Tratamiento dental de un niño con síndrome de Angelman: a propósito de un caso / Dental treatment of a child with Angelman syndrome: a case report

El síndrome de Angelman (SA) es una enfermedad neurológica y genética rara. Las principales características son el retraso mental de severo a profundo, la ausencia de lenguaje, déficit de atención e hiperactividad, trastornos de movimiento con temblores y características dismórficas. Entre las manifestaciones orales se pueden encontrar diastemas, protrusión lingual, prognatismo, boca amplia, labio superior delgado, babeo, deglución atípica, y problemas de masticación. La literatura dental respecto al síndrome es escasa. El objetivo de este trabajo se basa en la presentación del caso de un niño con SA que fue atendido para su tratamiento dental en la Unidad de Salud Bucodental para Niños con discapacidad (USBD-D) del Servicio Madrileño de Salud (Sermas) (AU)

Angelman syndrome (AS) is a rare genetic neurological disease. The main features are delayed neuropsychological and intellectual development, the absence of language, attention deficit and hyperactivity, movement disorders and tremors with dysmorphic features. The main oral manifestations are diastemas, tongue thrusting, mandibular prognathism, wide mouth, thin upper lip, drooling, atypical swallowing, and chewing problems. The dental literature on the syndrome is rare. The aim of this work is based on the presentation of the case of an AS child who was treated for their dental treatment in the Unit of Oral Health for Children with Disabilities (USBD-D)of the Madrid Health Service (Sermas) (AU)

Enfermedades de la cavidad oral asociadas a diabetes mellitus tipo 1 / Oral illness in type 1 diabetes mellitus

Los diabéticos tipo I pueden presentar con frecuencia afectación de la cavidad oral. Un mejor conocimiento de estas patologías nos ayudará a su detección y manejo. El objetivo del presente artículo es describir la patología oral más frecuente en el diabético tipo 1. Las manifestaciones periodontales son las más frecuentes en el diabético tipo 1 como la gingivitis y periodontitis. Conclusiones: aunque no existen manifestaciones orales específicas de la diabetes mellitus tipo 1 en la cavidad oral, para el médico general, de familia y el pediatra puede ser importante su conocimiento por constituir un síntoma inicial en pacientes no diagnosticados previamente y ser indicadores de descompensación metabólica en enfermos ya diagnosticados (AU)

[The relationship of the compliance with medical drug treatment to social and functional factors and to the cognitive status of the elderly population seeking care]. / Relación de la adhesión al tratamiento médico farmacológico con factores sociales, funcionales y con el estado cognitivo en población demandante de edad avanzada.

OBJECTIVE: We try to relate the compliance to sociodemographic factors as well as with the cognitive, functional and sensorial status; and with characteristics of the medication to take. DESIGN: Descriptive, cross-sectional study with a month observational window. SITE: Our primary care health district. PATIENTS: We admitted elders who came to our primary care set, aged 70 or more, random-selected and stratified for age and sex. We exclude those who were travellers in our district and those included in home-care program. MEASUREMENTS AND RESULTS: We measured medication compliance using pill counts, in those medicines in regular regime for a month or more. We measured as compliance index a mean of the deviation of the different adherence index from one, scoring good adherence when that index was < or = 0.1. Non-compliance was mainly related to cognitive impairment (p = 0.0008). CONCLUSIONS: Patients with poor functional status are at high potential risk coming from polypharmacy. We need much medication control and compliance assessment in these patients.

[Extracorporeal lithotripsy: comparative study with magnetic resonance, ultrasonography, and nuclear medicine of short-term renal changes produced by piezoelectric and electrohydraulic equipment]. / Litotricia extracorpórea: estudio comparativo con resonancia magnética, ecografía y medicina nuclear de las alteraciones renales a corto plazo provocadas por equipos piezoeléctrico y electrohidráulico.

Ultrasound, Nuclear Magnetic Resonance (NMR) and Nuclear Medicine (NM) were used to evaluate short-term changes and renal complications (within the first 10 days) induced by extracorporeal lithotrity (ESWL) from two separate lithotripters. To this end, a consecutive prospective study with 18 randomly selected patients, all candidates to ESWL, was conducted. ESWL was performed using a piezoelectric lithotripter in 10 patients and an electrohydraulic equipment in 8 patients. Qualitative evaluation of images was done with ultrasound and NMR (changes in renal morphology: shape, cortico-medullary definition, size, changes in perirenal space), and with isotopic renogram (global renal function); while quantitative evaluation was done with NMR (measurement of signal intensity on cortex, marrow and muscle), and with isotopic renogram (semiquantitative assessment of unilateral renal function and renal excretory function). ESWL with piezoelectric and electrohydraulic lithotripter shows a low short-term complication rate: changes of cortico-medullary differentiation (ultrasound in 27.8% cases, NMR in 5.6%) and perirenal striations (NMR in 11%). No renal function changes were found. These observations have not been quantitatively corroborated; we have not found statistically significant differences between changes produced after ESWL either with piezoelectric or electrohydraulic lithotripters.

[Kidney pelvis calcification around a double-J ureteral catheter which was impossible to extract. Apropos of a case]. / Calcificación piélica en catéter ureteral doble-J que imposibilita su extracción. A propósito de un caso.

We present a case of pyelorenal calcification on double-J ureteral catheter, which made endoscopic extraction impossible. We review the literature and describe the incidence, methods of diagnosis and treatment of this complication, as well as the means used to avoid it.

Hemangioma of the kidney.

A case of hemangioma in the lower pole of the right kidney is reported. Relapsing hematuria and a urographic filling defect were the principal findings. A vascular mass of thick uniform vessels with rapid shunting of contrast medium into the vein was seen in arteriography. The histologic appearance was highly dilated vessels with well-framed walls. Lower heminephrectomy was successfully performed. The main features of this rare tumor are discussed.