RESUMEN
INTRODUCTION: Giant cell arteritis (GCA) is an inflammatory disease with serious visual sequelae, in which the diagnosis with the temporal artery biopsy (TAB) is very important. MATERIAL AND METHODS: All cases of GCA were collected from 2010 to 2016 (60) in a retrospective study with temporal artery biopsy performed. The vision aspects of these patients were also analysed, along with the need / predictability of the biopsy. RESULTS: The average incidence of GCA was 34.3 cases per 100,000 inhabitants/year in those older than 50 years. The mean age was 79.9 with a predilection for females (1.9: 1). TAB was requested in 100% of cases, with 18.3% with positive results. The AAR criteria and / or TAB calculator could have avoided most (90%) of the biopsies. CONCLUSIONS: In the present study, the mean incidence of GCA was 34.3 cases per 100,000 inhabitants/year older than 50 years. The predictability calculator described by González-López is useful in this environment for decision making on the diagnosis of GCA and the indication of a TAB, in such a way that it can help to reduce the performing of biopsies only in doubtful cases.
Asunto(s)
Arteritis de Células Gigantes/patología , Arterias Temporales/patología , Corticoesteroides/uso terapéutico , Anciano , Anciano de 80 o más Años , Biopsia , Infarto Cerebral/etiología , Femenino , Arteritis de Células Gigantes/complicaciones , Arteritis de Células Gigantes/diagnóstico , Arteritis de Células Gigantes/epidemiología , Humanos , Incidencia , Masculino , Persona de Mediana Edad , Oftalmoplejía/etiología , Neuropatía Óptica Isquémica/etiología , Estudios Retrospectivos , Distribución por Sexo , Trastornos de la Visión/etiologíaRESUMEN
INTRODUCTION: Intestinal perforation due to ingestion of a foreign body accounts for 21% of the total in our hospital. METHODS: All cases of intestinal perforation due to foreign body ingestion occurring since 1990 were collected (29 cases), and the visual characteristics of these patients were analysed. RESULTS AND DISCUSSION: The mean age was 74.2 years (all of them presbyopic) with the majority being female (1.9:1). The most frequently ingested foreign body was fish bone (55%). The corrected near visual acuity obtained a mean value of 0.73, while the real visual accuity (only one of them wore glasses to eat) was 0.145. Four patients (20%) had only one eye, and the TNO test was positive in only 12 (60%). At least 13 (65%) had some degree of cataract. CONCLUSIONS: Improving near visual acuity with either early cataract surgery and/or multifocal intraocular lenses may decrease the number of gastrointestinal perforations.