Revista medica del Instituto Mexicano del Seguro Social最新文献_第7页

[Autoimmune blistering dermatosis as a paraneoplastic syndrome secondary to testicular cancer]. [继发于睾丸癌的副肿瘤综合征--自身免疫性大疱性皮肤病]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2024-07-01 DOI: 10.5281/zenodo.11397264

Edgar Martínez-Sánchez, José Omar Jiménez-Jacinto, Pedro Sebastián Vera-Rosales

{"title":"[Autoimmune blistering dermatosis as a paraneoplastic syndrome secondary to testicular cancer].","authors":"Edgar Martínez-Sánchez, José Omar Jiménez-Jacinto, Pedro Sebastián Vera-Rosales","doi":"10.5281/zenodo.11397264","DOIUrl":"10.5281/zenodo.11397264","url":null,"abstract":"Background: In this case report, the connection between autoimmune bullous dermatosis acting as a paraneoplastic syndrome and testicular cancer is highlighted.Clinical case: A 28-year-old man with no chronic-degenerative diseases or medication consumption presented with erythematous macules and blisters on the chest, spreading to the back and limbs. Physical examination revealed eyelid erythema, conjunctival injection, ulcers on the tongue and lips, and blisters that denuded 90% of the body surface. He was admitted to the intensive care unit, where he was diagnosed and treated as toxic epidermal necrolysis. He received immunosuppressive treatment, with symptomatic improvement and re-epithelialization of the skin lesions. In the internal medicine service, a malignant testicular tumor was identified, for which he underwent orchiectomy, with the histopathological result of seminoma.Conclusions: It is concluded that the dermatological manifestations were probably secondary to an autoimmune bullous dermatosis, given that the patient had no infectious processes or recent drug use, in addition to the recent diagnosis of germ cell tumor. Highlights of this clinical case include the simultaneous identification of bullous disease and neoplasia during the same hospitalization, supporting the correlation between both entities, as has been observed in previous cases.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":"62 4","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142640452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Lupus Cheilitis: a clinical case report]. [狼疮性唇炎：临床病例报告]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2024-07-01 DOI: 10.5281/zenodo.11397310

Silvia Mendez-Flores, Rebeca Palafox-Romo, Lilly Esquivel-Pedraza

{"title":"[Lupus Cheilitis: a clinical case report].","authors":"Silvia Mendez-Flores, Rebeca Palafox-Romo, Lilly Esquivel-Pedraza","doi":"10.5281/zenodo.11397310","DOIUrl":"10.5281/zenodo.11397310","url":null,"abstract":"Background: Generalized lupus erythematosus (LEG) is an autoimmune disease with cutaneous and mucosal manifestations, with lupus cheilitis (LC) being a rare associated oral presentation. The difficulty in early diagnosis of QL lies in its various clinical forms. Although successful treatments have been described, information on specific management is limited, highlighting the importance of early recognition to improve the prognosis and quality of life of patients.Clinical case: We describe the case of a 24-year-old woman with SLE of four years' duration, under treatment with prednisone. She presented a bilateral painful vermilion stomatosis, with extensive erosions and ulcerations covered by hematic crusts, showing no improvement despite previous topical treatments. Histopathological analysis revealed lymphoplasmacytic spongiotic stomatitis with eosinophils and lupus stomatitis associated with contact irritation. The dose of prednisone was adjusted, noting improvement after a month of treatment.Conclusion: Even though the oral mucosa is commonly affected in SLE, LC is uncommon. The clinical presentation of QL starts with macules on the lips, and eventually presents with edema and painful ulcers. The diagnosis is essentially clinical but challenging cases may require a pathology report. Management includes adjustment of corticosteroid doses and general measures; early diagnosis is crucial for an adequate treatment response.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":"62 4","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142640481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Monkeypox complicated with Fournier's gangrene: A case report]. [猴痘并发 Fournier 坏疽：病例报告]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2024-07-01 DOI: 10.5281/zenodo.11397366

Claudia Zaide García-Camacho, Jesús Manuel Rodríguez-Guzmán, Fátima Del Rosario Peralta-Dzib, Alis Del Carmen Cornelio-Presenda, David Alejandro Cabrera-Gaytán

引用次数: 0

[Detection of ionizing radiation in operating room and hospital areas]. [手术室和医院区域的电离辐射检测]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2024-07-01 DOI: 10.5281/zenodo.11396957

Alan Antonio Covarrubias-Rodríguez, Cosette Durán-Castillo, Manuel Ivan León-Madrid, Janet Alejandra Elías-Ángel, Martha Alicia Hernández-Gonzalez, Rafael Ángel Bonilla-Salcedo, Modesto Antonio Sosa-Aquino, Miguel Ángel Vallejo-Hernández

{"title":"[Detection of ionizing radiation in operating room and hospital areas].","authors":"Alan Antonio Covarrubias-Rodríguez, Cosette Durán-Castillo, Manuel Ivan León-Madrid, Janet Alejandra Elías-Ángel, Martha Alicia Hernández-Gonzalez, Rafael Ángel Bonilla-Salcedo, Modesto Antonio Sosa-Aquino, Miguel Ángel Vallejo-Hernández","doi":"10.5281/zenodo.11396957","DOIUrl":"https://doi.org/10.5281/zenodo.11396957","url":null,"abstract":"Background: The implementation of new medical techniques and technologies has increased occupational exposure to ionizing radiation and consequently the development of neoplasia and adverse effects on health personnel.Objective: Have real information on the absorbed dose by healthcare personnel exposed to ionizing radiation in an operating room.Material and methods: TLD 100 dosimeters were used to measure absorbed doses by brightness curves. 42 surgical interventions in different specialties were monitored, in each intervention a minimum of 4 dosimeters were used, with the objective of analyzing the dose based on the participation role of the individual within the operating room.Results: A database was created with the 42 monitored surgeries, for each one a minimum of 4 analyzed data were obtained (one for each participant in the surgical procedure, that is, one for each dosimeter). The highest absorbed dose was for the specialty of traumatology, followed by otorhinolaryngology, neurosurgery and finally ophthalmology.Conclusions: It was possible to use an adequate monitoring system to measure the dose of absorbed ionizing radiation during different surgical procedures. Based on the results, constant dosimetry follow-up monitoring of trauma specialty personnel is recommended.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":"62 4","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142635298","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Breast cancer: suspicious findings on mastography associated with the histopathological result]. [乳腺癌：与组织病理学结果相关的乳腺造影可疑结果]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2024-07-01 DOI: 10.5281/zenodo.11397045

Stephany Priscila Zambrano-Terrazas, Gloria Patricia Sosa-Bustamante, Alma Patricia González, Carlos Paque-Bautista, José Luis Felipe Luna-Anguiano, Roberto Molina-Rodríguez

{"title":"[Breast cancer: suspicious findings on mastography associated with the histopathological result].","authors":"Stephany Priscila Zambrano-Terrazas, Gloria Patricia Sosa-Bustamante, Alma Patricia González, Carlos Paque-Bautista, José Luis Felipe Luna-Anguiano, Roberto Molina-Rodríguez","doi":"10.5281/zenodo.11397045","DOIUrl":"10.5281/zenodo.11397045","url":null,"abstract":"Background: Breast cancer occupies first place in mortality by neoplasms in women in Mexico; mammography screening (MS) interpreted by BI-RADS (Breast Imaging-Reporting and Data System), allows suspicion of malignancy, which will be confirmed when having the histopathological result (HPR).Objective: o evaluate whether suspicious findings for breast cancer in MS are associated with malignant HPR in women aged ≥ 40 years.Material and methods: Observational, analytical, cross-sectional, prolective study. Patients aged ≥ 40 years, with MS with BI-RADS 4a, 4b, 4c and 5, and RHP of sample obtained by Trucut, excisional or ultrasound-guided biopsy were analyzed. Sociodemographic, anthropometric, clinical variables, BI-RADS classification and HPR variables were recorded.Results: 148 patients were included, median age 53 years; these were stratified into BI-RADS 4a, BI-RADS 4b, BI-RADS 4c and BI-RADS 5. Suspicious findings of malignancy due to MS were associated with HPR. MS BI-RADS 4c, palpable lesion and late menopause were identified as risk factors for malignant HPR; as well as MS BI-RADS 5 and palpable lesión.Conclusion: MS with suspicious findings of malignancy is associated with the malignant HPR obtained by biopsy.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":"62 4","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142635265","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Primary central nervous system lymphoma in immunocompetent patient: A case report]. [免疫功能正常患者的原发性中枢神经系统淋巴瘤：病例报告]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2024-07-01 DOI: 10.5281/zenodo.11397215

Diego Alejandro Garzón-Recalde, Elizabeth Rentería-Castillo, Carlos César Esparza-Ibarra

{"title":"[Primary central nervous system lymphoma in immunocompetent patient: A case report].","authors":"Diego Alejandro Garzón-Recalde, Elizabeth Rentería-Castillo, Carlos César Esparza-Ibarra","doi":"10.5281/zenodo.11397215","DOIUrl":"10.5281/zenodo.11397215","url":null,"abstract":"Introduction: Primary central nervous system lymphoma (PCNSL) is an extranodal lymphoid neoplasm that affects the brain, spinal cord, leptomeninges or the vitreous-retina space, without systemic involvement. It represents 3% of CNS tumors predominantly in the context of immunosuppression (HIV infection, post-transplant). The clinical presentation and radiological findings are highly variable, representing a diagnostic challenge especially in immunocompetent patients. Its prognosis is unfavorable despite the high response to initial treatment.Clinical case: 69-year-old man, hospitalized for upper motor neuron syndrome and intracranial hypertension. No abnormal laboratory studies were found and a contrast-enhanced tomography of the head revealed multiple contrast-enhancing lesions with vasogenic edema. Extension studies in search of a primary tumor were negative. MRI demonstrated lesions with characteristics consistent with lymphoma. A PET/CT with 18-fluorodeoxyglucose was performed, which ruled out systemic involvement, and a brain biopsy confirmed PCNSL with histopathologic features of a diffuse large B cell lymphoma. The patient was sent to the hemato-oncology department at a third level hospital for chemotherapy, he completed two cycles of high-dose methotrexate plus rituximab without response and fatal outcome.Conclusions: PCNSL is an aggressive, low-incidence, extranodal lymphoma, which should be considered in immunocompetent patients over 60 years old with multiple brain lesions, in order to initiate treatment in a timely manner.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":"62 4","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142640500","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Pott's disease, surgical case series and literature review]. [波特氏病，手术病例系列和文献综述]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2024-07-01 DOI: 10.5281/zenodo.11397264

Ana Laura Calderón-Garcidueñas, Marco Antonio Jiménez-López, Juan José Díaz-Vintimilla

引用次数: 0

[Inappropriate eating habits are associated with hypercholesterolemia in adolescents]. [不恰当的饮食习惯与青少年高胆固醇血症有关]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2024-07-01 DOI: 10.5281/zenodo.11397150

Miguel Ángel Hernández-Marroquín, Carlos Penney-Amador, Ivonne Analí Roy-García, Lubia Velázquez-López

{"title":"[Inappropriate eating habits are associated with hypercholesterolemia in adolescents].","authors":"Miguel Ángel Hernández-Marroquín, Carlos Penney-Amador, Ivonne Analí Roy-García, Lubia Velázquez-López","doi":"10.5281/zenodo.11397150","DOIUrl":"10.5281/zenodo.11397150","url":null,"abstract":"Background: Lifestyle changes in adolescents are characterized by a poor diet which means rich in fat and cholesterol, and it is associated with the development of dyslipidemia, which is considered one of the main risk factors for cardiovascular disease in adulthood.Objective: To identify the association between risk eating habits and the presence of dyslipidemia in adolescents at the primary health care level.Material and methods: Cross-sectional, analytical, and retrospective study, which included adolescents aged 10-17 years. Dyslipidemia was assessed by capillary blood sample (total cholesterol ≥ 200 mg/dL). To assess risk eating habits for dyslipidemia, the Risk Food Consumption Frequency Survey for Dyslipidaemias (EFCARD) was used. Nutritional status, central obesity, and acanthosis nigricans were evaluated.Results: Two thousand participants were included in the study, the prevalence of obesity was 16% and dyslipidemia was 11%, risk eating habits for dyslipidemia is present in 29% of the studied population. In multivariate analysis, inappropriate eating habits were associated with dyslipidemia, OR: 3.6 (CI 95%: 1.2 - 7.5). Obesity increased the risk, OR: 3.9 (CI 95%: 1.07 - 14.7), and the acanthosis nigricans with OR: 2.5 (CI95%: 0.8 - 8.3).Conclusions: Obesity and risk eating habits with high consumption of saturated fats, cholesterol and sugars were associated with dyslipidemia in adolescent population.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":"62 4","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142635325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Diaphragmatic excursion time index as a predictor of extubation in intensive therapy]. [膈肌运动时间指数作为重症治疗中拔管的预测指标]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2024-07-01 DOI: 10.5281/zenodo.11396976

Salvador Domínguez-Estrada, Edgar Bravo-Santibañez, Xóchitl Ramos-Ramos, José-Sergio López-Briones

{"title":"[Diaphragmatic excursion time index as a predictor of extubation in intensive therapy].","authors":"Salvador Domínguez-Estrada, Edgar Bravo-Santibañez, Xóchitl Ramos-Ramos, José-Sergio López-Briones","doi":"10.5281/zenodo.11396976","DOIUrl":"https://doi.org/10.5281/zenodo.11396976","url":null,"abstract":"Background: Extubation is a critical process in the ICU. Pulmonary USG has different applications, those that predict success in extubation, such as the diaphragmatic excursion time index (DEIT).Objective: To determine the diaphragmatic excursion time index is a predictor of the success of weaning off mechanical ventilation in patients in the intensive care unit.Material and methods: Diagnostic performance study in patients in the ICU and in the extubation protocol. Diaphragmatic measurement by USG, evaluating DEIT; cut-off point of 2.42 ± 1.55 cm/s. In the hypothesis test, a JI square was carried out between the two qualitative variables, in order to accept or reject H0, with a statistical significance of p < 0.05 to determine if there is dependence between the dependent and independent variables.Results: Total of 200 patients from the population, with successful extubation in 52.5% and extubation failure in 47.5%. Prognostic values of the DEIT were: S: 77.1% (68.2-84.1%), E: 56.8% (46.8-66.3%). ROC curve for ITED, AUC of 0.665 (0.58-0.74; p = 0.001). In secondary objectives, a correlation was made between ventilatory and demographic variables for successful extubation; with FvT (Rho: 0.680, p = 0.0001).Conclusions: The DEIT for withdrawal of mechanical ventilation has low sensitivity and specificity as a result of successful extubation. The finding that DEIT is not an adequate predictor determining the outcome of successful extubation.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":"62 4","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142635300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Changes in hypertensive control 2020-2021 in a family medicine unit]. [2020-2021年家庭医疗单位高血压控制的变化]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2024-07-01 DOI: 10.5281/zenodo.11397116

Daniel Tetetla-Castro, Guiomar de Jesús Cruz-Martín, Angélica Castro-Ríos

{"title":"[Changes in hypertensive control 2020-2021 in a family medicine unit].","authors":"Daniel Tetetla-Castro, Guiomar de Jesús Cruz-Martín, Angélica Castro-Ríos","doi":"10.5281/zenodo.11397116","DOIUrl":"10.5281/zenodo.11397116","url":null,"abstract":"Background: High blood pressure causes 9.4 million deaths worldwide annually (12.8% of total mortality). With the start of the COVID-19 pandemic and containment measures, the patterns of care for these patients changed.Objective: To evaluate the changes in hypertensive control of patients treated at UMF 18 of Tabasco before and after the appearance of COVID-19.Material and methods: Retrospective longitudinal observational study that included a random sample of 326 patients. Hypertensive control was evaluated in accordance with the current Clinical Practice Guideline. Information was collected on blood pressure, dyslipidemia, and glycated hemoglobin for diabetics, as well as other clinical variables and sociodemographic information. The proportion of patients who remained in hypertensive control, worsened or never remained in control was compared between the two periods. Associated factors were identified through multinomial regression analysis.Results: Before the pandemic, in 2020, 79.1% of patients had blood pressure levels under control, by 2021 it dropped to 50%. T2 diabetes comorbidity was the most important risk factor for lack of control, which after the appearance of COVID-19 almost doubled its effect.Conclusions: A decrease of 29.1% was recorded in compliance with hypertensive control. Groups with greater difficulty in achieving therapeutic goals were identified, highlighting the economically active population.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":"62 4","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142635290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0