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Biomedical subjects

B Gómez-Rivas

Publications and source records attributed to B Gómez-Rivas.

3 recordsLinked to original sources

[Hypophosphatemic coma (author's transl)].

A 4-3/12 old boy with a hypophosphoremic coma (serum phosphorus: 0.4 mg./dl.) is presented. The favoring conditions appear to be related to acute renal failure in polyuric phase with high phosphorus excretion, low phosphorus intake, rapid transit from a catabolic to an anabolic state with previous malnutrition and parenteral feeding, oral aluminum hydroxide gel administration and lung infectious disease. The clinical, biochemical data, evolution and physiologic mechanisms are commented, specially those of erythrocyte, leucocyte and platelet disfunction related to ATP, AMP and 2.3 DPG deficiency. Proteinuria and hematuria during phosphorus depletion are emphasized. The alarm symptoms and treatment are indicated.

Acute Kidney Injury↗

Pheochromocytoma and clear-cell renal carcinoma in a child with von Hippel-Lindau disease: a patient report.

A 6 year-old boy with von Hippel-Lindau (VHL) disease presented with hypertension due to bilateral pheochromocytomas. At age 13 he developed a renal carcinoma and bilateral paragangliomas. His mother had retinal angiomas, bilateral pheochromocytomas and a cerebellar hemangioblastoma. This unusual presentation illustrates the complexity and difficulties associated with the management of VHL disease.

Adrenal Gland Neoplasms↗

[Inflammatory pseudotumor of the lung in infancy (histiocytoma) (author's transl)].

A four year old boy with a clinical picture of acute pneumonia is presented. Antibiotic therapeutic improved the clinical and analytic symptomatology but a round, radiologic shadow persisted after three months of evolution. Thoracotomy was performed and by histopathologic examination histiocytoma of lung diagnosed. Literature is reviewed and the clinical, radiologic, pathologic and etiopathogenetic features are commented. These lesions should be considered as benign to avoid extensive resection.

Adolescent↗