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Los linfagiomas mesentéricos, en ocasiones asintomáticos, pueden presentarse como un hallazgo incidental en pruebas de imagen realizadas por otro motivo. El tumor también puede ser descubierto por sus complicaciones al comprimir estructuras vecinas, con signos inespecíficos de distensión abdominal o datos de abdomen agudo y obstrucción intestinal. Presentamos el caso de una niña de seis años de edad con clínica de abdomen agudo, compatible con cuadro de apendicitis aguda que no se descarta tras la realización de las pruebas de imagen. La laparotomía evidencia una malformación linfática intestinal con confirmación anatomopatológica de linfagioma quístico mesentérico (AU)

Mesenteric lymphangioma, sometimes asymptomatic, may course as an incidental finding on imaging performed for another reason. Sometimes the tumour is discovered because of its complications, by compressing neighbouring structures, with nonspecific signs of bloating or data of acute abdomen and obstruction. We report a 6 year old girl with symptoms of acute abdomen, resembling acute appendicitis not discarded with imaging tests. The laparotomy shows an intestinal lymphatic malformation with anatomo-pathological confirmation of cystic mesenteric lymphangioma (AU)

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Los quistes de la glándula pineal, habitualmente asintomáticos, suelen ser un hallazgo incidental en pruebas de imagen realizadas por otro motivo. Se han relacionado ocasionalmente con diversos síntomas como cefalea, crisis epilépticas o trastornos psíquicos, siendo el factor más importante para que se conviertan en sintomáticos su tamaño o la presencia de un sangrado intraquístico. Presentamos el caso de una mujer de 14 años de edad con quiste en la glándula pineal de pequeño tamaño y sangrado en su interior que consulta por cambios en las características de su cefalea habitual y manifestaciones psicoafectivas(AU)

Pineal gland cysts usually asymptomatic are usually an incidental finding on imaging performed for another reason. They have occasionally been associated to various symptoms such as headache, seizures or mental disorders, being its size or the presence of intracystic bleeding the most important risk factors for becoming symptomatic. We report the case of a 14 years old woman with a small pineal cyst with intracystic bleeding that refers changes in the characteristics of her usual headache and psycho-affective manifestations(AU)

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BACKGROUND: The Healthy Child Program and the Preventive Activities and Health Promotion Program involve systematic tuberculin skin testing at distinct ages according to different programs, with variable evaluation of its effectiveness. OBJECTIVE: To evaluate the tuberculin skin test performed in healthy children within the ongoing basic health program in order to determine whether our activity is effective in detecting latent tuberculin infection. MATERIAL AND METHODS: A prospective observational study was performed. POPULATION: Mantoux test performed in children aged 15 months to 14 years during regular health examinations in 22 primary care pediatric clinics over a 12-month period in southern Pontevedra in Spain (catchment population 300,613 inhabitants according to the official census data in January 2003, with 472,444 health cards). Descriptive study and univariate analysis were carried out. RESULTS: We studied 2,530 children with a mean age of 51.25 months (95 % CI: 49.38-53.13). Eight positive Mantoux tests were registered (0.36 %). There were three positive results in children aged less than 3 years, two positive results in children aged between 4 and 9 years old (all were immigrants) and the remaining positive results were registered in children between 10 and 14 years of age. CONCLUSIONS: Given that the tuberculin skin test is a good screening test despite its limitations in the control of latent tuberculin infection in children, its indications should be adjusted to ever-changing epidemiological characteristics. According to the results obtained in this study and considering the prevalence of tuberculosis in our environment, we propose that the systematic application of the Mantoux test be discontinued except in children from countries with a high incidence of this disease or risk factors. However, we also recommend that systematic Mantoux testing in adolescence (12-14 years of age) be maintained, when vaccination and various medical examinations are carried out. Epidemiological studies in this age group should simultaneously be performed.

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Antecedentes El programa del niño sano y el PAPPS (Programa de Actividades Preventivas y Promoción de la Salud) incluyen la realización de pruebas de tuberculina sistemáticas a diferentes edades según los diferentes programas con una variable evaluación de su efectividad. Objetivo Nos planteamos la posibilidad de evaluar la prueba de la tuberculina que se realizaba en el niño sano sin ningún tipo de patología dentro del programa de salud para ver si nuestra actividad era eficaz para la detección de la infección tuberculosa. Material y métodos Estudio observacional prospectivo, descriptivo. Población. Prueba de tuberculina realizados en niños de 15 meses a 14 años en la consulta del niño sano en 22 consultas de pediatría de atención primaria de la zona sur de Pontevedra (población de referencia 300.613 habitantes según el padrón del 1-01-2003 con 472.444 TIS); durante un período de 12 meses. Análisis univariante. Resultados Se estudiaron 2.530 niños con edad media 51,25 meses (IC 95 %: 49,38-53,13). Se registraron 8 pruebas de tuberculina positivas (0,36 %). En los menores de 3 años, hubo dos resultados positivos; tres resultados positivos en los niños menores de 9 años, todos ellos inmigrantes; el resto se dieron en niños de 10 a 14 años. Conclusiones Considerando la prueba de tuberculina como una buena prueba de cribado, a pesar de sus limitaciones para el control de la infección tuberculosa en niños, su indicación, debe ajustarse a las características epidemiológicas siempre cambiantes. Basados en nuestros resultados y considerando la prevalencia de la tuberculosis en nuestro medio, proponemos dejar la prueba de tuberculina sistemática para niños que provengan de países de alta incidencia de tuberculosis o con factores de riesgo; manteniendo la realización sistemática de una prueba de tuberculina en una edad cercana a la adolescencia como pueden ser a los 12-14 años, edades en que se realiza una revisión vacunación incluida, momento idóneo para la realización de la prueba y de manera simultánea realizar estudios epidemiológicos a esa edad

Background The Healthy Child Program and the Preventive Activities and Health Promotion Program involve systematic tuberculin skin testing at distinct ages according to different programs, with variable evaluation of its effectiveness. Objective To evaluate the tuberculin skin test performed in healthy children within the ongoing basic health program in order to determine whether our activity is effective in detecting latent tuberculin infection. Material and methods A prospective observational study was performed. Population: Mantoux test performed in children aged 15 months to 14 years during regular health examinations in 22 primary care pediatric clinics over a 12-month period in southern Pontevedra in Spain (catchment population 300,613 inhabitants according to the official census data in January 2003, with 472,444 health cards). Descriptive study and univariate analysis were carried out. Results We studied 2,530 children with a mean age of 51.25 months (95 % CI: 49.38-53.13). Eight positive Mantoux tests were registered (0.36 %). There were three positive results in children aged less than 3 years, two positive results in children aged between 4 and 9 years old (all were immigrants) and the remaining positive results were registered in children between 10 and 14 years of age. Conclusions Given that the tuberculin skin test is a good screening test despite its limitations in the control of latent tuberculin infection in children, its indications should be adjusted to ever-changing epidemiological characteristics. According to the results obtained in this study and considering the prevalence of tuberculosis in our environment, we propose that the systematic application of the Mantoux test be discontinued except in children from countries with a high incidence of this disease or risk factors. However, we also recommend that systematic Mantoux testing in adolescence (12-14 years of age) be maintained, when vaccination and various medical examinations are carried out. Epidemiological studies in this age group should simultaneously be performed

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