[Acute hemorrhagic edema in infants].
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Biomedical subjects
Publications and source records attributed to Y Albisu.
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The authors present two cases of genetic deafness in a brother and his sister. The girl has shown to suffer from a deafness belonging to Pendred's syndrome; in this case, the development of hearing symptomatology since her puberty is presented as an aggravated crisis of deafness and tinnitus coinciding with her menstruation, what suggests a possible endolymphatic hydrops depending of hormonal factors; the lack of knowledge about the ethyopatogenic mechanisms in this field generates therapeutic difficulties hard to solve.
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Authors review four patients diagnosed of cholelithiasis during between 1976-1986. They emphasize the importance of abdominal ultrasonography as the technic of first choice when cholelithiasis is suspected, due to its' harmlessness and diagnostic reliability. They recommend surgical treatment even in asymptomatic cases to avoid possible complications derived from a passive attitude.
We report 8 cases of neonatal encapsulated adrenal haemorrhage clinically suspected and diagnosed in living newborns. Six of them were right-sided (75%), and only 2 left-sided (25%). Clinical manifestations were limited to the palpation of a flank mass and or the presence of jaundice of unknown cause. We comment on the etiology clinical picture, diagnosis, course and treatment of adrenal haemorrhage pointing out to the importance of ultra-sonography for diagnosis and follow-up, as opposed to IVP. In four patients we could sustain the presumption of normal adrenal function by means of a rapid ACTH stimulation test.
Authors present a 7-year-old patient with cat-scratch disease during which he developed a "grand mal" convulsive status with severe intracranial hypertension requiring epidural monitoring and energetic treatment. Outcome was favourable, without neurologic sequelae. Review etiology and diagnostic criteria of this disease pointing out atypical forms of presentation is made.
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Authors report six cases on Burkitt's lymphoma seen during the last 18 months. In all of them a large ileocecal tumor was present and five of them had a bone marrow involvement. The ascitic fluid was positive in all cases. Three of the patients had a marked jaundice at diagnosis. The immunologic markers study on two of the cases, made evident that they belonged to type B. One of these two cases showed a component M in serum of the IgM type. As soon as chemotherapy started two of the cases showed marked metabolic disturbances. Three of the cases died and the three others remain free of disease for as long as two, 26 and 21 months. This report arises a comment epidemiologic importance of the increased frequency of Burkitt's lymphoma during the last months, as well as the clinic features of the six reported cases as compared to series published in non endemic areas on this topic.
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Moya-Moya disease is an obstruction of the internal carotids and of the afferent and efferent channels of Willis's polygon, which causes a collateral circulation, responsible for the typical angiographic image of a "puff of smoke" (Moya-Moya, in Japanese). Its etiology is unknown, and it might be congenital or acquired. It has been associated with congenital diseases such as Neurofibromatosis and disease of the falciform cells, among others. It usually appears as an alternating hemiplegia. We report here on the case of a 4-year-old boy with alternating hemiplegia (initially on the left, later on the right and then back on the left) and angiographic alterations which are characteristic of Moya-Moya. This patient had been examined in our hospital in the neonatal period as he had malformative stigmas, basically consistent with a flat angioma on the forehead, upper eyelids, and base of the nose, a previous wide fontanella which expanded to the whole of the methopic suture, aplasia, forehead level skin and abnormal implantation of the skin in that region. What draws attention in this case is the association of middle line craniofacial lesions (angioma, skin aplasia) and the later development of Moya-Moya.