Authors:
Matthew A Picchietti; Daniel L Picchietti
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  Sleep medicine     Volume:  11     ISSN:  1878-5506     ISO Abbreviation:  Sleep Med.     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-07-23     Completed Date:  2010-11-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100898759     Medline TA:  Sleep Med     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  643-51     Citation Subset:  IM    
Copyright Information:
Copyright 2010 Elsevier B.V. All rights reserved.
Affiliation:
Department of Psychology, Southern Illinois University, Carbondale, IL 62901, USA. picchima@siu.edu
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MeSH Terms
Descriptor/Qualifier:
Attention Deficit Disorder with Hyperactivity / epidemiology
Child
Comorbidity
Diagnosis, Differential
Genetic Predisposition to Disease / epidemiology*
Humans
Iron / blood*,  therapeutic use*
Restless Legs Syndrome* / diagnosis,  drug therapy,  epidemiology
Grant Support
ID/Acronym/Agency:
R01 NS4 0829-02/NS/NINDS NIH HHS
Chemical
Reg. No./Substance:
7439-89-6/Iron

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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