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Copyright of Revista Española de Cirugía Oral y Maxilofacial is the property of Sociedad Espanola de Cirugia Oral y Maxilofacial (SECOM) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Celiac disease (CD) is an immune-mediated enteropathy with systemic compromise in genetically susceptible individuals, caused by an immune response to ingested gluten. The only therapy for CD is a gluten-free diet (GFD). A case of a 55-year-old woman who reported to the emergency room for early satiety, intolerance to legumes, abdominal distension, and chronic diarrhea, including paresthesias in the upper and lower limbs, was presented. In addition, she described a functional decline due to dyspnea and involuntary weight loss of approximately 20 kilograms in the last 2 years. An esophagogastroduodenoscopy with CD protocol was performed, along with serology for CD, which confirmed the initial diagnostic suspicion. Treatment with a gluten-free diet and nutritional supplementation was indicated, which yielded a significant improvement in the clinical picture. [ABSTRACT FROM AUTHOR]

Bile duct cysts are characterized by intrahepatic or extrahepatic bile duct dilation. It is a rare congenital pathology, diagnosed mainly in children. The clinical manifestation in adults is usually nonspecific but essential due to their increased risk of developing carcinoma. We present the case of a 37-year-old female patient who consulted for pain in the epigastrium radiating to the right hypochondrium, associated with emesis and choluria. The hepatobiliary ultrasound was normal, but due to the risk of choledocholithiasis, a magnetic resonance cholangiopancreatography was performed, revealing a cystic dilation of the proximal common bile duct of approximately 2 cm, classified as Todani type I. Bile duct cysts have been associated with several complications, and cholangiocarcinoma is the most important. The probability of malignancy is higher in adults and Todani type I cysts. [ABSTRACT FROM AUTHOR]

Copyright of Revista Médica de Risaralda is the property of Universidad Tecnologica de Pereira and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objectives: To describe the use of the B-Lynch suture in a case of postpartum hemorrhage of a woman with bicornuate uterus, and to carry out a review of the literature on PPH control strategies in patients with müllerian anomalies, maternal outcomes in terms of hemorrhage control, as well as early and late complications. Material and methods: Case report of a patient with bicornuate uterus who presented to a regional referral hospital with postpartum hemorrhage following a cesarean section, which was successfully controlled using the B-Lynch suture. A search was conducted in the PubMed, Embase, Medline, Google Scholar and LILACS databases. The MeSh terms used were: "Uterine Atony," "Postpartum Hemorrhage," "Immediate Postpartum Hemorrhage," "Bicornuate Uterus," "Müllerian Anomalies," "Müllerian Duct Abnormalities". Case reports and case series of patients with müllerian malformations and PPH not responding to initial pharmacological management in whom conservative surgical procedures were used to control bleeding were included. A narrative analysis of the findings was carried out based on study characteristics, techniques used and complications. Results: Five studies were selected, 4 case reports and 1 case series which included 12 women with uterine malformations who developed PPH and in whom surgical management (uterine compression sutures) or devices (intrauterine balloon) were used for hemorrhage control. Bleeding was successfully controlled in 11 cases, with hysterectomy required only in one case (8.3 %). No long-term complications were reported. Conclusions: The literature on PPH management in women with müllerian uterine malformations is limited to case reports in which either compression sutures or medical devices such as intrauterine balloons were used. The B-Lynch-type compression suture appears to be a good option for controlling PPH in these women in order to preserve fertility, with a low rate of complications. Further documentation of these types of cases is needed in order to build the evidence regarding the usefulness of this technique for controlling postpartum uterine bleeding in this population. [ABSTRACT FROM AUTHOR]

Copyright of Revista de la Facultad de Medicina Humana is the property of Instituto de Investigaciones en Ciencias Biomedicas de la Universidad Ricardo Palma and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Mexicana de Endocrinología, Metabolismo y Nutrición is the property of Publicidad Permanyer SLU and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista de Investigación en Salud VIVE is the property of Revista de Investigacion en Salud VIVE and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Argentinian Journal of Respiratory & Physical Therapy (AJRPT) is the property of Asociacion Civil Cientifica de Difusion y Promocion de la Kinesiologia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Avances en Odontoestomatologia is the property of Ediciones Avances SL and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introduction: Hereditary ichthyosis can be syndromic and non-syndromic, the latter, according to the cutaneous phenotypic expression, include common ichthyosis, X-linked recessive ichthyosis, autosomal recessive congenital ichthyosis, keratinopathic ichthyosis and other forms. Autosomal recessive congenital ichthyosis includes three main phenotypes: harlequin ichthyosis, lamellar ichthyosis, and congenital ichthyosiform erythroderma. We report a clinical case of recurrent lamellar ichthyosis in a family. Case Report: Preterm newborn, has a 6-year-old sister, diagnosed with lamellar ichthyosis. Mother denies consanguinity with husband, and relatives with this disease. At birth, it is observed covered with collodion membrane throughout the skin, ectropion and eclabio. The initial management was Vaseline gauze, artificial tears, wet gauze in the eyes. Currently baths with shower cream, Shampoo and mineral oil, moisturizing creams and lotions and Acitretin, is clearly improving. Conclusions: With the medical history and family history it is possible to diagnose lamellar ichthyosis. Management is multidisciplinary. [ABSTRACT FROM AUTHOR]

Introduction: Peripheral primitive neuroectodermal tumor of the kidney (PNETk) is a very aggressive rare disease that mainly affects young men. Case report: A 19-year-old male patient with symptoms of abdominal pain, hematuria and a palpable mass, the tomography shows a large left renal tumor. Conventional radical nephrectomy was performed and sent for pathology study plus histochemistry, resulting in PNETk. The patient then continued his oncology management for chemotherapy initially. Conclusion: The PNETk that we describe represents the first case reported in our country, it constitutes a unique clinical entity due to its rarity, being a challenge to make a diagnosis and its behavior and management is still based on case reports due to its infrequency. [ABSTRACT FROM AUTHOR]

Sepsis and septic shock are major health problems that affect millions of people worldwide and have a high lethality. The infection source control is one of the fundamental aspects to achieve success in treatment. Once sepsis is suspected as a syndrome, all tests should be performed to identify the primary site of origin and the necessary specialist teams should be used. The objective of this work is to transmit the experiences derived from the care of an infant whose diagnosis of septic shock was made retrospectively when chronic osteomyelitis of the distal end of the right femur was discovered as a primary source of undiagnosed infection. The patient was admitted to the pediatric intensive care unit with multi-organ dysfunction. The diagnosis initially focused on acute viral myocarditis, but four weeks later osteomyelitis was diagnosed with chronicity criteria. The retrospective analysis ruled out the previous diagnosis and suggested acute osteomyelitis as the cause for septic shock, a clinical picture that began in a hidden way, but which almost compromised the patient's life. In the presence of a suspicious case of sepsis, the presence of a source of infection should be exhaustively searched. Given its frequency, acute hematogenous osteomyelitis should be taken into account. [ABSTRACT FROM AUTHOR]

Copyright of Ginecología y Obstetricia de México is the property of Federacion Mexicana de Ginecologia y Obstetricia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Both gigantism and acromegaly can be due to excessive secretion of growth hormone by the anterior pituitary. When those affected are young, close to cartilage closure, signs and symptoms of gigantism and acromegaly appear. The case of a 20-year-old male patient treated in the Endocrinology Service of the Gustavo Aldereguia Lima Hospital in Cienfuegos with clinical manifestations of tall stature, acral growth and arterial hypertension is presented. An oral glucose tolerance test was performed that measured growth hormone and confirmed the excess of hormones. Gadolinium-enhanced MRI reported pituitary macroadenoma. It was diagnosed as acromegaloid gigantism due to a growth hormone-producing pituitary tumor. The macroadenoma was excised, with a favorable evolution. The importance of early diagnosis of this disease is indisputable, since it shortens life expectancy, increases global mortality not only due to hormonal hypersecretion, but also due to the mass effect of the tumor. [ABSTRACT FROM AUTHOR]

Copyright of Revista Ciencias de la Salud is the property of Colegio Mayor de Nuestra Senora del Rosario and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Archives of Dental Science / Arquivos em Odontologia is the property of Universidade Federal de Minas Gerais, Faculdade de Odontologia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Salud Bosque is the property of Universidad El Bosque and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Acromegaly is a clinical syndrome caused by excessive secretion of growth hormone that affects virtually all organs and tissues. It has a low incidence (30 to 60 cases per million inhabitants) and a high level of suspicion is required, which is why its diagnosis continues to be late despite the fact that patients physically initiate signs and symptoms between five and ten years prior to the diagnosis. A 57-years-old female patient treated at the Endocrinology Service of the Gustavo Aldereguia Lima Hospital in Cienfuegos with clinical manifestations of acral growth, hypertension and diabetes mellitus it is presented. She underwent an oral glucose tolerance test measuring growth hormone that confirmed hormonal excess, magnetic resonance imaging contrasted with gadolinium that reported pituitary macroadenoma. She was diagnosed as acromegaly from a growth hormone-producing pituitary tumor. The importance of early diagnosis is undoubted, since its association with comorbidities such as hypertension and diabetes is very important, which results in a decrease in hope and quality of life. [ABSTRACT FROM AUTHOR]

Paracoccidioidomycosis, the most prevalent systemic mycosis in Latin America. In children the most common clinical presentation is the juvenile or acute/subacute form, which mainly involves the lymph nodes and in a lesser proportion the gastrointestinal organs. We present the case of a 10-year-old patient, without comorbidities, who presented acute right iliac fossa pain; in addition to a history of 1 month of evolution of diarrhea, fever, weight loss, and hypereosinophilia. Was diagnosed of acute appendicitis due to systemic paracoccidioidomycosis, through histopathology of the cecal appendix and mesenteric lymph nodes. Although systemic paracoccidioidomycosis with involvement of the cecal appendix is rare, it should be considered as part of the differential diagnoses in children and young adults with generalized lymphadenomegaly from endemic areas. [ABSTRACT FROM AUTHOR]

Copyright of Avances en Enfermería is the property of Editorial Universidad Nacional de Colombia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Primary apocrine carcinoma of the sweat gland is a neoplasm with a very low incidence that may represent a clinical and histological diagnostic challenge, as well as for adequate local, adjuvant, and advanced disease management. The average age of patients is around 67 years with no gender preference. This cancer develops primarily at the axillary and scalp levels and is clinically characterized by slow growth, but can progress aggressively with local, nodal, and metastatic involvement (primarily lung, liver, and bone). The recommended management, once the histology is established, consists of a wide local resection with a clear margin of 1 to 2 cm and regional lymphadenectomy if clinically positive nodes are detected. The adjuvant treatment (radiotherapy or chemotherapy) and for the advanced disease is not established. We report here the cases of two female patients initially diagnosed with breast cancer who were finally diagnosed with apocrine carcinoma of the sweat gland. [ABSTRACT FROM AUTHOR]

Adult nesidioblastosis is rare, defined as changes in the endocrine pancreas characterized by abnormal proliferation of pancreatic islet cells, diffusely affecting the gland, and causing persistent hyperinsulinemic hypoglycemia in the absence of an insulinoma. A case of a patient who is admitted to the internal medicine service at the “Dr. Gustavo Aldereguía Lima” Cienfuegos Hospital with a hypoglycemic syndrome for study. A 6-hour oral glucose tolerance test was performed with hypoglycemia (1.9mmol / L) at hour 5. 72-hour fasting test: with hypoglycemia at 2 hours with a paradoxical response to insulin, Glycemia and Insulinemia with the symptom. In the multislice abdominal computerized axial tomography, no lesion in the pancreas was evidenced. A distal pancreatectomy of ± 85% of the gland is performed with splenic preservation. The pathology anatomy confirmed nesidioblastosis. Nesidioblastosis in adults is a very rare entity, but it should be taken into account as a differential diagnosis of insulinomas in the absence of an evident lesion in conventional imaging studies. [ABSTRACT FROM AUTHOR]

Copyright of Biomédica: Revista del Instituto Nacional de Salud is the property of Instituto Nacional de Salud of Colombia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introduction. Subgaleal hematomas are rare pathologies that usually arise and resolve spontaneously. In neonates they are associated with dystocia and in infants or older children with a history of trauma, even trivial, which may go unnoticed. There is a small group where there is no background of trauma or other factors such as blood dyscrasias, it is made up mainly of infants. The objective of this article is to show a case series of spontaneous subgaleal hematomas in infants, due to their infrequency, diagnostic difficulty, and differences according to neonatal type. Clinical cases. Four infants are presented, between 4 and 12 months of age, diagnosed with spontaneous subgaleal hematomas (not directly related to previous trauma), of different severity and treated in the emergency unit. They underwent a diagnostic test aimed at confirming the hematoma and ruling out associated coagulation disorders. All cases showed a self-limited clinical course without complications. Discussion. Spontaneous subgaleal hematomas in infants are usually benign, although it is vitally important to rule out blood dyscrasias. Within these, platelet disorders are not usually taken into account and should be studied. Its management is conservative and they will be reabsorbed on their own in a few weeks. Conclusions. The cause of subgaleal hematomas in young children should be established, and their possible spontaneous appearance or due to blood dyscrasias should be considered. [ABSTRACT FROM AUTHOR]

Dermatomyositis is one of the idiopathic inflammatory myopathies. The clinically amyopathic presentation comprises a special group of patients, whose clinical picture is characterized by the presence of typical skin lesions, minimal or absent muscle involvement, and an increased risk of interstitial lung disease. The clinical case of a 47-years-old male patient is presented, with marked weight loss, slight proximal muscle weakness, general discomfort, heliotrope erythema, eyelid and thoracic edema and functional dysphagia. During admission, several complementary tests were performed, including creatinphosphokinase, which was normal, a chest tomography with the presence of interstitial fibrosis, and a muscle biopsy compatible with the changes of an idiopathic inflammatory myopathy. During his evolution he developed spontaneous pneumomediastinum. As a result of the investigation, dermatomyositis was diagnosed, with pulmonary involvement. Because it is a rare entity with a high mortality that only decreases if powerful immunosuppressive treatment is started early and because in the case that the disease occurs it had not develop according to the classic forms described, it was decided to publish it. Currently the patient is under immunosuppressive treatment and in clinical evolution. [ABSTRACT FROM AUTHOR]

Exogenous pigmentation by silver nitrate is a rare disease whose clinical manifestations appear even years after the contact, making its diagnosis difficult on occasions. It is characterized by the presence of blue-gray macules or plaques on the skin or mucosa in the contact area, sometimes very similar to melanocytic lesions and melanoma, which constitute the main differential diagnosis. We report the case of a male patient from Medellín, Colombia, with a family history of melanoma and the presence of these lesions throughout his body. [ABSTRACT FROM AUTHOR]

Introduction: from January to November 2020, 1,510,023 cases of Covid-19 have been reported, the asymptomatic or mild symptomatic being a large part of the total. The execution of prescribed physical exercise shows efficacy in certain respiratory diseases thanks to its influence on elements related to the immune system, describing benefits in hospitalization and symptoms during the disease. Objective: the case exposes the development of an intervention through a multicomponent physical exercise program in a positive individual for Covid19 with mild symptoms. Case presentation: 23-year-old male, positive for Sars-Cov-2 infection with mild symptoms. Pre-post and during the intervention evaluation of clinical variables (heart rate, oxygen saturation, temperature and subjective perception of physical effort exerted) and those related to Sars-Cov-2 (active infection test and antibody seroprevalence test). Intervention through multicomponent physical activity of moderate intensity of approximately 30 minutes of duration. Results: after the intervention, stability was obtained in clinical variables, a positive result in an active infection test at 3 and 10 days and a positive result in anti-Sars-Cov-2 antibodies at 15 days after the onset of symptoms. Conclusion: the multicomponent physical activity program can be developed in a Covid19 positive patient without worsening of symptoms, being able to promote an earlier appearance of anti-Sars-Cov2 antibodies. [ABSTRACT FROM AUTHOR]

Foundation: portal vein aneurysms are uncommon, representing approximately the 3% of venous system aneurysms. Most portal vein aneurysms are detected in patients with healthy liver, although on some occasions portal hypertension could favor their development. The most common sites are the splenomesenteric venous confluence, the main portal vein and the branches of the intrahepatic portal vein at bifurcation sites. Objective: to present the case of a patient with a portal vein aneurysm. Case Presentation: A 49-years-old white female patient with a history of dyspeptic disorders, and sometimes pain in the right upper quadrant. Her physical examination was negative and the diagnostic impression from her attending physician was gallstones. During the ultrasound examination, an aneurysmal dilatation of the portal vein at the beginning of its intrahepatic path of 18 mm in diameter was found as a positive finding, being the rest of the examination negative Conclusions:. Due to the unusual nature of this case, it was decided to present it. [ABSTRACT FROM AUTHOR]

Introduction: Legionellosis is a bacterial respiratory disease with an environmental origin that can be community and hospital-acquired; usually associated with devices, facilities and buildings. The best known is the pneumonic clinical form "Legionnaires' disease". Objective: To determine legionellosis evolution case in Spain, between 2010- 2015. Materials and methodos: Descriptive study of time series in which cases of legionellosis notified to the National Center of Epidemiology (Government of Spain) were analyzed. Case distribution was determined according to sex, autonomous community, month and age groups. For the last one, both sexes, men and women were expressed. Results: Case count in men was more than double as women. The distribution in the autonomous communities presented an increase in notified cases at the end of the period (nine of them), being notable in Castilla y León, Navarra and the Basque Country; and very relevant in Castilla-La Mancha. A seasonal pattern was identified with an epidemic peak in July-September and a greater number of cases around 50 years of age (both sexes). Conclusion: Despite the low prevalence with respect to other respiratory diseases, legionellosis has a great impact on public health. It shows a global and heterogeneous distribution in Spain, with a cases increase in the last two years. Therefore, it's considered to continue with a better prevention and control of the disease. [ABSTRACT FROM AUTHOR]

Introduction: Neurological complications as a consequence of spinal anesthesia have been frequently reported due to its extensive use, which can cause toxic myelopathy. Case Presentation: A 26-years-old patient with a health history was admitted to the Freyre de Andrade Clinical Surgical Hospital 24 hours after surgery for hemorrhoids with spinal anesthesia (hyperbaric lidocaine). It begins with right palpebral ptosis and difficulty walking. She was discharged and two days later she was admitted with drowsiness and stiff neck with positive CSF and suspected meningoencephalitis. She evolves into a coma with no satisfactory response to antibiotics for 14 days. Cerebral edema, autonomic disorders, alternating hemiparesis, and flaccid paraplegia are noted. The antibiotic was withdrawn and she was treated with parenteral betamethasone for two months plus physiotherapy for 10 months. She had progressive improvement and almost total recovery. All serum and cerebrospinal fluid microbiological studies were normal. Discussion: Dissimilar neurological injuries have been reported by spinal anesthesia that include 3 syndromes: meningoencephalitis, cranial nerve injury and paraparesis (plegia). This case had 3 types of lesions plus cerebral edema. Conclusions: The association of the three syndromes is infrequent since we did not find the same case in databases. Resolution with betamethasone is a therapeutic aspect to consider in similar cases. [ABSTRACT FROM AUTHOR]

Acute Chagas disease (ACD) cases are reported sporadically in Peru. In this report we describe the clinical and epidemiological characteristics of eight new ACD cases detected by the surveillance system in the Amazon basin, between 2009 and 2016. The average age was 12,7 ±13.7 years, range between 1 to 44 years and 4/8 cases were men. One case was associated with acute diarrheal disease, another with Leptospirosis, and two with urinary tract infection. The global case fatality-rate was 12.5% (1/8). Late detection is a frequent characteristic related with low diagnostic suspicion in patients with a history of fever. The TcI and TcIV lineage was identified as the etiological agent of Chagas disease. Eight new cases of ACDs are reported, of which seven were children. [ABSTRACT FROM AUTHOR]

Axenfeld-Rieger syndrome is a very low prevalence disease of genetic origin that is accompanied by variable clinical manifestations with ocular and non-ocular involvement. For these reasons, it was decided to present the case of a 14-years-old patient with a family history (in this case her mother) of this disease, with a history of mild mental retardation, hearing loss and poor vision in both eyes that is accompanied by ocular alterations: malformations at the level of the anterior segment: pupil deformity, perilimbic whitish prominence corresponding to a posterior embryotoxon. He presents other non-ocular signs of involvement: mild craniofacial dysmorphism, hypertelorism, maxillary hypoplasia with flattening of the midface, prominent forehead, wide and flattened nasal bridge, as well as dental anomalies. He suffers from complications inherent to the evolution of the entity, such as secondary glaucoma, for which he was treated with triple therapy with ocular hypotensive agents, pending the response to treatment, and in the case of a torpid evolution, proceed to surgical treatment: trabeculectomy. [ABSTRACT FROM AUTHOR]

Copyright of Enfermería Nefrológica is the property of Sociedad Espanola de Enfermeria Nefrologica and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Complications are frequent in childhood segmental hemangiomas, so treatment of these lesions is necessary.Propranolol is currently the first line treatment in these cases. The case of a one-month-old infant with a segmental hemangioma of the face, diagnosed and treated at the Pediatric Hospital of Cienfuegos, is reported. He was given propranolol and showed almost complete lesion regression, maintaining the treatment for one year and any complication occurred. [ABSTRACT FROM AUTHOR]

Copyright of Biomédica: Revista del Instituto Nacional de Salud is the property of Instituto Nacional de Salud of Colombia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Biomédica: Revista del Instituto Nacional de Salud is the property of Instituto Nacional de Salud of Colombia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Biomédica: Revista del Instituto Nacional de Salud is the property of Instituto Nacional de Salud of Colombia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Epidermoid carcinoma is a malignant neoplasm of epidermal cells, reason for it only appears on the skin and mucous membranes; between 75-90% in head and neck. It is the second most frequent cutaneous neoplasm among those of the non-melanoma type, with a predominance of 2.1: 1 in the male-female ratio and the cancer that most often causes metastasis. This case presentation aims at describing the surgical technique of Esser's bilobed flap for resection of an epidermoid carcinoma located in the outer edge of the eye, a technique not indicated for this region of the face, but with which a satisfactory result was obtained in the treatment of this case, A 75-year-old white-skinned patient who attended the Maxillofacial Surgery Service of the General Hospital of Cienfuegos, referred by the Dermatology Service, due to the presence of an ulcerated lesion of approximately 5 cm. in diameter located in the mentioned region. It is concluded performing a bilobed flap for resection of the lesion was the ideal method to obtain favorable postoperative results, despite not being indicated for this location on the face. [ABSTRACT FROM AUTHOR]

Lipoma is one of the benign tumors which may appear in the oral cavity. The present work aims at describing the clinical case of a patient with a lipoma in the oral cavity with involvement of the chin nerve. The patient presented to the Maxillofacial Surgery Service of the University General Hospital Dr. Gustavo Aldereguía Lima, Cienfuegos, Cuba with an increase in volume in the left lower vestibular groove, with approximately two months of evolution. On oral examination, an increase in volume of approximately 2 cm in diameter was observed in this region at the level of 33 and 34 cm of hard, elastic consistency, mobile, not painful to palpation, of yellowish coloration, covered with normally colored mucosa. For these reasons it was decided to carry out study and surgical treatment. In the operation the association of the tumor with the inferior chin nerve was confirmed and its conservation was performed, with satisfactory clinical evolution, but with the complication of paresthesia in the left lower hemi lip [ABSTRACT FROM AUTHOR]

Copyright of Revista de Salud Pública is the property of Universidad Nacional de Colombia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Myotonic dystrophy type I or Steinert's disease is of autosomal dominant genetic origin. It is characterized by multisystemic alterations such as musculoskeletal, cardiac, ocular, and endocrine and the most manifest that are usually neurological. The diagnosis is established by clinical data, electromyography and genetic studies. So far the treatment is only symptomatic. The case of a family with Steinert's disease is presented, in which mother and son present the clinical and electromyographic manifestations of the disease. [ABSTRACT FROM AUTHOR]

Porphyria cutanea tarda (PCT) is a relatively common disease. It is the result of the functional deficiency of an enzyme called uroporphyrinogen decarboxylase. In patients on intermittent periodic hemodialysis, it is described a similar clinical situation called late cutaneous pseudoporphyria. The case of a patient in intermittent periodic hemodialysis for 5 years is presented. The patient has C virus liver disease that develops bullous lesions on the skin exposed to the sun, and had an adequate response to the indicated therapy (based on the restriction of iron use, in a more effective use of erythropoietin, periodic phlebotomies of low volume and protection from solar radiation). The lesions disappeared with the medical measures taken to improve the patient's quality of life. [ABSTRACT FROM AUTHOR]

Introduction: Family visits become a significant learning scenario for healthcare team members, being at the same time a social impact strategy when approached following social determinants of health as a contribution to primary healthcare. Objective: To analyze family visits from the approach of social determinants of health as a contribution to primary healthcare. Materials and Methods: The collective case study was carried out with 3 families and 13 members of the dispersed rural area of the municipality of Villamaría. Fieldwork was conducted between September 2017 and May 2018 using quantitative and qualitative methods. Family records were used as instruments with a focus on determinants and a guide to questions. Bardin's technique was used for the analysis. Results: Sociodemographic characteristics were identified where the most affected social determinants of health were described and interprofessional intervention and education were conducted based on the social determinants of health (43 activities), which influenced the risk reduction in those 3 families, placing them at medium risk. Discussion: It is underlined the role of nursing in the analysis of social determinants of health during family visits and the need to address the most affected ones. Conclusions: Family visits with a focus on social determinants of health allow understanding family dynamics in their context, taking into account family realities, history, lifestyles and opportunities for change and entrepreneurship of each of the families that are comprehensively accompanied. [ABSTRACT FROM AUTHOR]

Haemorrhagic bullous form of IgA vasculitis (IgAV), or Schönlein-Henoch purpura, is an unusual presentation of the disease in paediatric patients (<2%). Blistering eruptions can sometimes be very striking, leading to hospital admissions and administration of high-dose steroids and even immunosuppressants. Review of the literature, however, does not suggest that this clinical form carries a worse prognosis than the other forms of IgAV. In fact, the prognosis of the disease depends on the organic involvement. We present the case of a 5-year-old girl that is very representative. She developed palpable purpura and four days later the skin lesions evolved into blistering lesions. She did not receive any anti-inflammatory nor immunosuppressive treatment and the lesions spontaneously subsided within 14 days. She did not develop any extracutaneous nor systemic involvement. [ABSTRACT FROM AUTHOR]

The objective of this study is to present an uncommon case. The patient is treated in the neonatology service of the University Hospital "Martyrs of April 9", during the current year, with congenital tibia deficiency. This article is written with the purpose of updating knowledge about this medical condition and providing possibilities of treatment. [ABSTRACT FROM AUTHOR]

Facial fractures are rare in children, for that reason the case of a 10-year-old girl is presented. She is a mestizo, urban origin, with a history of health who after a fall of approximately 2.5 m in height, suffered a severe anterior and inferior anterior dentoalveolar trauma causing a dentoalveolar fracture in the anterior superior sector from 12 to 22, dislocation of 12, 11 and 22 and avulsion of 21 (which could be recovered at the site of the trauma) and dentoalveolar fracture in the anteroinferior sector from 32 to 42. The case was received at the emergency department of the Pediatric Hospital Paquito González Cueto University and attended in the Maxillofacial Surgery room. Surgical treatment for soft tissue wounds was performed by suturing, reducing and stabilizing the fracture in the anterior superior sector by means of Erich's splint and in the anteroinferior sector by means of osteosynthesis with wire in figure-eight. Twenty first was reimplanted and fixed to the splint by osteosynthesis with wire. Treatment with soft and liquid diet, analgesics, antibiotic therapy, thermotherapy and warm mouth rinse with saline solution was indicated. The splint was maintained for 21 days, managing to consolidate the fractures and 21 in its socket. It was possible to reimplant the avulsed tooth avoiding the aesthetic, functional and psychic consequences of trauma; the girl rejoined society. [ABSTRACT FROM AUTHOR]

Wernicke's encephalopathy is an acute and reversible neurological disorder due to thiamine deficiency. Chronic alcoholism was its cause in the past. Currently, there are many other conditions which favor this condition: prolonged intravenous feeding, hyperemesis gravidarum, anorexia nervosa, regional enteritis, malabsorption syndrome, hemodialysis, peritoneal dialysis, abdominal surgery and excessive vomiting. This last cause precisely led to the appearance of this pathology in a 31-year-old patient who went to the Provincial Hospital of Cienfuegos due to having repeated vomitings for more than a month, weight loss and abdominal pain, reason for which had a surgery where jejunal plastron secondary to microperforation was found. After recovery, she is admitted again 11 days later with ataxia, deviation of the right eye towards the nasal angle due to paralysis of the VI cranial nerve and mental confusion. Initially a Guillain Barré Syndrome is suspected but when performing a Skull Nuclear Magnetic Resonance, the presence of hypointense lesions leads to the diagnosis of Wernicke's Encephalopathy. [ABSTRACT FROM AUTHOR]