Enfermedad de Scheuermann / Scheuermann's disease

Presentamos dos casos clínicos de dos pacientes diagnosticados después de una detenida anamnesis y exploración física completa, y con la ayuda de una simple radiología convencional, de enfermedad de Scheuermann. Habitualmente es un hallazgo casual, pues la mayoría de las veces son pacientes asintomáticos, pero, en estos dos casos es a raíz de un dolor dorsal-lumbar persistente, inicialmente atribuido a esfuerzo en el trabajo o a una mala postura, que al persistir les hace acudir al médico de familia. Inicialmente los hallazgos radiológicos consisten en irregularidades del margen superior de la mayoría o de todas las vértebras, esclerosis y formación de nódulos cartilaginosos en una proyección radiológica lateral. En los casos en los que las lesiones progresan, se observa que las vértebras adquieren forma de cuña, de tal manera que la cifosis dorsal normal aumenta a un grado patológico (AU)

We present two cases of two patients diagnosed Scheuermann's disease after a detailed anamnesis and complete physical examination, and with the help of a simple conventional radiology. This is usually a casual finding as most patients are often asymptomatic, but in both cases there was a persistent dorsal-lumbar pain initially attributed to work effort or poor posture, which made them go to the family doctor. Initially, the radiological findings are irregularities in the upper of most or all of the vertebrae, sclerosis and formation of cartilaginous nodules in a lateral x-ray projection. In some cases where the lesions are progressing, it is noted that the vertebrae become wedge-shaped, so that the normal dorsal kyphosis increases to a pathological level (AU)

Estás ictérico, ¿qué has comido? / You have jaundice. What did you eat?

La glucosa-6-fosfato deshidrogenasa (G6PD) es una enzima presente en los glóbulos rojos. La mayoría de las personas que presentan déficit de esta enzima se encontraran asintomáticas a lo largo de toda la vida. Pero si el paciente entra en contacto con alguno de los factores desencadenantes (habas, algunos antibióticos, infecciones) puede presentar una anemia hemolítica severa que debutará con icteria, astenia y coluria. El déficit de esta enzima es hereditario ligado al cromosoma X, así pues es transmitida por las madres portadoras a la mitad de sus hijos varones, las hijas que reciben el gen pueden verse afectadas o ser portadoras, siendo importante el consejo genético. Glucose-6-phosphate dehydrogenase (G6PD) is an enzyme present in red blood cells. Most people who have this enzyme deficiency were asymptomatic throughout life. But if a patient comes into contact with one of the triggers (beans, some antibiotics, infections) may present a severe hemolytic anemia with icteria debut, asthenia and coluria. The deficit of this enzyme is linked to hereditary X chromosome, so it is transmitted by mothers to half their sons, daughters who receive the gene may be affected or be carriers,being the important genetic counseling (AU)

Glucose-6-phosphate dehydrogenase (G6PD) is an enzyme present in red blood cells. Most people who have this enzyme deficiency have been asymptomatic throughout their life. However, when a patient comes into contact with one of the triggering factors (beans, some antibiotics, infections), they may present with severe hemolytic anemia that debuts with jaundice, asthenia and coluria. The deficiency of this enzyme is hereditary and is linked to the X chromosome. It is transmitted by mothers to half of their sons. The daughters who receive the gene may be affected or be carriers, so that genetic counseling is important (AU)