RESUMO
Pediatric myopathies comprise a very heterogeneous group of disorders that may develop at different ages and affect different muscle groups. Its diagnosis is sometimes difficult and must be confirmed by muscle biopsy and/or genetic analysis. In recent years, muscle involvement patterns observed on MRI have become a valuable tool, aiding clinical diagnosis and enriching pathological and genetic assessments. We selected eight myopathy cases from our institutional database in which the pattern of muscle involvement observed on MRI was almost pathognomonic and could therefore contribute to establishing diagnosis. Muscle biopsy, genetic diagnosis or both confirmed all cases.
Assuntos
Imageamento por Ressonância Magnética/métodos , Músculo Esquelético/diagnóstico por imagem , Músculo Esquelético/patologia , Doenças Musculares/diagnóstico por imagem , Doenças Musculares/patologia , Biópsia , Criança , Diagnóstico Diferencial , HumanosRESUMO
El presente artículo describe el modelo biopsicosocial para pacientes fármacodependientes basado en intervenciones biológicas, psicológicas y sociales. Se describen las características y procedimientos específicos del modelo con la participación de la familia, terceros, el afronte interdisciplinario, la promoción de la participación no profesional, de organizaciones extrainstitucionales y el seguimiento a largo plazo.
The authors describe the Biopsychosocial Model por treatment of drug dependent patients based on biological, psychological and social interventions. The characteristics and specific procedures which includes family and third persons participation, interprofessional approach, promotion of non-professional participations and extrainstitutional organizations as well as the long term follow up are described.