Table Of ContentIIAAPP
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IIAAPP TTeexxttbbooookk ooff
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Fifth edition
Editor-in-Chief Chief Academic Editor
A Parthasarathy MD(Ped) DCH FIAP PsN Menon MD MNAMS FIAP
President President
Indian Academy of Pediatrics 1997 Indian Society for Pediatric and
Distinguished Professor of Pediatrics Adolescent GEndocrinology 2011−12
The Tamil Nadu Dr MGR Medical University Consultant and Head, Department of Pediatrics,
Senior Clinical Professor of Pediatrics (Retd) Jaber Al-Ahmed Armed Forces Hospital, Kuwait
Madras Medical College Former Professor of Pediatrics,
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Deputy Superintendent, Institute of Child Health and All India Institute of Medical Sciences, New Delhi
Hospital for Children, Chennai, Tamil Nadu
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Academic Editors
Piyush Gupta MD FAMS FIAP MKc Nair PhD MD M Med Sc MBA, FIAP
Editor-in-Chief d President
Indian Academy of Pediatrics 2008−13 Indian Academy of Pediatrics 2004
Professor Professor of Pediatrics and Clinical Epidemiology
e
Department of Pediatrics Director, Child Development Centre
University College of Medical Sciences, Delhi Government Medical College
t Thiruvananthapuram, Kerala
i
Editorial Advisers
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rohit Agrawal MD FIAP TU sukumaran MD DCH MNAMS MPhil FIAP
President President
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Indian Academy of Pediatrics 2012 Indian Academy of Pediatrics 2011
Consultant Pediatrician Professor
Kohinoor Hospital and Chandra-Jyoti Children Hospital Department of Pediatrics
Mumbai, Maharashtra Pushpagiri Institute of Medical Sciences
Thiruvalla, Kerala
Forewords
cP Bansal, rohit Agrawal, TU sukumaran
IAP, National Publication House, Gwalior
JAYPEE BROTHERS MEDICAL PUBLISHERS (P) LTD.
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© 2013, Jaypee Brothers Medical Publishers
All rights reserved. No part of this book may be reproduced in any form or by any means without the prior permission of the publisher.
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This book has been published in good faith that the contents provided by the contributors contained herein are original, and is intended for
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IAP Textbook of Pediatrics
First Edition: 1999, 2000
Second Edition: 2002,2003
Third Edition: 2006
Revised Reprint: 2007
Fourth Edition: 2009
Fifth Edition: 2013
ISBN 978-93-5025-945-0
Printed at
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The future citizens of India whose Care and Nurture
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Contributors
A Balachandran Anita saxena AP dubey
Pediatric Pulmonologist Professor Director-Professor and Head
Mehta Children’s Hospital, Chetput Department of Cardiology Department of Pediatrics
Chennai, Tamil Nadu All India Institute of Medical Sciences Maulana Azad Medical College
[email protected]/ New Delhi New Delhi
[email protected] [email protected] [email protected]
A Parthasarathy
Abraham K Paul Anju Aggarwal
Consultant Pediatrician Associate Professor Distinguished Professor of Pediatrics
Cochin Hospital Department of Pediatrics The Tamil Nadu Dr MGR Medical
UniveGrsity
Kochi, Kerala University College of Medical Sciences
[email protected] Delhi Senior Clinical Professor of
Pediatrics (Retd)
[email protected]/
Aditi sinha [email protected] R Madras Medical College
Deputy Superintendent
Senior Research Associate
Anju Virmani Institute of Child Health and Hospital
Division of Pediatric Nephrology
All India Institute of Medical Sciences Senior Consultant V for Children
Indraprastha Apollo, Max, Pentamed Chennai, Tamil Nadu
New Delhi
and Sunderlal Jain Hospitals, Delhi [email protected]
[email protected]
[email protected]
A riyaz
AJ chitkara
Anoop Verma Professor and Head
Head e
Consultant Pediatrician Department of Pediatrics
Department of Pediatrics
Swapnil Nursing Home Government Medical College
Max Hospital, Pitampura Raipur, tChhattisgarh Kozhikode, Kerala
Max Super Speciality Hospital
[email protected] [email protected]
Shalimar Bagh, New Delhi
n
[email protected]/
Anupam sachdeva Archana Kher
[email protected]
U Director Consultant Pediatrician
Pediatric Hematology and Oncology Seven Hills Hospital
AK dutta
and Bone Marrow Transplantation Mumbai, Maharashtra
Director-Professor and Head
Chairman Ex-Professor Pediatrics
Department of Pediatrics
Academics Convener Research Seth Gordhandas Sunderdas Medical
Lady Hardinge Medical College
Sir Ganga Ram Hospital College and King Edward Memorial
New Delhi New Delhi Hospital, Mumbai, Maharashtra
[email protected] [email protected] [email protected]/
[email protected]
Amita Trehan Anupama Borker
Additional Professor Associate Professor Arun Bansal
Pediatric Hematology, Oncology and Department of Pediatrics Assistant Professor
Advanced Pediatric Centre In-Charge Pediatric Hematology and Department of Pediatrics
Postgraduate Institute of Medical Oncology Postgraduate Institute of Medical
Education and Research Kasturba Medical College, Manipal Education and Research
Chandigarh University, Manipal, Karnataka Chandigarh
[email protected] [email protected] [email protected]
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s Arun Kumar Gupta ATK rau Bd Gupta
c
Professor and Head Pediatric Hematologist-Oncologist Professor and Head
I
r
T Department of Radiodiagnosis Professor and Head Department of Pediatrics
A All India Institute of Medical Sciences Department of Pediatrics Umaid Hospital
I
d New Delhi MS Ramaiah Medical College Additional Principal
Pe [email protected]/ Bengaluru, Karnataka Dr SN Medical College
F [email protected] [email protected] Senior Consultant Pediatrics
o
Rajdadisa Hospital,
K Arun Phatak B Bhaskar raju Jodhpur, Rajasthan
o Professor and Head
o Professor and Head [email protected]
Department of Pediatrics
B Department of Pediatric
xT KVGad Poadtaerl aC, hGiludjraerant Hospital Gastroenterology (Retd) Bharat Agarwal
e Institute of Child Health and Hospital Head
T [email protected]
for Children
Department of Pediatrics
Chennai, Tamil Nadu
Arvind Bagga Hematology and Oncology
[email protected]
Professor Bai Jerbai Wadia Hospital for Children
Department of Pediatrics MumbGai, Maharashtra
B Vishnu Bhat
All India Institute of Medical Sciences [email protected]
Professor of Pediatrics
New Delhi
Head of Neonatology Division
[email protected] R Bibek Talukdar
Jawaharlal Institute of Medical
Director-Professor and Head
Ashish Bavdekar Education and Research
Department of Pediatrics
Associate Professor Puducherry
V Chacha Nehru Bal Chikitsalaya
Consultant Pediatric [email protected]
Delhi
Gastroenterologist
[email protected]
Department of Pediatrics Bala ramachandran
d
King Edward Memorial Hospital Consultant and Head
Br Nammalwar
Pune, Maharashtra Department of Intensive Care and
e Professor of Pediatric Nephrolgy
[email protected] Emergency Medicine
(Retd.)
Honorary Assistant Medical Director
Ashok K Patwari Institute of Child Health
Kanchi tKamakoti Childs Trust Hospital
Research Professor (International Hospital for Children
Cheinnai, Tamil Nadu
Health), Center for Global Health Director of Medical Education
[email protected]/
and Development (CGHD), Boston Mehta Children Hospital
[email protected]
University School of Public Health Chennai, Tamil Nadu
Coordinator, CGHD India Country U Baldev s Prajapati [email protected]
Program, New Delhi
Professor
[email protected]/ Sheth LG General Hospital, AMC MET Brijesh Arora
[email protected]
Medical College, Ahmedabad, Gujarat Associate Professor
[email protected] Department of Pediatric Oncology
Ashok Kapse
Tata Memorial Hospital
Pediatrician, Kapse Children Hospital
Balvir s Tomar Mumbai, Maharashtra
Surat, Gujarat
Professor and Head [email protected]
[email protected]
Department of Pediatrics
Ashok Kumar NIMS Medical College and Hospital c Thangadorai
Professor, Department of Pediatrics Chancellor and Chairman Senior Clinical Professor of
Institute of Medical Sciences NIMS University Pediatrics (Retd)
Banaras Hindu University Jaipur, Rajasthan Madras Medical College
Varanasi, Uttar Pradesh [email protected]/ Chennai, Tamil Nadu
[email protected] [email protected] [email protected]
viii
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d Nirmala dilip Mukherjee H Paramesh c
o
Professor and Head Emeritus Professor of Pediatrics Pediatric Pulmonologist
N
Department of Pediatric Ramakrishna Mission Seva Pratishthan Environmentalist, Medical Director T
Gastroenterology Vivekananda Institute of Medical Lakeside Medical Center and Hospital r
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Institute of Child Health Sciences, Kolkata, West Bengal Director B
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and Hospital for Children [email protected]/ Lakeside Institute of Child T
Chennai, Tamil Nadu [email protected]/ Bengaluru, Karnataka o
[email protected] [email protected] r
s
d Vijayasekaran
Associate Professor in Pediatrics and divya Prabhat Indira Agarwal
Respiratory Diseases Head Professor and Head
Madras Medical College, ICH and HC Department of ENT Department of Child Health
Wadia Children Hospital Christian Medical College
Pediatric Pulmonologist and
Mumbai, Maharashtra Vellore, Tamil Nadu
Bronchoscopist
[email protected] [email protected]/
[email protected]
[email protected]
dK Agarwal
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deepak Bansal
Ex-Professor and Head
Ishwar c Verma
Additional Professor Hematology and
Department of Pediatrics
Sr Consultant and Director
Oncology Unit, Advanced Pediatric
Banaras Hindu University
Center of Medical Genetics
Center, Postgraduate Institute of R
Varanasi, Uttar Pradesh
Sir Ganga Ram Hospital
Medical Education and Research Secretary
New Delhi
Chandigarh Health Care and Research Association
[email protected]
[email protected] Noida, Uttar Pradesh V
[email protected]
Jagdish chandra
deepak Ugra
Director-Professor
d
Consultant Pediatrician Gadadhar sarangi
Department of Pediatrics
Lilavati Hospital and Research Centre Professor, Department of Pediatrics
Kalawati Saran Children’s Hospital
Consultant Pediatrician Hi-Tech Mediceal College, Pandara
Lady Hardinge Medical College
Hinduja Health Care Pvt. Ltd. Bhubaneswar, Odisha
New Delhi
Visiting Consultant Pediatrician [email protected]
t [email protected]
Breach Candy Hospital
i
Mumbai, Maharashtra Gauri Kapoor
n Jayakar Thomas
[email protected] Director
Professor and Head
Pediatric Hematology and Oncology
Department of Dermatology
U Rajiv Gandhi Cancer Institute and
devendra Mishra Sree Balaji Medical College and
Research Center
Associate Professor Hospital
New Delhi
Department of Pediatrics Chennai, Tamil Nadu
[email protected]
Maulana Azad Medical College [email protected]
New Delhi
Geetha M
[email protected] Jaydeep choudhury
Clinical Professor
Assistant Professor
Pediatric Gastroenterologist
dheeraj shah Department of Pediatrics
Department of Gastroenterology
Associate Professor Institute of Child Health
and Hepatology
Department of Pediatrics Kolkata, West Bengal
Amrita Institute of Medical Sciences
University College of Medical Sciences [email protected]
Kochi, Kerala
New Delhi
[email protected]/
[email protected] [email protected]/ Jeeson c Unni
[email protected] Editor-in-Chief
digant d shastri IAP Drug Formulary
Pediatrician and CEO George F Moolayil Consultant Pediatrician
Killol Children Hospital, NICU and Consultant Pediatrician Dr Kunhalu’s Nursing Home
Vaccination Center Chazhikattu Hospitals Pvt Ltd Kochi, Kerala
Surat, Gujarat Thodupuzha, Kerala [email protected]/
[email protected] [email protected] [email protected]
ix
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s JN sharma Kamran Afzal L subramanyam
c
Professor and Head Reader Senior Pediatrician and
I
r
T Department of Pediatrics Department of Pediatrics Pulmonologist
A Gauhati Medical College Jawaharlal Nehru Medical College Mehta Children’s Hospital
I
d Guwahati, Assam Aligarh Muslim University Chennai, Tamil Nadu
Pe [email protected] Aligarh, Uttar Pradesh [email protected]
F [email protected]
o Joseph L Mathew
K Assistant Professor (Pediatric Kanishka das Lalitha Kailas
o Professor and Head Professor and Head
Pulmonology)
o Department of Pediatrics
Department of Neonatal
B Advanced Pediatrics Center
SAT Hospital
T Postgraduate Institute of Medical and Pediatric Surgery
x St John’s Medical College Government Medical College
e Education and Research
T St John’s National Academy of Thiruvananthapuram, Kerala
Chandigarh
Health Sciences [email protected]
[email protected]/
Bengaluru, Karnataka
[email protected]
[email protected] M Indrashekhar rao
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Former Medical Superintendent
JP dadhich
Ke elizabeth
National Coordinator Professor and Head
Professor of Pediatrics
Breastfeeding Promotion Network Department of Pediatrics
Consultant in Nutrition R
of India Institute of Child Health
Sree Avittom Thirunal Hospital
New Delhi Niloufer Hospital
Government Medical College
[email protected]/ Hyderabad, Andhra Pradesh
Thiruvananthapuram, KeralaV
[email protected] Director
[email protected]
Medical Education
Jugesh chhatwal Ketan Parikh d Government of Andhra Pradesh
Professor Consultant Pediatric Surgeon and Member
Department of Pediatrics Pediatric Laparoscopist Executive Council
e
Vice Principal (Postgraduate Studies) Tara Neo-Surg Hospital NT Rama Rao University of Health
Christian Medical College and Jaslok Hospital, LH Hiranandani Sciences, Vijayawada, Andra Pradesh
Hospital, Ludhiana, Punjab Memortial Hospital [email protected]
[email protected] Mumibai, Maharashtra
[email protected]/ M Jayashree
K Nagaraju [email protected] Additional Professor
Senior Consultant in Pediatric Allergy
U Department of Pediatrics
Kanchi Kamakoti Childs Trust Hospital Kishore d Phadke
Advanced Pediatrics Center
Chennai, Tamil Nadu Professor and Head
Postgraduate Institute of Medical
[email protected] Department of Pediatrics
Education and Research
St John’s Medical College Hospital
Chandigarh
K Nedunchelian Bengaluru, Karnataka
[email protected]
Associate Professor of Pediatrics [email protected]
Government Dharmapuri Medical
College KN Agarwal M Vijayakumar
Dharmapuri, Tamil Nadu Professor of Pediatrics Head
[email protected] President Health Care and Department of Pediatric Nephrology
Research Association for Adolescents Mehta Children’s Hospital
K surendran Noida, Uttar Pradesh Chennai, Tamil Nadu
Surveillance Medical Officer [email protected] [email protected]
WHO – National Polio Surveillance
Project, Chennai Krishan chugh
Madhulika Kabra
Director
[email protected]
Professor
Institute of Health, Sir Ganga Ram
Kamer singh rana Hospital, New Delhi Division of Genetics, Department of
Consultant Chairman Pediatrics
Pediatrics and Pediatric Neurology Department of Pediatrics All India Institute of Medical Sciences
Command Hospital Director New Delhi
Pune, Maharashtra Pediatric Intensive Care Unit [email protected]/
x
[email protected] [email protected] [email protected]
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Description:An innovative time-tested project of the indian academy of pediatrics, already sold more than 10,000 copies contributions from more than 200 national experts and luminaries in their respective fields of interest and expertise spread over 21 chapters entire text revised and updated keeping in view th