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D Herrera

Publications and source records attributed to D Herrera.

3 recordsLinked to original sources

Inherited congenital normofunctional testicular hyperplasia and mental deficiency. A corroborative study.

Three 46,XY unrelated individuals out of 84 postpubertal male inpatients with severe mental deficiency in a psychiatric hospital were found to have megalorchidia and macrogenitosomia. One of the cases had a similarly affected brother. Endocrine studies were performed in two of the cases with similar results. Normal plasma levels of pituitary gonadotropins were found. A normal testicular function was demonstrated by the finding of normal: (a) baseline plasma testosterone levels and a significant rise following human chorionic gonadotropin administration, (b) sperm analysis, and (c) morphology and cell architecture of the testes. These results were compatible with normofunctional testicular hyperplasia confirming previous observations and allowing the definite individualization of a syndrome with mental deficiency probably due to an X-linked recessive mutation.

Adult

[Relation between pulmonary tuberculosis and the urinary tract].

We have studied 48 children that presented lung tuberculosis together with the effects tuberculosis has on the urinary apparatus. Clinical, laboratory and radiotherapeutic studies were made in order to confirm the diagnosis which was etiologically confirmed in only two cases. In order to make a good diagnosis it is necessary to use a good technique for urine collection with serial cultures corresponding to four consecutive days and the radiological study of the kidney and its afferent ducts. It is an illness more common than what is thought. It is necessary to know how to detect it and it is very important to have it "in mind" when dealing with any generalized tuberculosis disease: (miliary tuberculosis, meningoencephalitic tuberculosis, etc.). With this article, it has been our purpose to contribute to review and to bring up to data the clinical and pathophysiological concepts of this disease.

Child