Subject(s)
Adrenal Gland Diseases/diagnosis , Hemorrhage/diagnosis , Ultrasonography , Follow-Up Studies , Humans , Infant, Newborn , MaleABSTRACT
Se hizo diagnostico de hemorragia suprarrenal neonatal (HSRN) en un recien nacido con el uso del utrasonido (Us) el cual mostro masa en el polo superior del rinon derecho, que lo desplazaba hacia abajo.Esta masa tenia una ecogenicidad aumentada, la cual fue disminuyendo hasta que se hizo patente la presencia de calcificaciones, tanto en las radiografias de control como en el ultrasonido, presentandose en este caso como uma area de menor tamano, libre de ecos con bordes de mayor ecogenicidad.Puesto que la conducta a seguir en estos casos es conservadora, el uso del Us como metodo no invasivo es importante, permitiendonos establecer el diagnostico en forma rapida y segura
Subject(s)
Infant, Newborn , Humans , Male , Adrenal Gland Diseases , Hemorrhage , UltrasonicsABSTRACT
Follow-up studies on 36 children, in whom celiac disease (gluten-sensitive enteropathy) was established by gluten challenge, were carried out after management on gluten-free diets for a mean of six years. Evaluations included measurement of height and weight, which for the group approximated normal distributions, and histologic examination of the duodenal or jejunal mucosa. Mucosal morphology was regarded as normal in 16, and there were minimal changes in 20. Epithelial cell height was within the normal range in all the children. Interepithelial lymphocytes were within normal range in the majority and lymphoid cells in the lamina propria were not different from those in control subjects. Mucosal lactase was significantly lower in patients than in control subjects in the duodenum and the jejunum, whereas sucrase and alkaline phosphatase values were significantly lower in the jejunum but not in the duodenum. Low content of mucosal lactase and increased numbers of interepithelial lymphocytes may be sensitive indicators of persisting ingestion of gluten in mucosa that is otherwise normal or approximately so in appearance.