[Small cell carcinoma of the parotid gland. A case report]. / Carcinoma de células pequeñas de glándula parótida. A propósito de un caso.

A case of small-cell carcinoma (SCC) of the parotid gland in an 82-year-old woman is reported. SCC arising in major salivary glands are extremely rare. By immunohistochemical study, this case was classified as a small-cell carcinoma with neuroendocrine differentiation. These neoplasms seem to have a far better prognosis than those arising from the bronchial tree. Treatment is mainly local and regional surgery with complementary radiotherapy.

[Orbit complication of sinusitis. A report of 7 cases]. / Complicaciones orbitarias de las sinusitis. Estudio de siete casos.

Orbital complications of sinusitis were reviewed. Seven cases seen in a 6-year period from 1989 to 1994 were classified following Chandler. The pathogenesis, classification, diagnosis, and treatment of orbital complications, which are rare and steadily decreasing in frequency, are discussed. Because of its possible consequences, this complication should not be overlooked.

[Serous otitis media and allergy in our health district]. / Otitis media serosa y alergia en nuestra área sanitaria.

UNLABELLED: We studied the role of allergic diseases in patients with otitis media with effusion (OME). MATERIAL AND METHODS: The 40 patients diagnosed with OME in the Otorhinolaryngology Service in 2001 were referred to the Allergy Unit for evaluation. The patients were assessed through anamnesis, prick test and specific IgE determination for the allergens in our area. RESULTS: In 72 % of the patiens allergologic study was negative. One patient had perennial rhinitis with sensitization to house dust mites and another had seasonal rhinitis with sensitization to Gramineae pollen. Five patients showed high total IgE. Two patients had positive skin prick test and specific IgE to Gramineae pollen but were asymptomatic and a further two patients had negative anamnesis and specific IgE to Gramineae and olive pollen, respectively. CONCLUSION: Allergic disease does not cause OME except in some patients with allergic rhinitis.

["Doctor, the child does not eat": a motive for consultation]. / "Doctor, el niño no me come", como demanda de consulta.

OBJECTIVES: To find the incidence of "Doctor, the child's not eating" as a motive for requesting a consultation and to check whether there is an accompanying pathology and/or poor nutritional habits. DESIGN: Descriptive, crossover study. SETTING: Rural Health Centre, Santa Amalia (Badajoz). PARTICIPANTS: Family members with 148 children, attending on their own initiative and seeking care for "he/she's not eating" between August and October 1996. RESULTS: 148 of 1,244 consultations were for "he/she not eating" (incidence 11.89%). 52.02% of them were male. The age group which attended most was from 1 to 4 years old (48.64%), followed by 36 cases between 7 and 12 months (24.32%). We observed an accompanying pathology in 71 (41.98%), most frequently catarrh of the upper passages and urinary tract infection. CONCLUSIONS: The fact that one of every 12 consultations was because a child had lost his/her appetite had two main interpretations: it is a common occurrence which worries parents quite a lot; and many parents lack information about feeding their children, as to quantity and the ways of administering the food.