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Biomedical subjects

E Formigo Rodríguez

Publications and source records attributed to E Formigo Rodríguez.

14 recordsLinked to original sources

[Hand arthropathy of professional origin: milkingman hand].

OBJECTIVE: The aim of this case-control study was to know possible correlates between distinctive pattern of hand arthrosis and length manual milking. PATIENTS AND METHODS: Between January 1990 and January 1996, we retrospectively reviewed the patients with symptomatic arthrosis in whose hands was identified this pattern: degenerative disease of distal interphalangeal joints with radial deviation and flexion of distal phalanges in association to arthrosis involving metacarpophalangeal and interphalangeal joints of the thumb. The first 88 cases of hand arthrosis without this clinical and radiographic pattern make the control group. Patients suffering inflammatory rheumatic diseases were excluded. RESULTS: 35 patients with this special pattern of hand arthrosis were recruited. The majority of patients were women (94.3%) and coming from rural environment (94.3%). 32 patients had performed daily manual milking over a period of 20 years, but in three patients the pattern was not related to this activity (odds ratio = 928: p < 0.001). Symptoms were more frequent in the control-group (57% versus 26%; p < 0.04), in which no characteristic pattern of alignment abnormality was found. CONCLUSION: A typical pattern of hand arthrosis was associated with prolonged manual milking: degenerative disease of metacarpophalangeal and interphalangeal joints of thumb, radial deviation associated with flexion of distal phalanges of second at fourth fingers and arthrosis involving their distal interphalangeal joints, often linked to sight ulnar deviation of middle phalanges.

Aged↗

[Pseudotumor in the forearm caused by focal myositis. A rare form of idiopathic inflammatory myopathy].

Focal myositis is a rare form of idiopathic inflammatory myopathy. We describe an additional case of focal myositis in a 54-years-old woman presenting as a painful pseudotumor of the left forearm. Muscle enzymes were normal but generalized electromyographic abnormalities were found. We consider that focal myositis is a heterogeneous clinical syndrome, and the cases showing only focal involvement can be different from those that evolve into polymyositis.

Diagnosis, Differential↗

[Van Buchem disease. Study of 2 cases and review of the literature].

We report two members of one family, a 51-year-old man a 16-year-old son, with enlargement of the jaw, palatine taurus, endosteal sclerosis of the neurocranium and symmetrical diaphyseal cortical thickening. On the basis of those typical findings, the diagnosis of recessive endosteal hyperostosis (Van Buchem's disease) was mode. This unusual hereditary sclerosing bone dysplasia is discussed with respect to the clinical and radiological features as well as its distinction from other sclerosing disorders.

Humans↗

[Refractory idiopathic liquefying panniculitis].

We present a 28-year-old patient with liquefying idiopathic lobular panniculitis, a variant of the Weber-Christian's disease and intermittent episodes of arthritis in the left foot refractory to sequential treatment with anti-inflammatory drugs, high doses of prednisone, chloroquine, dapsone, colchicine, cyclosporine and methotrexate.

Adult↗

[Delay in the diagnosis of McArdle's disease].

We describe the case of a 14-year-old patient with fatigability and muscular cramps beginning in the first infancy and started by physical exercise. The clinical record, the increase of creatinine-kinase without clinical or biological signs of inflammation and the electromyographic normality, suggested the presence of this disease, which was confirmed through microscopic studies (optic and electronic) and histochemistry. We review the clinical and biological characteristics, the diagnostic methods for this type of glycogenosis and its differential diagnosis, because we think that the low suspicion levels among the clinicians contribute to the few cases published in the literature.

Adolescent↗

[Polyarthritis and hepatitis as presentation forms of secondary syphilis].

We present a luetic secondarism in a 40-year-old woman starting as symmetric polyarthritis and hepatitis. The latter presence of cutaneous rash, oral aphtae and anemia, as well as the positivity of anticore antibodies (1/160 core pattern) and anti-cardiolipin antibodies initially suggested a connectivopathy. The diagnosis of secondary syphilis was confirmed by the luetic seropositive results (RPR and FTAabs) and the microscopic observation of mobile microorganisms compatible with Treponemas in the exudate obtained by scraping of the cutaneous lesions. The proteiform expressivity of luetic secondarism is stressed, as well as its rare presentation with articular inflammatory manifestations.

Adult↗