title: Health care of the internationally adopted child. Part 2: Chronic care long-term medical issues.
abstract: Internationally adopted children remain at risk throughout their lives for medical sequelae related to their birth and residence in a foreign country. In the early period after placement the most important problems are the management of chronic infectious diseases and malnutrition. Over time, however, many children will have issues related to growth, age determination, timing of puberty, dental care, development, and language acquisition. Chronic disease and ethnic health considerations pose some special problems for the adopted child without a personal or family history. Part 1 of this series addressed the initial evaluation for the newly arrived internationally adopted child, whereas part 2 discusses the long-term management problems. J Pediatr Health Care.
authors.affiliation: Department of Pediatrics, St. Joseph Mercy Hospital in Ann Arbor, Michigan, USA.
authors.forename: M A
authors.initials: MA
authors.lastname: Mitchell
authors.forename: J A
authors.initials: JA
authors.lastname: Jenista
mesh_terms: D000293:Adolescent; D000300:Adoption; D000465:Algorithms; D002648:Child; D002669:Child Welfare; D002675:Child, Preschool; D002908:Chronic Disease; D003140:Communicable Disease Control; D014943:Global Health; D006801:Humans; D007223:Infant; D007255:Information Services; D009730:Nursing Assessment; D012017:Referral and Consultation