[Hyperthyroidism, jaundice, and pulmonary hypertension]. / Hipertiroidismo, ictericia e hipertensión pulmonar.

Although the most frequent cause associated to the alteration of hepatic function tests that some hyperthyroid patients show is concomitant heart insufficiency, some cases without heart insufficiency and normalisation of hepatic tests after normalising the thyroid function have been described. There is also some evidence of hyperthyroid patients with pulmonary arterial hypertension, with no clear cause, coming back later to normal figures or substantially descending, after the treatment for hyperthyroidism. We show the concrete case of a 66 years woman, who has a due to toxic multinodular goiter hyperthyroidism with jaundice and serious pulmonary hypertension associated, unexplainable by further causes, both regressing with normalisation of thyroid function with no evidence of associated autoimmune pathology. Following, the physiopathology explanations about this unusual association found in literature, are commented.

Hipertiroidismo, ictericia e hipertensión pulmonar / Hyperthyroidism, jaundice and pulmonary hypertension

Aunque la causa más frecuentemente asociada a la alteración de las pruebas de función hepática que presentan algunos pacientes hipertiroideos es la insuficiencia cardiaca concomitante, se han descrito casos sin insuficiencia cardiaca, con normalización de las pruebas hepáticas tras normalizar la función tiroidea.También hay evidencia de enfermos hipertiroideos con hipertensión arterial pulmonar sin causa clara, regresando ésta a cifras normales, o descendiendo substancialmente, tras el tratamiento del hipertiroidismo. Nosotros presentamos el caso de una mujer de 66 años con un hipertiroidismo debido a un bocio tóxico multinodular, con ictericia e hipertensión arterial pulmonar severa asociadas y no explicables por otras causas, regresando ambas con la normalización de la función tiroidea y sin evidencia de patología autoinmune asociada.Posteriormente se comentan las explicaciones fisiopatológicas encontradas en la literatura sobre esta inusual asociación. (AU)

Mieloma múltiple IgG lambda: derrame pleural mielomatoso, una rara forma de presentación / Multiple myeloma lambda IgG: myelomatous pleural effusion, an unusual presentation

No disponible

Microflora of the aerobic preservation of directly brined green olives from Hojiblanca cultivar.

New procedures for the preservation stage of ripe olives from Hojiblanca cultivar were studied. An aerobic fermentative process was used with initial pH correction (0.3% acetic acid) and various NaCl concentrations: 6, 3 and 0% (w/v) in tap water. Treatments were carried out at industrial level and the spontaneous changes monitored. At initial salt concentrations of 6 and 3% (w/v) NaCl, pH rose progressively, reaching 4.3 at equilibrium maintaining during this period a constant free lactic acidity of around 0.4% (w/v). When the initial solution was tap waste, however, the pH decreased rapidly to stabilize at about 3.7, and lactic acidity increased continuously to reach values over 1% (w/v) at the end of the preservation process. In all treatments aeration effectively purged the carbon dioxide from the preservation brines, preventing shrivelling of olives. The microbial growth was strongly influenced by the initial NaCl concentration. At 6 and 3%, only yeasts grew, the most abundant being Pichia membranaefaciens, P. vini, P. fermentans and Hansenula polymorpha. However, when there was no NaCl, lactic acid bacteria colonized the solution. Lactobacillus plantarum and Pediococcus inopinatus were the only species found. In this case there was a co-existence between yeasts and lactic acid bacteria. As the treatment that supported lactic acid bacteria achieved the best final pH and acidity for olive stability, it may help to overcome the obstacles to a lactic fermentative process during the preservation stage of ripe olives from the Hojiblanca cultivar.