130 research outputs found

    Diagnóstico diferencial de las hemicraneas primarias

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    Desde la migraña y la cefalea en salvas, (Cluster headache) nuevas cefaleas aumentan desde 1990, el espectro de las cefaleas primarias de tipo hemicranea. Hemicranea Continua, Hemicranea Paroxística Crónica y episódica, “SUNCT” (cefalea súbita, neu- ralgiforme, unilateral con lagrimeo...), integran el grupo IV de la Clasificación de la “International Headache Society” de 2003/4. Características autonómicas tales como el lagri- meo, enrojecimiento ocular, rinorrea, en general son acompañantes de muchas de ellas, al punto que algunos autores las denominan “TAC ́S” (Trigeminal Autonomic Cephalalgias). Describiremos las características clínicas y sus diagnósticos diferencialesFil: Bonamico, Lucas. Fleni. Departamento de Neurología. Clínica del Dolor. Clínica de Cefaleas; Argentina

    Prevalence and clinical picture of celiac disease in Turner syndrome

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    Prevalence and clinical picture of celiac disease in Turner syndrome. Bonamico M1, Pasquino AM, Mariani P, Danesi HM, Culasso F, Mazzanti L, Petri A, Bona G; Italian Society Of Pediatric Gastroenterology Hepatology (SIGEP); Italian Study Group for Turner Syndrom (ISGTS). Author information 1Department of Pediatrics, University of Rome La Sapienza, 00161 Roma, Italy. Abstract A multicenter study of Turner syndrome (TS) patients was carried out to estimate the prevalence of celiac disease (CD) and to detect clinical characteristics and laboratory data of affected patients. Three hundred eighty-nine girls with TS were screened by IgA antigliadin antibodies and/or antiendomysial antibodies. Intestinal biopsy was offered to positive cases. CD was diagnosed in 25 patients. In celiac subjects, anemia, anorexia, and delayed growth (with respect to Italian TS curves) were frequently present; whereas distended abdomen, chronic diarrhea, constipation, and vomiting occurred more rarely. In addition, low serum iron levels, hemoglobinemia, and high values of aminotransferases were observed. Ten patients showed classic CD, 8 showed atypical symptoms, and 7 showed a silent CD. In 11 symptomatic patients, the diagnosis of CD was made at the onset of symptoms, whereas 7 of them showed a median delay of 79 months in diagnosis. Other autoimmune disorders were observed in 40% of the patients. Our study confirms the high prevalence (6.4%) of CD in a large series of TS patients. Moreover, the subclinical picture in 60% of the cases, the diagnostic delay, and the incidence of other autoimmune disorders suggest that routine screening of CD in TS is indicated

    Is-saħħar Manfre

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    Dr Ġwanni Cremona sab tagħrif mill-karti li ħalla l-kittieb Malti Bonamico, wieħed mill-ewlenin li kiteb bl-ilsien Malti u għaref tassew. Bonamico kien irnexxielu jiltaqa’ f’Pariġi ma’ Bjaġju Manfrè, magħruf bħala s-saħħar Malti.N/
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