RESUMO
We present the case of a 5-month-old girl, with consanguineous parents, who was born at 28 weeks of gestation and who showed intermittent signs of abdominal distension accompanied by increased regurgitation and vomiting after food intake. Significant biochemical alterations (reduced levels of triglicerides, cholesterol, and vitamin A and absence of apolipoprotein B and vitamin E) led to the diagnosis of homozygous hypobetalipoproteinemia, which was subsequently confirmed by genetic studies.
Assuntos
Hipobetalipoproteinemias/genética , Feminino , Humanos , Lactente , Masculino , Deficiência de Vitamina A/complicações , Deficiência de Vitamina E/complicaçõesRESUMO
OBJECTIVE: To establish what the most common complications are in the pregnancies of adolescent women in our environment. DESIGN: Retrospective study. SETTING: Pregnant women who had their children in the Ciudad de Jaén Maternity Centre. PATIENTS: Pregnant women who gave birth in our centre in 1991 and 1992. The study group was composed of 104 adolescents (under 19 years old) and the control group by 7,824 non-adolescent pregnant women during this same period. MEASUREMENTS AND MAIN RESULTS: The most common general complication is the threat of premature delivery, which was more common in pregnant women under 19 than in the control group (p < 0.001). There was no higher incidence among the adolescents of any other medical or obstetric pathology, including the frequency of Caesarean deliveries and neonatal morbidity/mortality. CONCLUSIONS: In our environment, the most common complication in adolescent pregnancies is the threat of premature birth. For other pathologies there are no differences from other women.