Assuntos
Complicações do Diabetes/enzimologia , Diabetes Mellitus Tipo 1/enzimologia , Transaminases/sangue , Adolescente , Biópsia , Complicações do Diabetes/patologia , Diabetes Mellitus Tipo 1/patologia , Hemoglobinas Glicadas/análise , Doença de Depósito de Glicogênio/enzimologia , Doença de Depósito de Glicogênio/patologia , Humanos , Fígado/patologia , Testes de Função Hepática , MasculinoRESUMO
La evaluación y el ejercicio isocinéticos de la musculatura flexoextensora de la rodilla es sin duda una de las prácticas más habituales en el ámbito de la Fisioterapia para la recuperación funcional del deportista. Sin embargo son todavía muchas las inquietudes por satisfacer a la hora de responder e interpretar los resultados de semejantes evaluaciones.Este trabajo pretende exponer de forma sencilla las observaciones extraídas a partir de la experiencia clínica desarrollada con individuos sanos a fin de establecer una base sólida en el constante progreso de la isocinética. La descripción cualitativa del rendimiento muscular normal basada en las curvas isocinéticas nos permitirá determinar y a menudo justificar sus alteraciones a la hora de establecer programas de prevención y de reeducación muscular (AU)
Assuntos
Humanos , Esportes , Terapia por Exercício , Articulação do Joelho/fisiologia , Cinética , Tono Muscular/fisiologiaRESUMO
A high percentage of diagnosed cases of coeliac disease are oligosymptompatic. Various atypical manifestations such as hypertransaminasemia may guide diagnosis when the disease is suspected. We present two cases of coeliac disease, which were diagnosed on the basis of hypertransaminasemia of unknown origin. One of the patients lacked the gastrointestinal symptoms suggestive of disease. We also retrospectively review (January 1990-December 1998) all the cases of coeliac disease diagnosed in our center in order to establish the frequency of liver enzyme alterations in patients with coeliac disease and their evolution on a gluten-free diet. The importance of sprue suspicion in guiding diagnosis in patients with cryptogenic hypertransaminasemia is highlighted as is the need to rule out underlying liver disease in coeliac patients with persistent hypertransaminasemia after withdrawing gluten from the diet.
Assuntos
Doença Celíaca/diagnóstico , Transaminases/sangue , Adulto , Doença Celíaca/enzimologia , Doença Celíaca/terapia , Endoscopia do Sistema Digestório , Feminino , Seguimentos , Humanos , Masculino , Fatores de TempoRESUMO
We report a case of chronic calcifying pancreatitis and exocrine pancreatic deficiency in a patient with chronic renal failure under hemodialysis. We analyze the possible relationship between these two entities with special reference to the role of secondary hyperparathyroidism and extraosseous or metastatic calcification.
