[Acral purpuric lesions and fever].
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Biomedical subjects
Publications and source records attributed to I Fidalgo Alvarez.
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The results of a smoking survey, carried out in the Bierzo area, are reported here. The study group included 403 youngsters, 245 males and 158 females, between the ages of 11 and 20 years. One hundred and sixty-three of the 265 youngsters that had smoked sometimes, continued to smoke, with 93 (23.0%) smoking occasionally and 70 (17.3%) smoking habitually. The proportion of females and males was similar. The mean age of males for their first experience with smoking was 12.6 years and was earlier than that for females (13.7 years). There were less smokers among youngsters from families in a high economic situation (18%), but they formed the group with the highest consumption of tobacco. The smoking habit of the youths was related to the tobacco use of their siblings, but not to that of their parents. A negative relationship was found between efficacy at school and smoking. The was also a high frequency of smokers among habitual drinkers.
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The study includes three pediatrics patients with Gilbert's syndrome (GS). The diagnosis was made on the basis of a mild unconjugated hyperbilirubinemia in the presence of repeatedly normal liver function test and absence of over signs of hyperhaemolysis. Two test have been also proposed for the diagnosis of GS, namely the hyperbilirubinaemia induced by a reduction in caloric intake, and hyperbilirubinaemia induced by nicotinic acid. In this study a reduction in caloric intake was associated with a greater absolute increase in serum bilirubin concentration. A single determination of bilirubin in parents and brothers of patients, showed high bilirubin in only one parent. The possibility of arriving at a definite diagnosis of GS is important both to the frequent presentation in adolescence with nonspecific symptoms that abdominal recurrent pain, the high incidence of the benign syndrome, and also to reassure the "patient".
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A case of a one month-old girl with primary osteomyelitis of sternum is described. The presence of a positive blood culture to staphylococcus and the antecedent of respiratory physiotherapy are considered to be important etiologic factors. The proccess had a favorable evolution treated with antibiotics and drainage of subperiostal abscess.
We report the case of a fourteen years old girl suffering from cystic fibrosis of pancreas, whose first clinic symptoms were chronic sinusitis and nasal polyp. Her most characteristic features were normal height growth without manifestations of pancreatic insufficiency or chronic endobronchial infections. Normal spirometry. PC 20 histamine > or = 16 mEq/ml. Negative skin test (prick) to common inhalants and sweat chloride concentration ranging between 92 and 110 mmol/l.