[Erythroderma and hepatitis].
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Biomedical subjects
Publications and source records attributed to M Herrera Martín.
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Complications of otitis media are relatively infrequent, especially since the introduction of effective antimicrobial agents and specific surgical techniques. We present a case of cerebral pseudotumor due to left sigmoid sinus thrombosis as an intracranial complication of otitis media. We review the various clinical manifestations of sigmoid sinus thrombosis and its therapeutic options.
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The relapses and complications happened on the 17 cases of children with acute lymphoblastic leukemia in the Hospital General de Segovia have been reviewed from November 1974 to September 1989. Those which have a higher interest because of their relevance or infrequency have been under discussion. Among the relapses the pulmonary and the testicular are singled out. We differentiate between the complications produced during the treatment and the long-term ones, pointing up varicella as an infectious complication.
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Authors report two cases of Crohn's disease in a brother and a sister. Female showed first manifestation at 8 years of age. Male started at 12 years. Onset was acute in the girl with ileo-cecal and colonic involvement and extraintestinal manifestations. The boy had an insidious onset with ileal involvement and striking rectal and perianal symptoms. In both cases, clinical course was chronic and relapsing. HLA A and B phenotypes were studied in both patients and their parents. Different factors concerning origin of disease, as well as relationship to other diseases among relatives are discussed.
Authors report case histories of four siblings with Munchausen syndrome by proxy. The diagnosis was made in the third daughter after six years. Two siblings had died as result of sudden unexplained death at two years old and twelve month old respectively. The mother had typical features outlined in some report. She denied the provocation of any episode and refused further psychiatric help but she accepted medical supervision. A review of the literature: warning signals, plan of action in order to assess the diagnosis and management of this problem are outlined, establishing a discussion about the repercussion of this syndrome.
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To asses the value of preoperative tests in pediatric patients, a retrospective study of 722 surgical patients was undertaken. No unsuspected abnormalities or underlying diseases leading to the cancellation or postposition of surgery were found. Neither anaesthesia nor postoperatory complications were prevented by means of this procedure. We conclude that detailed anamnesis and physical examination are the most effective screening procedures and that radiologic and laboratory tests should be restricted to help in diagnosis and evaluation of the patient in emergency surgery and when the anamnesis, physical examination or a specific kind of surgery recommend it.
A new case of Sandhoff disease is presented (gangliosidosis GM2 type II or variant O) with enzymatic study in serum and leukocytes from the patient, as well as in serum from the newborn's, father and mother. The clinical expression, enzymatic study and evolution are discussed comparing them with Tay-Sachs disease (gangliosidosis GM2 type I o variant B).
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