ABSTRACT
Systemic mastocytosis is a clonal disease of the mast cell progenitors of the bone marrow. The clinical picture varies from asymptomatic (indolent) to highly aggressive (mast cell leukemia). Up to one-third of patients with SM have osteoporosis and fractures. The following is an analysis of the case of a young patient with multiple fractures as the first manifestation of SM.
Subject(s)
Mastocytosis, Systemic/complications , Osteoporotic Fractures/etiology , Spinal Fractures/etiology , Adult , Female , Humans , Lumbar Vertebrae/diagnostic imaging , Lumbar Vertebrae/injuries , Magnetic Resonance Imaging , Mastocytosis, Systemic/diagnosis , Osteoporosis/etiology , Osteoporotic Fractures/diagnostic imaging , Spinal Fractures/diagnostic imaging , Thoracic Vertebrae/diagnostic imaging , Thoracic Vertebrae/injuriesABSTRACT
Las quemaduras en la infancia constituyen un accidente que reviste un alto grado de dramatismo, fundamentalmente por la aparatosidad de las mismas y sus consecuencias inmediatas, y por otro lado por lo doloroso y elevado número de las curas, prolongada hospitalización y las secuelas estéticas e incluso funcionales que suelen dejar de por vida. Presentamos nuestra experiencia con el uso de Biobrane©, entre 1995 y 2000, en el tratamiento de 196 pacientes (edades: 4 meses a 14 años): 141 pacientes con lesiones por quemaduras de primer y segundo grado, 45 recubrimientos de zonas dadoras, 4 protecciones de injertos mallados, 3 dermoabrasiones traumáticas, 2 exéresis de tatuaje cutáneo post-traumático y 1 necrolisis epidérmica tóxica. Ventajas apreciadas al finall del tratamiento: Cicatrización excelente. Ausencia de dolor durante los cambios de apósitos. Menor necesidad de autoinjertos. Muy útil para el recubrimiento de zonas dadoras e injertos mallados. Disminución considerable de la estancia hospitalaria e ingresos. Mayor nivel de satisfacción en pacientes, en sus padres y en el personal sanitario. Posibilidad de tratamiento ambulante en Consultas externas y en Centros de Atención Primaria. Disminución de los costos hospitalarios en general. (AU)
Subject(s)
Child, Preschool , Child , Adolescent , Male , Infant , Female , Humans , Wounds and Injuries , Coated Materials, Biocompatible , BurnsABSTRACT
Burns in the pediatric age are accidents which cause a lot of trauma, on the one hand because of their immediate consequences and on the other hand because of the severity of the pain, the amount of times the dressings need to be change, the lengthy hospital stay and the scars that remain for life. Between 1995 and 2000 we have treated 196 children, (4 months to 14 years old), with Biobrane: 141 patients affected of first and second degree burn injuries, 45 skin donor sites covering, 4 reinforcing of meshed autografts, 3 traumatic dermoabrasions, 2 extirpation of post-traumatic cutaneous tattoo and 1 Toxic epidermic necrolisis. Advantages noticed at the end of the treatment: Excellent skin healing. No pain while changing dressings. Reduction the need to use skin grafts. It is very useful to cover the skin donor sites and meshed autografts. Shorter Hospital stay and less need to be kept in hospital. A higher level of satisfaction is shown by children, their parents and sanitary workers. It offers the possibility of outpatients treatment in First Aid Health Centers. It reduces hospital costs.
