ABSTRACT
The presence of enlarged cervical lymph nodes is a diagnostic challenge in disease of the head and neck. Lymph node enlargement may be secondary to local or general infectious disease, to non-infectious systemic disease, or to lymphatic metastasis of tumoral processes. Among the many infectious processes that originate cervical lymph nodes is tularemia. This disease is uncommon in Spain, but was unusually frequent in Castilla-León in the last months of 1997, with 136 cases diagnosed in our hospital, 13 accompanied by lymph node enlargement of the head and neck. This article shows that tularemia should be considered in the differential diagnosis of cervical lymph node enlargement in our region.
Subject(s)
Lymph Nodes , Tularemia/epidemiology , Aged , Aged, 80 and over , Catchment Area, Health , Diagnosis, Differential , Female , Humans , Male , Middle Aged , Neck , Spain/epidemiology , Tularemia/diagnosisABSTRACT
La presencia de adenopatías cervicales plantea un reto diagnóstico en la patología de cabeza y cuello. Estas pueden ser secundarias a procesos infecciosos locales o generales, a enfermedades sistémicas no infecciosas o deberse a la diseminación metastásica linfática de procesos tumorales. Entre los múltiples cuadros infecciosos que pueden desarrollar adenopatías cervicales se encuentra el de la Tularemia. Esta enfermedad, rara en nuestro medio, se ha presentado con inusitada incidencia en Castilla-León en los últimos meses de 1997, alcanzando los 136 casos diagnosticados en nuestro Hospital, de los cuales 13 desarrollaron adenopatías en la región de cabeza y cuello. El propósito de este artículo es presentar a la Turalemia como una enfermedad a tener en cuenta en el diagnóstico diferencial de las adenopatías cervicales en nuestro medio (AU)
The presence of enlarged cervical lymph nodes is a diagnostic challenge in disease of the head and neck. Lymph node enlargement may be secondary to local or general infectious disease, to non-infectious systemic disease, or to lymphatic metastasis of tumoral processes. Among the many infectious processes that originate cervical lymph nodes is tularemia. This disease is uncommon in Spain, but was unusually frequent in Castilla-León in the last months of 1997, with 136 cases diagnosed in our hospital, 13 accompanied by lymph node enlargement of the head and neck. This article shows that tularemia should be considered in the differential diagnosis of cervical lymph node enlargement in our region (AU)
Subject(s)
Middle Aged , Aged, 80 and over , Aged , Male , Female , Humans , Lymph Nodes , Tularemia/epidemiology , Spain , Neck , Diagnosis, Differential , Catchment Area, Health , Tularemia/diagnosisABSTRACT
Paralysis of the orbicularis oculi muscle in patients with facial palsy can originate serious functional and esthetic problems. The implantation of a gold weight in the upper eyelid is one of the many surgical techniques that have been described for the correction of lagophthalmos in these patients. In this article we review the literature and present our experience with gold weight implantation for eyelid reanimation in patients with facial palsy. This procedure is technically simple to perform, produces good functional and cosmetic results, has a relatively low complication rate and is reversible should facial function return.
Subject(s)
Blepharoptosis/etiology , Blepharoptosis/surgery , Facial Paralysis/complications , Gold , Adult , Aged , Female , Humans , Male , Middle Aged , Retrospective StudiesABSTRACT
A case of oral sarcoidosis involving the tongue and buccal region is reported in a 56-year-old woman. Intraoral presentations of sarcoidosis are uncommon, and sarcoidosis of the tongue is particularly rare. In this case the tongue lesion was asymptomatic, and unusual clinical behavior. In this article, we review the clinical manifestations, diagnostic procedures, differential diagnosis and treatments of oral sarcoidosis.
