ABSTRACT
We studied the prevalence of cardiovascular risk factors (included arterial hypertension, tobacco, diabetes, dyslipemias) in Alcalá de Henares population during the period 1992-1993, following the WHO criterias and protocols. The results upon 12,000 analyzed individuals showed dates similar to other spanish studies in relationship with arterial hypertension and diabetes (factors with known genetic determinants) and, in lesser degree, with tabaquism and hypercholesterolemia.
Subject(s)
Cardiovascular Diseases/epidemiology , Adolescent , Adult , Aged , Female , Humans , Male , Middle Aged , Prevalence , Risk Factors , Spain/epidemiology , Urban PopulationABSTRACT
Presentation of one case of bladder carcinoma which caused acute abdomen following spontaneous perforation. This presentation is extremely rare and should be taken into account when haematuria and abdominal pain appear simultaneously.
Subject(s)
Abdomen, Acute/etiology , Carcinoma, Squamous Cell/complications , Urinary Bladder Neoplasms/complications , Aged , Humans , MaleABSTRACT
Seven cases of Ogilvie's syndrome are described. In six of ther good recovery was related to repeated endoscopic colonic decompressions. This is the safest and most precise procedure in the diagnosis and treatment of the disease. We emphasize the usefulness of repeated decompressions in the outcome of Ogilvie's syndrome. One of patients in which decompression was not attempted died of a colonic rupture.
Subject(s)
Colonic Pseudo-Obstruction/surgery , Aged , Aged, 80 and over , Colon/injuries , Colonoscopy , Female , Humans , Male , Reoperation , RuptureABSTRACT
In this study we demonstrate the usefulness of laparoscopy on the diagnosis of some unusual causes of ascites, such as primary mesothelioma, usually overlooked by other diagnostic modalities, like ultrasound, computed tomography and cytology of the ascitic fluid. We describe three cases of primary peritoneal mesothelioma among 27 patients with exudative ascites submitted to laparoscopy at our institution during the past two years. The final diagnosis inaccessible to the conventional diagnostic modalities, was reached only by laparoscopy.
Subject(s)
Laparoscopy , Mesothelioma/diagnosis , Peritoneal Neoplasms/diagnosis , Aged , Biopsy , Female , Humans , Male , Middle Aged , Peritoneum/pathologyABSTRACT
We present 4 cases of common variable immunodeficiency with main digestive clinical manifestations. In all four cases chronic diarrhea with intestinal malabsorption predominated, as well as the presence lymphoid nodular hyperplasia; in one case Giardia infestation could be identified; one patient also presented chronic pancreatitis, or recurrent aphthous stomatitis and active chronic hepatitis; sideroblastic anemia could be observed in another patient. All patients had favorable evolution during follow-up which lasted at least 14 months in substitutive treatment with immunoglobulins. One of our patients presented an elevated number of suppressor T lymphocytes, with inversion of the T helper/T suppressor ratio which improved with cimetidine treatment.
Subject(s)
Digestive System Diseases/etiology , Immunologic Deficiency Syndromes/complications , Adult , Female , Giardiasis/etiology , Humans , Lymphatic Diseases/etiology , Malabsorption Syndromes/etiology , MaleABSTRACT
Mesenteric venous thrombosis is a rare disease, and is secondary to several known causes. Recently, it has been proven that some coagulation alterations (such as: antithrombin III deficit, plasminogen, S protein, etc.) play a role in its pathogenesis. Nevertheless, 10% of the cases are still of unknown origin (primary mesenteric venous thrombosis). We present a case of primary mesenteric venous thrombosis with a very good clinical evolution.
Subject(s)
Mesenteric Vascular Occlusion/diagnosis , Thrombosis/diagnosis , Adult , Emergencies , Female , Humans , Infarction/surgery , Jejunum/blood supply , Jejunum/surgery , Mesenteric Vascular Occlusion/surgery , Mesenteric Veins , Thrombosis/surgeryABSTRACT
The malignant carcinoid tumor generally shows a rapid clinical evolution, which can be accelerated even further by the complication at great vessels level, be it by compression or tumoral invasion of them. We had the opportunity to study 2 patients whose deaths were related to these complications: invasion of the inferior caval vein in its thoracic portion with development of Budd-Chiari syndrome of mediastinal carcinoid tumor and tumoral thrombosis of the spleen portal venous trunk in a bronchial carcinoid.
Subject(s)
Malignant Carcinoid Syndrome/complications , Portal Vein , Splenic Vein , Thrombosis/etiology , Vena Cava, Inferior , Adult , Budd-Chiari Syndrome/diagnosis , Budd-Chiari Syndrome/etiology , Female , Humans , Male , Malignant Carcinoid Syndrome/diagnosis , Middle Aged , Neoplasm Invasiveness , Neoplasm Metastasis , Neoplastic Cells, Circulating/pathology , Thrombosis/diagnosis , Vena Cava, Inferior/pathologyABSTRACT
Four patients affected with Behçet's disease were studied during the past year. Clinical manifestations were varied; besides the classical triad, they included axillary-subclavian thrombophlebitis, electrocardiographic changes, sacroillitis and polyarthritis. The HLA was determined in all patients and it was possible to demonstrate the relationship between HLA-B27 antigen and articular manifestations, HLA-B12 and urogenital ulcers and HLA-B5 with ocular lesions. Treatment with colchicine induced total remission within one month in all four patients, and was longer lasting than remissions which were either spontaneous or induced with other therapies. Pathogenic theories on which treatment was based are discussed.
