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Humanos , Masculino , Anciano , Neoplasias Pulmonares/patología , Neoplasias Cerebelosas/secundario , Metástasis de la Neoplasia , Cefalea/etiologíaRESUMEN
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Asunto(s)
Humanos , Masculino , Anciano , Metástasis de la Neoplasia , Neoplasias Cerebelosas/secundario , Neoplasias Pulmonares/patologíaRESUMEN
Hepatic involvement during heat stroke appears frequently. In some severe and rare cases liver transplantation is needed. We report a case of a 31 years old man, amateur runner, who suffered heat stroke-related acute liver failure, rhabdomyolysis, renal failure and coagulation im-pairment during a marathon. High environmental temperature, exercise duration and height where race took place could be involved. Patient had a favourable course with conservative treatment being discharged in a few days.
Asunto(s)
Golpe de Calor/complicaciones , Fallo Hepático Agudo/etiología , Adulto , Humanos , MasculinoAsunto(s)
Granuloma de Células Plasmáticas/patología , Hígado/patología , Ganglios Linfáticos , Enfermedades Linfáticas/patología , Bazo/patología , Adulto , Antiinflamatorios/uso terapéutico , Fiebre de Origen Desconocido/etiología , Granuloma de Células Plasmáticas/complicaciones , Granuloma de Células Plasmáticas/tratamiento farmacológico , Humanos , Enfermedades Linfáticas/tratamiento farmacológico , Masculino , Metilprednisolona/uso terapéuticoRESUMEN
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Asunto(s)
Anciano , Masculino , Humanos , Sarcoma de Kaposi , Invasividad Neoplásica , Enfermedades del Pie , Neoplasias CutáneasAsunto(s)
Biopsia/efectos adversos , Hematoma/etiología , Hepatopatías/etiología , Hígado/patología , Adulto , Biopsia/métodos , Humanos , MasculinoAsunto(s)
Albuminuria/etiología , Glicosaminoglicanos/orina , Hipertensión/orina , Colorimetría , Femenino , Humanos , Masculino , Persona de Mediana EdadRESUMEN
Microalbuminuria is a considerable good indicator of atherogenic disease and cardiovascular risk. In the arterial hypertension, the main centre organ is the kidney. Structural and functional changes that happen in the hypertensive nephropathy are going to cause alterations m the albumin urinary excretion. The authors have done a revision of the main factors which can origin the existence of microalbuminuria in patients with arterial hypertension, and they conclude that this is an useful biochemist indicator in order to evaluate the degree of renal disease in these patients.
Asunto(s)
Albuminuria/etiología , Hipertensión/complicaciones , Enfermedades Renales/diagnóstico , Albuminuria/diagnóstico , Biomarcadores , Humanos , Hipertensión/orina , Enfermedades Renales/etiología , Enfermedades Renales/orina , Análisis Multivariante , Pronóstico , Factores de RiesgoRESUMEN
OBJECTIVES: Study the percentage of clinical successes which have been confirmed by percutaneous hepatic biopsy guided by echography (PHBE) in those diseases which can affect the liver in an Internal Medicine service. PATIENTS AND METHODS: 78 patients were chosen for this study. All of them were admitted to hospital during the last eight years. Each patient had had a PHBE made regarding clinical, analytical and echographic criteria that were necessary to conclude their diagnostic studies. They were distributed into different groups. RESULTS: Patients could be distributed into five different groups. There was a higher percentage of clinical successes on those who suffered from chronic hepatopathy derived from alcohol-addiction and on those with carcinomatous hepatopathies. When corroborating the diagnosis of clinical suspect, the diagnostic profitability of the biopsy proved to get down in the others groups, depending on it was the group of miscellaneous, dissociate cholestasis and, in the last place, unknownly originated fever. CONCLUSIONS: The diversity of diseases which can affect the liver in an Internal Medicine service gives PHBE a particular diagnostic character. The diagnosis of clinical suspect was confirmed in 78.2% of the total of cases that made up the different groups. Therefore, PHBE plays a main role in a large amount of hepatic repercussive diseases that are treated in Internal Medicine services where, despite the clinical suspect, a diagnostic corroboration is often required for a right treatment.
Asunto(s)
Biopsia con Aguja , Hepatopatías/patología , Hígado/patología , Humanos , Neoplasias Hepáticas/patología , Ultrasonografía IntervencionalRESUMEN
Intracerebral hemorrhages represent about 10% of the whole of vascular cerebral accidents. According to different authors, the incidence of cerebral amyloid angiopathy varies between 5-10% and up to 20-30% of all primary non-traumatic intracerebral hemorrhages. This incidence was analyzed in our environment. A retrospective study was carried out on 403 patients, 203 of them were analyzed between 1990-91 and the other 200 between 1992-3. Age, arterial tension, relapses and localization were taken as criteria for a diagnosis. For the statistical analysis, Student's T-test was used for quantitative variables, while square Chi with Yates' correction was used for qualitative variables. Ischemic cerebral accidents (90.5% of the total) are more frequent than hemorrhagic cerebral accidents, which represent 5.7%. 3.7% were not registered. Therefore, it was suspected cerebral amyloid angiopathy in 1.4% of all vascular cerebral accidents. This represents 26.1% of the total of hemorrhagic patients. Different variables from groups of hemorrhagic vascular cerebral accidents were compared to those caused by amyloid cerebral angiopathy and significant statistics were found with respect to localization in the cerebral hemispheres (p < 0.01). Neither age, nor arterial tension or relapses were significant. Amyloid cerebral angiopathy as a cause of hemorrhagic cerebrovascular accident is and entity to be considered in the diagnosis of these patients. By using clinical criteria and others of localization through complementary explorations, a diagnosis for guessing such a process can be determined.