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Biomedical subjects

J Nicolau Castro

Publications and source records attributed to J Nicolau Castro.

6 recordsLinked to original sources

[Abdominal tuberculosis].

We report six cases of abdominal tuberculosis, calling attention to the new increase in this illness and the difficulty of diagnosis because of the nonspecificity of the symptoms, which were mainly abdominal pain and abdominal calcifications.

Calcinosis

[Gallstones in children. Report of one case and review of the literature (author's transl)].

A 12 year old boy is presented with choleithiasis and cholecystitis diagnosed by oral cholecistogram and intravenous cholangiogram and managed surgically with a cholecystectomy. A review of 667 cases of cholelithiasis in children is presented from literature, since the first report of gallstones in 1737, until 1975. It is showed that childhood cholelithiasis is a uncommon disease, occurring in all ages but (commoner) in preadolescent and adolescent girls. Etiologic significance of obesity, family history of cholelithiasis, pregnancy and history of previous abdominal surgery is reported. Haemolytic disease is an underlying etiologic agent in less than 19% of 416 cases reviewed. A high percentage of gallstones were visible on plain films of the abdomen and oral cholecystograms were diagnostic of cholelithiasis or showed changes highly suggestive of gallstones in 86% of cases reviewed. In a child with abdominal pain of unknown etiology, it is imperative to exculade the possibility of gallstones, and plain films of the abdomen and oral cholecystography are the best investigative techniques to do this.

Age Factors

[Acro-osteolysis idiopathic distal (author's transl)].

A six year old girl. With a clinical picture of acro-osteolysis idiopathic non familial associated with other anomalies is presented. Literature is reviewed and the clinical, radiologic, pathologic and etiopathogenetic features are commented, pointing out the diferent associated abnormalities that other authors did not consign: facial, anacraneal dysplasia, epiphyseal separations and dislocations of radius, and peroneal incurvation.

Bone Resorption