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Biomedical subjects

F J Romero Ganuza

Publications and source records attributed to F J Romero Ganuza.

At least 19 recordsLinked to original sources

[Acute transverse myelitis in systemic lupus erythematosus].

Acute transverse myelitis as complication of systemic lupus erythematosus is a known and well-characterized although uncommon clinical entity. We report here four cases of lupic myelitis collected at our hospital in the last few years and review the available literature of the last ten years, approximately the time when NMR became generally available. The clinical picture can be very variable and therefore, when facing a picture of acute myelitis, lupus should be included in the differential diagnosis; biochemistry evaluating the lupus "activity" is of poor diagnostic value, nuclear magnetic resonance is not conclusive for the etiologic diagnosis of myelitis and its prognosis has improved with therapy including pulses of steroid and immunosuppressant agents.

Acute Disease↗

Acute acalculous cholecystitis in patients with acute traumatic spinal cord injury.

Acute acalculous cholecystitis (AAC) is a very serious complication which can be found in patients with multiple serious traumatic lesions ('polytrauma'). Very few patients have been reported in the literature with an acute spinal injury and associated AAC. We report seven patients with polytrauma and acute spinal cord injury who developed AAC. All had no complaint of the principal warning symptom: right upper quadrant abdominal pain. All presented with a palpable mass in this site and the laboratory results were compatible with cholestasis. The diagnosis of AAC was confirmed both by ultra sound and CT scanning. We discuss the possible precipitating factors and the treatment. One hundred and ninety one patients were admitted to the Intensive Care Unit in our Hospital with SCI over a period of 2 years, all of these in the acute stage. AAC was diagnosed in seven patients among them. Our purpose is to call attention to this clinical condition which can complicate the outcome of patients with multiple trauma and acute spinal cord injury. To date AAC in this group of patients has been infrequently described in the available literature.

Abdominal Pain↗

[Acute transverse myelitis and primary antiphospholipid syndrome].

The case of a 39 years old woman with acute transverse myelitis manifested as a syndrome of the anterior spinal artery is presented. Etiologic investigation diagnosed a primary antiphospholipid syndrome because of the finding of significantly high titers of anticardiolipin antibodies discarding the presence of systemic lupus erythematosus for the lack of sufficient diagnostic criteria. The association between both clinical pictures is infrequent.

Acute Disease↗

[Arthrocentesis].

Explore the source record for details and available documents.

Arthritis, Rheumatoid↗

[Obesity and autonomic neuropathy in non-insulin-dependent diabetes mellitus].

It has been said that the presence of autonomic neuropathy is related to the onset of obesity. Given the high prevalence of association between autonomic neuropathy and Diabetes Mellitus and the association between metabolic disease and obesity, we considered it important to evaluate the possible relationship in order to ascertain the pathogenic connection and its impact on therapy. We evaluated 2 groups of diabetic patients: one group was composed of obese patients and the other of non-obese. According to our results, there appears to be no relationship between autonomic neuropathy and obesity, at least in patients with diabetes mellitus type II.

Autonomic Nervous System↗