[Eosinophilic esophagitis, a pathology on the rise]. / Esofagitis eosinofílica, una enfermedad en auge.

The eosinophilic esofagitis is a pathology that consists of an inflammatory condition of the esophagus, which is characterized for having a high percentage of eosinophils. It is a problem of allergic origin and his diagnosis is increasing in the population, especially in children and adult young persons, throughout last decade. The fisiopathology is not completely established nowadays. The diagnosis is confirmed with endoscopia and capture of biopsies. The differential diagnosis is necessary to be done with the disease for reflux gastroesofágico, gastroenteritis eosinofílica, by Crohn's disease, pathology of connective fabric, syndrome hipereosinofílico, infections and response of hypersensitivity to medicaments. Nowadays there is no a treatment that is definitive. We present a clinical case, which was valued initially for the consultation of Primary care.

[Use of a portable clinical record model in primary care for the follow-up of elderly people who live in different places]. / Uso de un modelo de historia clínica portátil en atención primaria para el seguimiento de los ancianos desplazados rotatorios.

OBJECTIVES: To evaluate the use of a portable clinical record (PCR) given to elderly patients for a one-year period. To describe the health status of these patients. DESIGN: Descriptive study. SETTING: Eleven primary care teams from zones 8 and 9 of the Madrid area. PATIENTS: 208 patients, more than 65 years old, living with their different sons and/or daughters for limited periods in an alternate fashion. MEASURES AND MAIN RESULTS: 44.7% of the patients were male. Their mean age was 84.2 years. On average, they lived in 3.5 different homes, staying for 2.5 months in each one and were assigned to 3.2 physicians. The mean number of drugs taken was 3.2 (3-3.5). They suffered from a mean number of 3.5 chronic diseases. Some degree of functional dependency was noted in 64.9% of patients and cognitive impairment was noted in 26.4% of patients. 138 valid PCR were retrieved after one year (66.3%). The mean number of follow-up visits was 3.9 visits per patient. 2 or less visits were recorded in 3 patients (38%). Visit recording significantly decreased during the evaluated year. CONCLUSIONS: This is an elderly population with an equivalent health status to other groups, but with a higher degree of functional dependency. The insufficient use of this PCR warrants some care about its generalization.