ABSTRACT
Morphea and facial capillary malformations (port-wine stains) are distinct conditions that can affect the pediatric population. Early localized morphea mimicking a capillary malformation is an uncommon clinical presentation. We present two new cases of girls, aged 2 and 3 years, who presented with erythematous patches, initially diagnosed as capillary malformations, which were later diagnosed as morphea. We also performed a literature review, yielding 12 additional cases that underscore that the unusual presentation of morphea may delay correct diagnosis. Although early management of morphea reduces long-term sequelae, it is important to delay laser treatment for selected acquired vascular malformations, until the diagnosis of morphea is excluded.
Subject(s)
Musculoskeletal Abnormalities , Port-Wine Stain , Scleroderma, Localized , Vascular Malformations , Capillaries/abnormalities , Child , Female , Humans , Port-Wine Stain/diagnosis , Scleroderma, Localized/diagnosis , Scleroderma, Localized/epidemiology , Vascular Malformations/diagnosisABSTRACT
Dermoscopy of mycetoma has white structures as the predominant feature, while white scale and yellowish structures were also consistent in our findings with available literature.
Subject(s)
Dermoscopy , Mycetoma , Humans , Mycetoma/diagnostic imaging , ResearchABSTRACT
INTRODUCCIÓN: La Escala de Ansiedad y Depresión Hospitalaria (HADS) es un instrumento autoadministrable para pacientes ambulatorios cuyo comportamiento difiere según la población clínica a la que se aplica. En México no está validada en pacientes con enfermedad inflamatoria intestinal (EII). OBJETIVOS: Validar la HADS en la población mexicana con EII. MÉTODOS: Se incluyeron 112 pacientes del Instituto Nacional de Ciencias Médicas y Nutrición «Salvador Zubirán» con EII a los cuales se les aplicó la HADS y se valoraron algunas características demográficas y clínicas del padecimiento. Se realizó un análisis factorial exploratorio y obtención de la congruencia factorial para determinar la validez de constructo de la HADS y la confiabilidad se evaluó mediante el alfa de Cronbach. RESULTADOS: El resultado de la rotación varimax de los 14 ítems de la HADS explicó el 50,1% de la varianza, teniendo 2 factores principales. Diez ítems mostraron altas cargas factoriales para las dimensiones originalmente propuestas. La consistencia interna de la HADS fue alta (alfa=0,88) con altos valores en los coeficientes de congruencia. CONCLUSIONES: La HADS es un instrumento válido para detectar posibles casos de ansiedad y depresión en pacientes mexicanos con EII. La validación de este instrumento permite su utilización rutinaria para la evaluación integral del paciente y su referencia oportuna a salud mental
INTRODUCTION: The Hospital Anxiety and Depression Scale (HADS) is a self-administered instrument for outpatients, but its behaviour differs according to the clinical population to which it is applied. In Mexico it is not validated in patients with Inflammatory Bowel Disease (IBD). OBJECTIVES:To validate the HADS scale in the Mexican population with IBD. METHODS: 112 patients with IBD from the "Salvador Zubirán" National Institute of Medical Sciences and Nutrition were included, to whom the HADS was applied and some demographic and clinical characteristics of the disease were evaluated. An exploratory factor analysis was performed and factorial congruence was calculated to determine the construct validity of the HADS, while reliability was evaluated using Cronbach's alpha. RESULTS: The result of the varimax rotation of the 14 items of the HADS explained 50.1% of the variance, having two main factors. Ten items showed high factor loading for the dimensions originally proposed. The internal consistency of the HADS was high (alpha=0.88) with high values for the congruence coefficients. CONCLUSIONS: The HADS scale is a valid instrument to detect possible cases of Anxiety and Depression in Mexican patients with IBD. The validation of this instrument allows its routine use for the integral evaluation of the patient and their timely referral to mental health
Subject(s)
Humans , Male , Female , Adult , Middle Aged , Anxiety , Depression/diagnosis , Inflammatory Bowel Diseases/psychology , Psychiatric Status Rating Scales , Surveys and Questionnaires , Mexico , Factor Analysis, Statistical , Inflammatory Bowel Diseases/surgeryABSTRACT
INTRODUCTION: The Hospital Anxiety and Depression Scale (HADS) is a self-administered instrument for outpatients, but its behaviour differs according to the clinical population to which it is applied. In Mexico it is not validated in patients with Inflammatory Bowel Disease (IBD). OBJECTIVES: To validate the HADS scale in the Mexican population with IBD. METHODS: 112 patients with IBD from the "Salvador Zubirán" National Institute of Medical Sciences and Nutrition were included, to whom the HADS was applied and some demographic and clinical characteristics of the disease were evaluated. An exploratory factor analysis was performed and factorial congruence was calculated to determine the construct validity of the HADS, while reliability was evaluated using Cronbach's alpha. RESULTS: The result of the varimax rotation of the 14 items of the HADS explained 50.1% of the variance, having two main factors. Ten items showed high factor loading for the dimensions originally proposed. The internal consistency of the HADS was high (alpha=0.88) with high values for the congruence coefficients. CONCLUSIONS: The HADS scale is a valid instrument to detect possible cases of Anxiety and Depression in Mexican patients with IBD. The validation of this instrument allows its routine use for the integral evaluation of the patient and their timely referral to mental health.
Subject(s)
Anxiety/diagnosis , Depression/diagnosis , Inflammatory Bowel Diseases/psychology , Psychiatric Status Rating Scales , Surveys and Questionnaires , Adult , Factor Analysis, Statistical , Female , Humans , Inflammatory Bowel Diseases/surgery , Male , Mexico , Middle AgedABSTRACT
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