Alopecia frontal fibrosante: una enfermedad en auge / Frontal fibrosing alopecia: a pathology on the rise

La alopecia frontal fibrosante (AFF) es un tipo de alopecia cicatricial cuya incidencia está aumentando de forma significativa en nuestro país. Se caracteriza por un retroceso en la línea de implantación del pelo a nivel frontotemporal que afecta mayoritariamente a mujeres postmenopaúsicas, con un impacto negativo en su calidad de vida. Se asocia a menopausia precoz en un 14% de los casos y a hipotiroidismo en un 15%. Con respecto al tratamiento, son los inhibidores de la 5α-reductasa, los fármacos que han demostrado mejoría de la enfermedad en un mayor número de casos. Presentamos un caso de AFF en una mujer de 77 años tratada con éxito con finasteride a dosis de 2,5mg/día (AU)

Frontal fibrosing alopecia (FFA) is a scarring alopecia whose incidence is increasing significantly in our country. It is characterized by loss of frontotemporal hairline that mostly affects postmenopausal women, with a negative impact on quality of life. It is associated with early menopause in 14% of cases and hypothyroidism in 15%. With regard to treatment, 5α-reductase inhibitors are the drugs that have shown improvement of the disease in a larger number of cases. We report a new case of FFA in a woman of 77 years successfully treated with finasteride at doses of 2.5mg daily (AU)

Síndrome de Parsonage Turner, a propósito de dos casos en atención primaria / Parsonage Turner syndrome. Based on two cases seen in Primary Care

Se revisan 2 casos de neuritis braquial aguda diagnosticados en el ámbito de la atención primaria con el apoyo de la consulta especializada (traumatología y neumología) para la solicitud de estudios complementarios como la RMN. Ambos casos debutaron con dolor intenso de pocos días de duración, al remitir el dolor aparece la debilidad en el hombro afecto. Los estudios electrofisiológicos realizados (electromiograma) demostraron denervación aguda del plexo braquial. La recuperación fue prácticamente completa en el plazo aproximado de 12 meses (AU)

Two cases of acute brachial neuritis diagnosed in primary care with the support of the specialized consultation (traumatology and pneumology) for the request of complementary studies such as nuclear magnetic resonance imaging (MRI) studies are reported. Both cases began with severe pain that disappeared after a few days. Following this, weakness appeared in the affected shoulder. The electrophysiological studies (electromyogram) showed acute denervation of the brachial plexus. Medical recovery was almost complete in both cases in approximately 12 months (AU)

[The health situation of the non-institutionalized elderly urban population of Castro Uridiales and the differentiating characteristics of those attending the health center frequently]. / Situación sanitaria de la población anciana urbana no institucionalizada de Castro Urdiales, y características diferenciadoras de los que más frecuentan el centro de salud.

OBJECTIVES: Main: to describe the health situation of the urban non-institutionalised population of 75 or over in Castro Urdiales. Secondary. To analyse the differences in the over-user group. DESIGN: Descriptive, crossover. SETTING: Primary Care Health Centre. PATIENTS: People in the urban area aged 75 or over and with the following inclusion criteria: not institutionalised, who had been at least 6 months in the town, and for whom there was data for locating them. Over-users: people in the upper third of attendance (9 or more consultations per year). MEASUREMENTS AND MAIN RESULTS: A "Comprehensive Geriatric Assessment" was performed, cognitive state (Pfeiffer) and social assessment. The over-user group functioned better, had a better cognitive state and consumed more medication. CONCLUSIONS: The results coincided with other studies in most of the items analysed. It is important to be aware of the worse functional and cognitive condition of the group which attended the Health Centre least. Sub-groups of the elderly still need to be studied.