Bridge bronchus and pulmonary artery sling: Case report and literature review.

We present the case of a 14-year-old adolescent boy with a history of poorly controlled asthma and a final diagnosis of a bridge bronchus associated with sling of the left pulmonary artery. Regarding the case report, we describe the characteristic findings in computerized tomography multidetector of the thorax, its classification, and the most relevant information about this malformation. Congenital malformations of the tracheobronchial tree may occur in the context of asymptomatic or symptomatic respiratory patients. These malformations may be associated with other vascular, tracheal, and syndromes with multiorgan involvement. Although most patients are asymptomatic, some of them will have nonspecific symptoms without a clear etiology or will be diagnosed incidentally during the diagnostic evaluation of other pathologies. It is important to know and recognize the normal anatomy and its variations, since radiology undoubtedly plays a fundamental role in the diagnosis and preoperative assessment of these malformations, which although they have low incidence, must be identified in a timely manner by the specialist in diagnostic images.

Lesiones cutáneas en caddies de golf y tenis: Club Campestre / Skins lesions in golf and tennis's caddies: Campestre Club

Objetivo: Describir los tipos de lesiones cutáneas que presentan los caddies de golf y de tenis en el Club el Campestre en sus sedes de Medellín y Llanogrande y comparar la frecuencia y severidad de las mismas entre ambas poblaciones. Métodos: Se realizó un estudio observacional de corte analítico a partir de dos grupos poblacionales laboralmente expuestos. El estudio se realizó con 164 personas de sexo masculino laboralmente expuestos a luz solar, en los grupos de caddies de golf y tenis en la ciudad de Medellín y el municipio de Rionegro, a quienes se les aplicó la evaluación de tiempo - respuesta y se subdividieron de acuerdo a su localización geográfica. Resultados: Se encontró un total de 243 lesiones, de las cuales el mayor porcentaje fueron de tipo acneiforme, seguido de las solares, y posiblemente asociadas a la edad de la población de estudio. Conclusión: Debido a que la población en estudio está laboralmente expuesta a la luz solar por largos periodos de tiempo, se encontró una exacerbación de las lesiones acneiformes propias de la etapa de la adolescencia y, en segunda instancia, lesiones solares que reflejan un daño actínico prematuro, como resultado de la exposición continúa a la luz solar, el inadecuado uso de bloqueador solar y la falta de medios físicos de protección, lo cual hace necesario implementar medidas preventivas para evitar el desarrollo de futuras lesiones cancerosas.

Introduction: When sun exposure is chronic it produces actinic damage of the skin that predisposes to melanoma, basal cell carcinoma, squamous cell carcinoma and other skin lesions considered pre-malign. This study searchs for the association between time and exposure and the skin lesions present in a group of golf and tennis caddies from a private club in Medellin and Rionegro cities. Methods: It was made an observational study in two groups who have had chronic excessive exposure to UV light due to their work. In the study an evaluation of time/response variable had place and a subdivision according to the geographical location was done. The study was done in 164 male patients, chronically exposed to sun light, among groups of golf and tennis caddies in Medellin City and Rionegro. Results: It was found a total of 243 skin lesions of which the highest percentage where acneiform or acne-like eruptions followed by sun lesions lesions. It was found a predominance of acneiform eruptions in patients who used sunscreen within creased frequency. Conclusion: It was found an exacerbation of acneiform eruptions, lesions that are characteristic of the adolescence period. On the other hand sun lesions proof premature actinically damaged skin as a result of the continuous sun exposure, inadequate sunscreen use and the lack of physical protection methods. The latter shows the need to establish or improve preventive steps to avoid further progression of this kind of lesions that can potentiate the development of pre-cancers and skin cancers.