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Biomedical subjects

V Vargas

Publications and source records attributed to V Vargas.

At least 109 records · Page 6Linked to original sources

[Transitory IgM monoclonal gammopathy associated with brucellosis and tuberculosis (author's transl)].

Two cases of transitory IgM monoclonal gammopathy associated with infectious disease are presented. One patient was a 29 year-old woman with acute brucellosis; electrophoresis showed a homogeneous spike of slow gamma mobility constituted of IgM lambda. The second case was a 52 year-old male with milliary tuberculosis, in whom a homogenous spike of rapid gamma mobility constituted of IgM kappa was found. The monoclonal component disappeared in both cases after treatment of the infections; at 2 and 21/2 months respectively. The fact that the association of transitory IgM paraprotein and infection is not common, especially with brucellosis, is commented upon and a direct relationship between the infection and the monoclonal component is suggested.

Adult↗

[Histologic evolution of acute alcoholic hepatitis].

Although acute alcoholic hepatitis is a frequent disease with distinct histologic diagnosis, the prognostic factors of its evolution are largely unknown. The present report analyzes the data of 18 patients with acute alcoholic liver disease submitted to two liver biopsies with a mean interval of 35 months. The results demonstrate a favorable histologic evolution in six of seven patients that abandoned alcohol ingestion, and an evolution to chronic liver disease in the remaining case. Out of six patients with continuous alcohol ingestion the evolution was unfavorable in five, while one case evolved to healing. Centrilobular fibrosis disappeared in the six cases that discontinued alcohol ingestion and who had favorable evolution, and it persisted in four of the six patients that continued drinking. The results suggest that centrilobular fibrosis is not always an unfavorable prognostic marker, and that the evolution of acute alcoholic hepatitis is not exclusively dependent on the continuation of alcohol abuse.

Acute Disease↗

[Treatment of acute brucellosis with cotrimoxazole, doxicyclin and streptomycin. A comparative study (author's transl)].

Human brucellosis can be managed with different therapeutic measures. The present study compares the therapeutic efficacy of the classical treatment with streptomycin, doxicyclin and cotrimoxazole, every one of the treatment regimes being applied to 19 patients with acute brucellosis. The results do not demonstrate an advantage of the new association over the classical treatment. Relapses, time elapsed until the patient was afebrile and drug tolerance were similar for both treatments. The classical treatment has a lower cost but the new association implies more patient comfort because the number of pills to be ingested daily is reduced to less than half, a fact that could make it the treatment of choice.

Acute Disease↗

[Primary liver carcinoma and markers of virus of type B hepatitis (author's transl)].

Association of primary liver carcinoma with virus of type B hepatitis has been demonstrated around the world, especially in African and Asian countries where high titles for surface antigen of B hepatitis (HBsAg) have been found. Presence of viral markers of B hepatitis has been studied in a group of 34 patients with primary liver carcinoma, in 139 cirrhotic patients, and in 100 normal individuals. Positive titles of HBsAg or of antibodies against "core" antigen (anti-HBc) without evidence of antibodies against HBsAg (anti-HBs) were considered as positive markers for virus B infection. Percentages of positive markers in the series studied were as follows: 52% in the cases of primary liver carcinoma, 38% in the cirrhotic cases, and 5% in the control subjects. There is a significant difference in relation to the incidence of viral markers between patients with liver carcinoma and normal controls. A possible role of the virus of B hepatitis in the pathogenesis of primary liver carcinoma could be suggested on the basis of these results.

Carcinoma, Hepatocellular↗

Early pleural effusion in histiocytosis X.

Two cases of histiocytosis X, one of the disseminated form and the other localized to the lung, are reported, in which pleural effusion, probably due to pleural involvement as assessed by biopsy, was one of the initial manifestations of the disease.

Diagnosis, Differential↗