ABSTRACT
Mastitis obliterans is an uncommon and late manifestation of ductal ectasia. We report a case of a woman with a long-term type 2 diabetes, referred to us because of a palpable right breast mass. Mammography showed an asymmetry in the palpated area. Ultrasonography was consistent with a an irregular, hypoechoic mass with indistinct margins and linear tracts to the skin. The biopsy showed a fibrotic component surrounding dilated galactophore ducts, which were collapsed by an infiltrate of lymphocytes and histiocytes corresponding to mastitis obliterans. The differential diagnosis should be made between diabetic fibrous mastopathy, granulomatous mastitis and lobular carcinoma. In our opinion, the therapeutic approach should depend on the symptomatology and should be individualized for each patient owing to the lack of information on this pathology, adopting therefore a conservative attitude.
Subject(s)
Diabetes Mellitus, Type 2/complications , Mammary Glands, Human/pathology , Mastitis/etiology , Aged , Breast Diseases/complications , Diagnosis, Differential , Female , Humans , Mastitis/diagnosis , Mastitis/therapy , PalpationABSTRACT
OBJECTIVE: To find the proportion of the adult population that practice physical exercise habitually. DESIGN: An observational study of a crossover nature. SETTING: The counties of Alt Camp and Conca de Barberà (Tarragona). PATIENTS AND OTHER PARTICIPANTS: A two-stage random sampling (stratified by age, gender and type of town) was performed on the different municipal registers in the counties and a representative sample of 672 people between 15 and 90 was extracted. INTERVENTIONS: By means of a home interview, a questionnaire to determine whether the interviewees practiced regular physical exercise was filled out (physical activity carried out in their free time, three or more days per week). MEASUREMENTS AND MAIN RESULTS: The most notable finding was that 47.3% of the whole sample practiced physical exercise (49.5% of men and 45.3% of women, NS). The youngest (15 to 29) were those who did most physical exercise (58.7%): this was statistically significant in comparison with the other age groups (p < 0.01). CONCLUSIONS: The results are comparable to those recorded in other studies in our country and could also serve as an indicator for those population-groups with similar demographic, socio-economic and cultural characteristics to our own.
Subject(s)
Exercise , Habits , Adolescent , Adult , Aged , Aged, 80 and over , Female , Humans , Male , Middle Aged , SpainABSTRACT
OBJECTIVE: To quantify alcohol consumption in the town of Valls, differentiating working days from the week-ends, and to find the prevalence of excessive drinkers. DESIGN: Crossover observational study, with a population base. SETTING: Family and community medicine teaching centre of the Primary Care Clinic in Valls, a town with 20,004 inhabitants in the province of Tarragona. PARTICIPANTS: A random sample stratified by sex and age according to the municipal pattern (N = 327 people between 15 and 90). A home interview by the investigator, including a 24-hour record of alcohol consumption (discriminating between working days and the week-end). MEASUREMENTS AND MAIN RESULTS: Males consumed an average of 23 gr of alcohol per working day and 42.9 gr of alcohol per week-end day (86.5% increase). Women consumed an average of 5.1 gr of alcohol per working day and 18.1 gr per week-end day (255% increase). The proportion of excessive drinkers (more than 60 gr per day in men and 40 gr per day in women) was 12.4% of men and 4.8% of women on working days; and 32.3% of men and 19.9% of women on week-end days. Consumption was significantly related to gender and age groups. CONCLUSIONS: A notable increase in alcohol consumption at the weekend was noted. This is occurring most of all at the expense of the young, who apparently now regularly consume alcohol according to an Anglo-Saxon type pattern.
