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Biomedical subjects

A Martorell

Publications and source records attributed to A Martorell.

At least 37 records · Page 2Linked to original sources

Occlusive arterial disease as a form of presentation of homocystinuria.

Homocystinuria was first described in 1962. The disease affects several systems including the eyes, skeletal and nervous and vascular systems. We present the case of a 28-year old woman who presented with a severe occlusive arteriopathy. Screening for the most usual causes of arterial disease in young patients was negative, but a study of aminoaciduria and column chromatography confirmed the diagnosis of B6-responsive homocystinuria. Although it was necessary to amputate her left leg, the patient remains asymptomatic 16 months after B6 therapy was started.

Adult↗

[Heparin-induced hemorrhage in the treatment of venous thromboembolism].

Retrospective study about the frequency of hemorrhagic complications (258 patients) in the treatment of venous thrombosis and/o pulmonary embolism, with heparin. Heparin was intermittently administered by endovenous way and controlled during the ten first days. Mostly of the big hemorrhages happened between the seventh and the tenth day, in digestive and urinary system mainly.

Hemorrhage↗

[Compression of the iliac vein and occult neoplasm].

Three cases demonstrating the possible venous system compression by some neoplasias, feigning an nonexistent thrombosis, are presented. Author stands out the fitness of to investigate possible neoplasias in thrombosis without apparent causality.

Adult↗

Hydatid cyst fistula into the aorta.

A case is presented of fistula formation between a primary hydatid cyst and the abdominal aorta which we believe is the first in the world literature. The patient underwent surgery with a diagnosis of aneurysm of the coeliac trunk. During the operation the presence was discovered of a hydatid cyst opening into the aorta. It was dealt with by partial resection and closing of the communication. Three months later the patient was readmitted with a new bleeding episode which resulted in a fatal outcome.

Aorta, Abdominal↗

[Study of the bronchial provocation test with Alternaria in the diagnosis of childhood asthma: sensitivity, specificity, reproducibility].

The results of the cutaneous tests with fungus, and the repercussion of the fungal allergens in asthma via inhalatory route has been a controversial subject for many years. The lack of characterization, purification and standardization of the allergens make the results of the cutaneous tests highly variable. The diagnostic value of the bronchial provocation test (BPT) in asthma, associated with suspicious fungal hypersensitivity, correctly performed with adequate controls and concentrations of non-irritant fungal allergens has been emphasized by various authors. The motive of the present study to demonstrate, by means of the BPT with Alternaria, if the lung is the target organ of hypersensitivity demonstrated by cutaneous tests and RAST, comparing the obtained results by the Score of FOUCARD (fig. 1), with the result of the inhalatory test. The specificity and reproductibility of the BPT was likewise verified according to the employed allergen and its non-unspecific irritant concentrations to the airway. Twenty patients of both sexes, with ages ranging between 7 and 14 years, distributed in two groups, were studied and diagnosed as having bronchial asthma. Group I: Fourteen patients diagnosed with asthma, for hypersensitivity to Alternaria with Score of FOUCARD equal or greater than 5 (Table I). Group II: Control group composed of 6 patients with negative allergological findinds to Alternaria with bronchial hyperreactivity demonstrated in for cases by BPT positive against Dermatophagoides and in two cases with positive methacholine test (PC20 less than 8 mg./ml.). The inhalation of the allergen was performed following the described method by Cockcroft.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗

[Factors modifying late bronchial response in the bronchial provocation test in asthmatic children].

When the test of bronchial provocation with inhalant allergens is performed in atopic asthmatics, we may find an immediate response (IR), a late response (LR) or a dual response (IR-LR). The immediate response occurs between 10 to 30 minutes after the allergenic exposition and it is resolved spontaneously in about one to two hours. A proportion of these patients, estimated around 47-73% presented a LR. The LR is manifested 3 or 5 hours after the inhalation test, maximum at 6-12 hours and may persist until 24 hours. The late response serves as a clinical model of asthma because the bronchial response is more prolonged and severe than the immediate response. This is best controlled with corticosteroids while bronchial reversibility is difficult with sympathomimetics only, a fact commonly observed in the natural course of asthma. The early response was observed to be in relation with multiple factors more predictable than the late response. The object of this work was to evaluate if the LR was related with factors such as the degree of obstruction previous to the test, the intensity of immediate bronchial response and the maximum dose of inhaled allergen. The present study was performed in 34 children of both sexes with ages ranging between 6 and 14 years, diagnosed with bronchial asthma caused by Dermatophagoides (26 patients), and Alternaria (8 patients) through the score of Foucard with positive bronchial provocation test with the allergen. The BPT was performed according to the method described for Cockcroft, utilizing a continuous pressured nebulizer, inhaling for two minutes at current volume. We employed the De Villbis 646 model nebulizer with flow of air at 6 l/min and output at 0.13-0.16 ml/min. The inhaled concentrations of allergen progressively increased by ten fold, in Dermatophagoides 0.01; 0.1; 1 and 10 BU/ml, and for Alternaria 1/1,000,000, 1/100,000 and 1/10,000 P/V. Ten minutes after each dose a spirometric function with pneumoscreen Jaeger was performed. If the FEV1 was decreased by 20% from the control value, we considered the IR positive. The late response was evaluated through an hourly control of the peak respiratory flow rate (PEFR) with a Mini Wright within a 24 hours period after the test, respecting nocturnal sleep. We considered positive (LR) if PEFR fall was equal or superior to 40% of the basal value and the presence of bronchial symptoms.(ABSTRACT TRUNCATED AT 400 WORDS)

Adolescent↗