Hiperpigmentación zosteriforme y cribiforme progresiva / Progressive Cribriform and Zosteriform Hyperpigmentation

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Paciente con manos y pies en «tenaza de langosta»: síndrome ectrodactilia-displasia ectodérmica-fisura facial / Patient with 'Lobster Claw' Hands and Feet: Ectrodactyly-Ectodermal Dysplasia-Clefting Syndrome

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Úlceras en paciente con leucemia linfocítica crónica / Ulcers in a patient with chronic lymphocytic leukemia

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Study of the ITS region in an atypical isolate and comparison with six species of Microsporum.

Microsporum species are a frequent cause of cutaneous mycoses in humans. Atypical strains of Microsporum can sometimes be difficult to identify with conventional methods. Recently, we have obtained a Microsporum isolate with atypical morphology and special nutritional requirements (Microsporum CHUS-126-02). As several molecular techniques have been developed for the identification of fungi, we analysed six Microsporum species (M. canis, M. gypseum, M. gallinae, M. nanum, M. ferrugineum and M. persicolor) in order to compare them with our isolate, by using polymerase chain reaction-restriction enzyme analysis (PCR-REA). We studied the nucleotide sequence of the internal transcribed spacer regions from the nuclear DNA encoding for the ribosomal domain. Digestion with MvaI and EcoRI endonucleases obtained specific patterns for M. gypseum, M. gallinae, M. nanum and M. persicolor. Microsporum canis, M. ferrugineum and Microsporum CHUS-126-02 yielded the same patterns. Based on these results and phenotypic criteria, we classified our atypical isolate as M. canis.

Lesiones tumorales cutáneas múltiples en paciente con antecedente de mioma uterino / Multiple cutaneous tumor lesions in patient with background of uterine myoma

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Perianal ulceration: a case of tuberculosis cutis orificialis.

BACKGROUND: Tuberculosis cutis orificialis is an extremely rare variant of cutaneous tuberculosis. Perianal location is a possible site of presentation. METHODS: We describe the management of a young male with a painless non-specific perianal ulcer, who presented an asymptomatic disseminate pulmonary and intestinal tuberculosis. He had a history of pulmonary sarcoidosis and long-term corticosteroid therapy. RESULTS: Healing of the ulcer was achieved after three-drug antituberculous therapy, with an improvement of the radiographic pulmonary alterations. CONCLUSIONS: Tuberculous origin should be considered in persistent perianal ulcers to avoid delays in the treatment of this rare form of tuberculosis.

Fuentes de información y nivel de confianza en las fuentes de información sobre dieta sana en la población española, para facilitar la promoción de hábitos dietéticos sanos / Sources of information on healthy eating in a mediterranean country and the level of trust in them: a national sample in a pan-european survey

Objetivos: Determinar las fuentes de información y el nivel de confianza en las fuentes de información sobre dieta sana en la población española, para facilitar la promoción de hábitos dietéticos sanos. Pacientes y métodos: Análisis de una muestra representativa española de adultos mayores de 15 años compuesta por 1009 individuos y seleccionada por un procedimiento aleatorio multietápico. Este estudio corresponde a la participación española en un estudio europeo multicéntrico coordinado por el Instituto Europeo de Estudios Nutricionales (IEFS) de Dublín. Se preguntó a cada individuo por las fuentes de las que procedía su información sobre dieta sana y su nivel de confianza en ellas. Se analizaron las cinco fuentes más frecuentemente mencionadas. Resultados: La fuente de información más citada y de mayor confianza fueron los "profesionales sanitarios". Aproximadamente, el 26 por ciento de los encuestados mencionaron a los "profesionales sanitarios" como su fuente de información acerca de la dieta sana. Sin embargo, la "radio/TV" (25,7 por ciento) fue casi tan seleccionada como los "profesionales sanitarios". Alrededor del 17,4 por ciento de los individuos declaró que no obtenía información sobre dieta sana. Los individuos con nivel de estudios universitarios citó con mayor frecuencia a los "profesionales sanitarios", mientras que los sujetos de nivel socio-económico elevado prefirieron la "radio/TV". El grado de confianza fue mayor para los mensajes obtenidos de los "profesionales sanitarios" (89,9 por ciento) y del "Departamento de Sanidad" (78,7 por ciento) y menor en el caso de la información obtenida de los "periódicos" (34,2 por ciento) y de los "anuncios publicitarios" (17,6 por ciento).Conclusión: Los profesionales sanitarios deben promover las guías dietéticas a través de los canales ade cuados para lograr que lleguen a los diferentes grupos de individuos (AU)

Sources of information on healthy eating in a Mediterranean country and the level of trust in them: a national sample in a pan-European survey.

OBJECTIVE: To know the sources of information and the level of trust in these sources in a population to facilitate the promotion of healthy dietary habits. PATIENTS AND METHODS: A national survey was carried out according to an established protocol on a representative sample of 1009 Spanish subjects over 15 years of age selected by a random multietapic procedure. This study belongs to the Spanish partnership in a pan-European Survey about sources of information on healthy eating and their level of trust. The analysis was focussed on the evaluation of the 5 most frequently chosen sources. RESULTS: There was a trend towards a greater use and trust in "Health professionals" than other sources. Thus, about 26% of the respondents mentioning "health professionals" as the source of information on healthy eating. However, "TV/radio" (25.7%) was almost so often selected as "Health professionals". About 17.4% of subjects declared that they obtained no information at all on healthy eating. Subjects with university level of studies exhibited a greater mention of "Health professionals", while individuals belonging to higher socio-economic levels preferred "TV/radio". The degree of trust was higher for messages obtained from "Health professionals" (89.9%) and the "Department of Health" (78.7%) and lower for information obtained from "newspaper" (34.2%) and "advertising" (17.6%). CONCLUSION: Nutrition and health educators must promote dietary guidelines through the appropriate channels for communicating messages to different targets groups.

Stages of dietary change and nutrition attitudes in the Spanish population.

UNLABELLED: A national survey was developed in a representative sample of the Spanish population (15 years old and upwards). This study belongs to a partnership in a pan-European survey about stages of dietary change where subjects were classified into six different categories according to their readiness for dietary change: precontemplation (not considering any changes), contemplation (considering changes), decision (making plans to change), action (carrying out the changes), maintenance (maintaining changes for more than six months) and relapse stage (reverting back to eating less healthily). The main objective was to investigate the distribution of the different stages of change concerning dietary habits across strata of socio-demographic variables (sex, age, educational level, socioeconomic level). Also, this study was conducted to assess the relationships between stages of dietary change and the influences on food choice as well as the definitions used to describe healthy eating. The survey was carried out, according to an established protocol, on a representative sample of 1009 Spanish subjects selected by an at random multistage procedure. Subjects completed a face-to-face interview-assisted questionnaire. To ensure representativeness data were weighted by population size, by sex, age and regional distribution. The proportion of subjects in precontemplation (56.0%) and maintenance (28.3%) stages was substantially larger than in the other stages of dietary change. More males (59.7%) and subjects from the oldest age groups (65.8%) were classified as belonging to the precontemplation stage, while more females (30.2%) and subjects between 25-34 years of age (34.5%) were in the maintenance stage. 'Trying to eat healthy' as an influence on food choice was more frequently mentioned by those in the dynamic and maintenance stages, while a high percentage of subjects from the precontemplation and relapse stages (61.1%) agreed they did not need to make changes to their diets because their diet was already sufficiently healthy. A very high proportion of the Spanish adult population do not contemplate a change in their dietary habits. Intervention strategies in health promotion programs should be available for people at the various stages of change. It would be more effective to attempt to increase people's awareness and personal concerns about nutrition and health, before introducing action strategies. IMPLICATIONS FOR RESEARCH AND PRACTICE: The adult population can be classified into different stages of dietary change, so the stages of change model may be applied to future nutrition interventions. This approach will help to focus more accurately strategies of nutrition education.