[Pulmonary thromboembolism in primary care]. / Tromboembolismo pulmonar en atención primaria.

The Primary Care physician must know the risk factors and to suspect the presence of a pulmonary thromboembolism (PTE) when there is a compatible clinical picture. We present two cases of a massive PTE in young healthy women in whom the taking of ethinylestradiol combined with cyproterone acetate was the only existing risk factor. We believe that the recommendations of the Spanish Medicines Agency should be followed and prescribe those contraceptives that have less than 30ug of ethinylestradiol and a second generation gestagen.

Tromboembolismo pulmonar en atención primaria / Pulmonary thromboembolism in primary care

El médico de atención primaria debe conocer los factores de riesgo y sospechar la presencia de una tromboembolismo pulmonar (TEP) ante un cuadro clínico compatible. Presentamos 2 casos de TEP masivos en mujeres jóvenes sanas en las que la toma de etilnilestradiol asociado a acetato de ciproterona era el único factor de riesgo existente. Creemos necesario atender a las recomendaciones de la Agencia Española del Medicamento y prescribir aquellos anticonceptivos que aporten menos de 30 μg de etinilestradiol y un gestágeno de segunda generación (AU)

The Primary Care physician must know the risk factors and to suspect the presence of a pulmonary thromboembolism (PTE) when there is a compatible clinical picture. We present two cases of a massive PTE in young healthy women in whom the taking of ethinylestradiol combined with cyproterone acetate was the only existing risk factor. We believe that the recommendations of the Spanish Medicines Agency should be followed and prescribe those contraceptives that have less than 30ug of ethinylestradiol and a second generation gestagen (AU)

Lipid status in a population of Spanish schoolchildren.

We assessed lipid status in a population of 181 schoolchildren and adolescents divided into three age groups: 6-7 years (n = 60), 10-12 years (n = 61) and 13-15 years (n = 60). All subjects were from the Mediterranean coastal area of Vélez-Málaga in southern Spain. Nutrient intakes and biochemical parameters related with lipid status [total cholesterol (TC), HDL-chol, LDL-chol, VLDL-chol and triglycerides (TG)] were measured. Boys and girls aged 6-7 years had the same plasma concentrations of TC and TG; these concentrations were slightly higher than the mean values for age and sex found in earlier studies in Spanish populations. The high TC values were due mainly to increased concentrations of LDL-chol. This age group also had the largest percentage of members (26.6% boys, 36.6% girls) with plasma TC above 200 mg/dl. Of the groups aged 10-12 years, more girls than boys had abnormally high plasma cholesterol (16.1 vs 10%), HDL-chol (6.5 vs 0%) and TG concentrations (6.5 vs 0%). However, more adolescent boys than adolescent girls (aged 13-15 years) had abnormally low plasma concentrations of HDL-chol (10 vs 3.3%).

Iron status in a population of Spanish schoolchildren.

Iron status was assessed in a population of 196 schoolchildren and adolescents divided into three age groups: 6-7 years (n = 60), 10-12 years (n = 63) and 13-15 years (n = 73). All subjects were from the Vélez-Málaga area (province of Málaga) in southern Spain. Nutrient intakes and biochemical parameters related with iron status (number of red cells, hematocrit, hemoglobin, serum iron concentration, total iron-binding capacity and transferrin saturation) were measured. The results showed a lack of correlation between the nutrient intake and biochemical findings. Food intake calculations suggested that adolescent girls between 13 and 15 years of age were at greatest risk for iron deficiency (intakes covered only 71.6% and 84% of the iron and folic acid RDAs, respectively), followed by 10-12 year old girls and 6-7 year old boys. However, groups in which iron deficiency was most frequent according to the biochemical data were 6-7 year old boys (10%), followed by 13-15 year old adolescent boys (2.9%).