[Idiopathic pulmonary artery aneurysm: report of a case and review of the literature]. / Aneurisma idiopático de la arteria pulmonar. Presentación de un caso y revisión de la literatura.

Woman of 63 years old with essential arterial hypertensión, essential trembling and chronic venous insufficiency of inferior members; she came to the Internal Medicine outpatients department because of her chronic venous insufficiency, objectifying in the physical examination a systolic heart murmur II/VI in the left sternal border and many signs of chronic venous insufficiency in the inferior members. In the chest radiograph was found as an accidental finding, a properly delimited vascular image in the left upper mediastino, for this reason there were later realized diverse complementary examinations gradually more aggressive, that included a pulmonary angiography which revealed the presence of an aneurysmatic dilatation in the common and left pulmonary arteries. With these findings, the patient was undergoing a surgical operation, in which was realized a partial resection and folder to the common and left pulmonary arteries to reduce diameter to 2-3 centimetres, with a post-operative period without complications and staying without symptoms after the surgery.

Aneurisma idiopático de la arteria pulmonar. Presentación de un caso y revisión de la literatura / Idiopathic pulmonary artery aneurysm: report a case and review of the literature

Mujer de 63 años de edad con hipertensión arterial esencial, temblor esencial e insuficiencia venosa crónica en miembros inferiores; que acude a la Consulta Externa de Medicina Interna por su insuficiencia venosa crónica, objetivandose en la exploración física un soplo sistólico WVI en borde esternal izquierdo y signos de insuficiencia venosa crónica en miembros inferiores. En la radiografía de tórax se encontró como hallazgo casual, una imagen vascular bien delimitada a nivel del medias tino superior izquierdo, motivo por el que se realizaron posteriormente diversas exploraciones complementarias progresivamente más agresivas, que incluyeron una angiografía pulmonar, que reveló la presencia de una dilatación aneurismática de las arterias pulmonares común e izquierda. Con estos hallazgos, la paciente fue sometida a intervención quirúrgica, realizándose resección parcial y plicatura de las arterias pulmonares común e izquierda hasta reducir a un diámetro de 2-3 centímetros, con un postoperatorio sin complicaciones y permaneciendo asintomática tras la cirugía

Woman of 63 years old with essential arterial hypertensión, essential trembling and chronic venous insufficiency of inferior members; she carne to the Internal Medicine outpatients department because of her chronic venous insufficiency, objectifying in the physical examination a systolic heart murmur WVI in the left sternal border and many signs of chronic venous insufficiency in the inferior members. In the chest radiograph was found as an accidental finding, a properly delimited vascular image in the left upper mediastino, for this reason there were later realized diverse complementary examinations gradually more aggressive, that included a pulmonary angiography which revealed the presence of an aneurysmatic dilatation in the common and left pulmonary arteries. With these findings, the patient was undergoing a surgical operation, in which was realized a partial resection and folder to the common and left pulmonary arteries to reduce diameter to 2-3 centimetres, with a postoperative period without complications and staying without symptoms after the surgery

Tránsito digestivo

No disponible

Linfoma no Hodgkin pulmonar primario anaplásico de células grandes Ki-1 positivo. Estudio de un caso y revisión de la literatura / Primary pulmonary Ki-1 positive anaplastic large cells non-Hodgkin´s Lymphoma. Study of a case and review of the literature

Los linfomas no Hodgkin anaplásicos de células grandes Ki-l positivo son una entidad recientemente reconocida, poco frecuentes y caracterizados por la expresión del antígeno CD30. Su forma mas frecuente de presentación es la de adenopatías periféricas con afectación mediastínica, acompañada en aproximadamente la mitad de los casos de afectación extranodal, siendo la piel el lugar mas común; y siendo infrecuente que se presenten con afectación del pulmón, la médula ósea y el sistema nervioso central. Por tanto los linfomas no Hodgkin pulmonares primarios anaplásicos de células grandes Ki-l (+) son una entidad clínica rara. Se clasifican y clínicamente se comportan como linfomas de alto grado de malignidad, que en la mayoría de casos se encuentran en estadios clínicos avanzados en el momento del diagnóstico. Se presentan con mayor incidencia en gente joven, donde el pronóstico es mas favorable. Se describen las características clínicas, morfológicas e inmunofenotípicas de este tipo de linfomas (AU)

[Primary Ki-1 positive anaplastic large cell non-Hodgkin's lymphoma of the lung. A case study and review of the literature]. / Linfoma no Hodgkin pulmonar primario anaplásico de células grandes Ki-1 positivo. Estudio de un caso y revisión de la literatura.

Ki-l positive anaplastic large cell non-Hodgkin's lymphomas are a recently recognized entity, unusual and characterized by the expression of CD30 antigen. The most usual clinical feature is peripheral lymphadenopathy with mediastinal sparing and extranodal disease which occurs in approximately half of the cases, with the skin as the most common site; lung, bone marrow and central nervous system involvement are uncommon. Therefore primary pulmonary Ki-l positive anaplastic large cell non-Hodgkin's lymphomas are an uncommon clinical entity. Their classification and clinical behaviour look like high grade malignancy lymphomas, that in the most cases are presented in advanced stages disease to the diagnostic. They are presented with higher incidence in young people, where prognostic is more favourable. Clinical, morphologic and inmunophenotypic features of this lymphoma type are reported.

Tomografía axial computarizada torácica

No disponible

Incidence of type 1 (insulin-dependent) diabetes mellitus in subjects 0-14 years of age in the Comunidad of Madrid, Spain.

A retrospective, population-based registry was established in the Comunidad of Madrid, Spain (total population: 4,780,572; under age 15: 1,105,243) to investigate the epidemiology of Type 1 (insulin-dependent) diabetes mellitus. Included were all cases diagnosed with diabetes between 1985 and 1988, with age onset less than 15 years, and using insulin at discharge from hospital. Using the capture-recapture method employing hospital records as the primary source and membership files of the Spanish Diabetic Association as the secondary source, the ascertainment was 90%. The overall annual incidence was estimated to be 11.3/100,000 (Poison 95% confidence interval: 10.3-12.4). There was no temporal increase in incidence, nor was there a significant sex difference in incidence rates, either overall or by year. The seasonal onset pattern showed the highest incidence in winter (December-February) and lowest in summer (June-August) (r = 7.36, p less than 0.05). The age-adjusted (world standard) incidence of 10.9/100,000 was inconsistent with the hypothesis of a north-south gradient in diabetes risk.