[Deformity of the lower left limb and pigmented skin lesions].
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Biomedical subjects
Publications and source records attributed to A Garcés Ramos.
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The authors presents 3 cases of Kawasaki disease where, in all cases, a perineal rash or rash located in the diaper area, was an initial or predominant sign. We highlight the interest of this discovery for the early and diagnostic of this disease, in both its classics and incomplete forms, and with this achieve efficiency in the preventive treatment of the cardiovascular complications.
Two cases are reported in which Lancefield group beta-haemolytic streptococci were isolated from culture- from the perineal skin. The physical examination showed perianal irritation and excoriation in both cases and seropurulent anal and balano-preputial discharge in the first only. To the best of our knowledge, this is the first case in which the streptococcal perianal disease is associated to a balanoposthitis and at the same time increments the clinical spectrum of the illness.
We report three children with benign paroxysmal torticollis (BPT) and review the literature. BPT represents a self-limited disorder that occurs mainly in infancy and in females. The condition is characterized by recurrent spells of torticollis which may, or may not, be accompanied by other symptoms such as vomiting, pallor, ataxia, irritability and drowsiness. The diagnosis of BPT should be established clinically, although, in some cases, it is necessary to rule out conditions such as posterior fossa tumor, cervical dislocation, ocular palsy, dystonia due to side effects of drugs, or Sandifer's syndrome. The etiology of the syndrome remains unknown and, at present, there is no effective therapy.
Two patients, a mother and her daughter, who manifested the clinical features of the oro-facial-digital syndrome (OFD I) are reported. The mother have polycystic disease of the kidneys. Clinical data and genetic aspects are commented in relation with these new cases.
The authors present the case of a 4 year old girl affected by malaria, the latter having been imported from Equatorial Guinea. The initial treatment of the disease with adequate administration and duration of chloroquine therapy, did not impede the recurrence of the disease, once the patient seemed apparently cured. Although due to the special evolutionary circumstances it was not possible to clinically confirm the chloroquine resistant of the parasite, it is considered, to best of our knowledge, to be the first pediatric case of probable chloroquine-resistant Plasmodium falciparum malaria imported into Spain from Western Africa.
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