[Optic neuritis, brain stem syndromes and myelitis: rapid conversion to multiple sclerosis].

Abstract:

BACKGROUND:To establish the early risk of multiple sclerosis (MS) following isolated demyelinating syndromes. PATIENTS AND METHOD:36 patients with optic neuritis, 24 with brainstem syndromes, 27 with spinal cord syndromes and 8 patients with a poliregional syndrome were included in a prospective protocol: including clinical data, immunological determinations, oligoclonal bands, visual, somestesic and brainstem evoked potentials and a magnetic resonance imaging (MRI) study. RESULTS:MRI showed the presence of signal abnormalities in 70% of the patients. The conversion rate (CR) was 18.5%. In patients with a normal MRI, CR was 4% compared to 26% in patients with an abnormal MRI (p = 0.05). CONCLUSIONS:The early conversion rate to MS is significantly increased when MRI is abnormal.

journal_name

Med Clin (Barc)

journal_title

Medicina clinica

authors

Tintoré M,Rovira A,Hernández D,Río J,Marzo ME,Montalban X

keywords:

subject

Has Abstract

pub_date

1999-05-22 00:00:00

pages

693-4

issue

18

eissn

0025-7753

issn

1578-8989

journal_volume

112

pub_type

杂志文章
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    doi:

    authors: Masdeu S,Nubiola AR,Masana L,Ras MR,Chacón P,Ramos F,Rubiés-Prat J

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  • [Global therapy of diabetic dyslipidemia: benefits and new therapeutic approaches].

    abstract::Diabetic dyslipidemia, characterized by the lipid triad (elevated plasma triglycerides, low HDL cholesterol and predominance of small, dense LDL particles), is a significant contributor to the elevated cardiovascular risk of type 2 diabetic patients. Statin monotherapy has shown, in different prospective trials, signi...

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    doi:10.1016/j.medcli.2009.10.010

    authors: Carmena R,Ascaso JF

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  • [Correlation between the Morris' index and pulmonary capillary pressure in patients with acute myocardial infarction].

    abstract::The authors study the usefulness of the measurement of the negative area of P in V1 (Morris' index) in patients with acute myocardial infarction. The study was carried out prospectively in 70 patients, 31 of them having a Swan-Ganz catheter inserted permitting simultaneous hemodynamic and electrocardiographic measurem...

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    doi:

    authors: Fiol Sala M,Abizanda Campos R,Orellana Mas J,Jaume Tomas G,Vallés J,García Moris S

    更新日期:1981-03-10 00:00:00

  • [Expanded newborn screening in the Region of Murcia, Spain. Three-years experience].

    abstract:BACKGROUND AND OBJECTIVE:The early detection of inborn errors of metabolism by mass spectrometry allows expanding the traditional neonatal screening of phenylketonuria and congenital hypothyroidism to test for aminoacidopathies, fatty acid oxidation disorders and organic acid metabolic disorders. Cystic fibrosis and bi...

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    doi:10.1016/j.medcli.2011.10.007

    authors: Juan-Fita MJ,Egea-Mellado JM,González-Gallego I,Moya-Quiles MR,Fernández-Sánchez A

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  • [Polycystic endodermal heterotopy of the atrioventricular node].

    abstract::We present the two first Spanish cases about the endodermic heterotopia of the atrioventricular node. This is an infrequent and probably congenital lesion, with a not well known histogenesis and associated with heart blocks and sudden death, which affects women in most cases. The first observation attaches a 55 years-...

    journal_title:Medicina clinica

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    doi:

    authors: Monzón Muñoz FJ,Aguilera Tapia B,Martínez-Peñuela Virseda JM,Oliva Aldamiz H

    更新日期:1995-02-25 00:00:00

  • [Spanish scientific production in biomedicine and health. A study via the Science Citation Index (1986-1989)].

    abstract:BACKGROUND:There is no detailed information on the scientific production in biomedicine from the perspective of the centers which make up the National Health Care System. Nor has any analysis on productivity by specialties compared with that of other countries of the European Community (EC) been carried out. METHODS:T...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:

    authors: Camí J,Fernández MT,Gómez Caridad I

    更新日期:1993-12-04 00:00:00

  • [Admissions service].

    abstract::In the present article we describe the activity of the admissions service on the day of the terrorist attacks, 11 March, 2004. Firstly, we try to describe the objectives and lines of intervention that we believe should be covered by our service. Subsequently, we describe how we organized ourselves into teams in order ...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:10.1157/13072650

    authors: Vicario D,Oria M,Hernández Sampelayo A,Quintanilla M

    更新日期:2005-03-01 00:00:00

  • [Swelling of the bronchial mucose and quickness of onset in acute asthma].

    abstract:BACKGROUND AND OBJECTIVE:The plasma protein leakage produced in the bronchial mucose of patients with acute asthma might be associated to the quickness of the onset exacerbation. The aim of this study was to study this association. PATIENTS AND METHOD:22 patients with acute asthma were recruited, and the magnitude of ...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:10.1157/13093055

    authors: Bellido-Casado J,Plaza V,Belda J,Martínez-Brú C,Torrejón M,Sanchis J

    更新日期:2006-09-30 00:00:00

  • [Chronic fatigue syndrome associated with Epstein-Barr virus infection].

    abstract::Epstein-Barr virus (EBV) infection is ubiquitous and may result in multiple and widely different clinical features; the most common of these is infectious mononucleosis (IM). Recently, a group of patients has been included in the chronic EBV infection syndrome (EBVIS), with a sustained nonspecific syndrome consisting ...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:

    authors: Parras F,Salvá F,Reina J,Gil J,Portela D,Alomar P

    更新日期:1989-04-29 00:00:00

  • [antineutrophil cytoplasmic autoantibodies in inflammatory bowel disease].

    abstract:BACKGROUND:The aim of the present study was to determine the prevalence and diagnostic usefulness of antineutrophil cytoplasmic antibodies (ANCA) in a Spanish population of patients with inflammatory bowel disease from the province of Tarragona. PATIENTS AND METHODS:One hundred and fifty-six sera obtained from 116 pat...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:

    authors: Papo M,Quer JC,Pastor RM,García-Pardo G,Olona M,Prats E,Mirapeix E,Rodríguez R,Richart C

    更新日期:1998-01-17 00:00:00

  • Sporadic inclusion body myositis: Diagnostic value of p62 immunostaining.

    abstract:BACKGROUND AND OBJECTIVES:Sporadic inclusion body myositis (sIBM) diagnosis is frequently delayed or confused with another class of disorders, and misdiagnosis is common. Sometimes, we have problems diagnosing an sIBM in the early stages or predicting when a PM is going to become an sIBM. In this sense, we believe that...

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    pub_type: 杂志文章

    doi:10.1016/j.medcli.2019.04.022

    authors: Milisenda JC,García AM,Jou C,Pinal-Fernandez I,O'Callaghan AS,Grau JM

    更新日期:2019-12-13 00:00:00

  • [Direct genotypic analysis of myotonic dystrophy: detection of an unstable DNA fragment in carriers].

    abstract:BACKGROUND:Myotonic dystrophy (DM) is an inherited autosomal dominant disorder. The molecular defect responsible for the disease is the expansion of a CTG triplet at the 3' end of the DM gene. We report the analysis of the gene expansion, its correlation with the clinical severity and with the phenomenon of anticipatio...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:

    authors: Cobo AM,Martorell L,López de Munain A,Basauri B,Martínez JM,Johnson K,Baiget M

    更新日期:1993-03-13 00:00:00

  • [New approaches for the treatment of dyslipidemia].

    abstract::Reduction in the risk of cardiovascular complications through modification of lipids is currently focused on lowering low density lipoproteins-cholesterol, with statins being the preferred drugs. New agents, under research, such as antibodies neutralizing PCSK9, will have a special place for the management of patients...

    journal_title:Medicina clinica

    pub_type: 杂志文章,评审

    doi:10.1016/j.medcli.2013.04.026

    authors: Mostaza JM,Lahoz C

    更新日期:2014-04-07 00:00:00

  • [Heart rate and isolated clinical tachycardia in hypertensive patients].

    abstract:BACKGROUND:There is poor information for isolated clinical tachycardia (ICT), that is to say, office tachycardia but normal ambulatory heart rate (HR). Our objective was to describe it and to know differences between hypertensive subjects with and without ICT. PATIENTS AND METHOD:Comparative study after a diagnostic i...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:10.1016/s0025-7753(00)71627-7

    authors: Vinyoles E,de la Figuera M,Bosom M,González C,Moreno N,Pacheco V

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  • [Immunoscintigraphy with monoclonal antibody Tc99m BW 431/26 in the diagnosis of colorectal carcinoma].

    abstract:BACKGROUND:The use of monoclonal antibodies against tumoral antigens marked with radioactive isotopes is the basis of immunoscintigraphy. The specificity of the technique is high owing to its intrinsic characteristics. METHODS:40 patients with colorectal cancer who were awaiting surgery were evaluated by immunoscintig...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:

    authors: Muxí A,Bassa P,Moragas M,Fernández R,Pons F,Setoaín J

    更新日期:1991-03-02 00:00:00

  • [Pneumology residents trained in Catalonia (1989-1993)].

    abstract:BACKGROUND:The aim of this study was to analyze the outcome of the latest groups of pneumologists trained in hospitals in Catalonia, Spain, and to compare these results with international estimate rates on the need for pneumologists. METHODS:Information was collected by a self-administered closed response questionnair...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:

    authors: Rosell A,Miravitlles M,Roger N,Jolis R,Llunell A,Morell F

    更新日期:1996-05-04 00:00:00

  • [Evidence for treating hypertension in stroke prevention].

    abstract::Hypertension represents a relative risk of stroke up to 5 times. It is associated to ischaemic and haemorrhagic stroke. Hypertension produces an increase in brain vessels resistance and loss of the physiological mechanism of autoregulation, and it can be measured with transcranial doppler. Clinical trials have establi...

    journal_title:Medicina clinica

    pub_type: 杂志文章,评审

    doi:10.1157/13094428

    authors: Serna Candel C,Moreno Pérez O,Moltó Jordà JM

    更新日期:2006-10-28 00:00:00

  • [A pancreatic pseudotumour of tuberculous etiology].

    abstract:BACKGROUND:To review the clinical findings of pancreatic tuberculosis and to establish a differential diagnosis with pancreatic tumours. PATIENTS AND METHODS:To describe three cases of pancreatic tuberculosis diagnosed in a 850 bed teaching hospital during the last two years. RESULTS:In the three case the imaging pro...

    journal_title:Medicina clinica

    pub_type: 杂志文章,评审

    doi:10.1016/s0025-7753(00)71592-2

    authors: Martínez-Valle F,Capdevila JA,Ribera E,Pigrau C,Pahissa A

    更新日期:2000-10-14 00:00:00

  • Left endocarditis, changes in the new millennium.

    abstract:INTRODUCTION:a description of infective left endocarditis at the turn of the millennium. METHOD:A multicentre prospective study into the left endocarditis using data collected from the Andalusian cohort for the study of cardiovascular infections during 1984-2014. RESULTS:Of the 1,604 endocarditis cases collected, 382...

    journal_title:Medicina clinica

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.medcli.2018.04.018

    authors: Noureddine-López M,de la Torre-Lima J,Ruiz-Morales J,Gálvez-Acebal J,Hidalgo-Tenorio C,de Alarcón González CA,por el Grupo para el Estudio de las Infecciones Cardiovasculares de la Sociedad Andaluza de Enfermedades Infecciosas (SAEI).

    更新日期:2019-07-19 00:00:00

  • [Seroprevalence of Lyme disease in Navarra, Spain].

    abstract:BACKGROUND AND OBJECTIVE:To establish the seroprevalence of infection by Borrelia burgdorferi in Navarre (Spain). PATIENTS AND METHOD:Serum samples of 1,429 individuals considered representative of the population of Navarre were analyzed. The individuals were recruited from a list issued by the government of Navarre. ...

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    pub_type: 杂志文章

    doi:10.1016/j.medcli.2010.06.008

    authors: Oteiza-Olaso J,Tiberio-López G,Martínez de Artola V,Belzunegui-Otano T

    更新日期:2011-03-26 00:00:00

  • [Podoconiosis, a society and medical community neglected disease].

    abstract::Podoconiosis, mossy foot or endemic non-filarial elephantiasis, is a geochemical disease that causes lower limb lymphedema; it is directly related to walking barefoot over soils of volcanic origin, in areas with a high pluviometric annual index. It has a specific geographical distribution, affecting around 5% populati...

    journal_title:Medicina clinica

    pub_type: 杂志文章,评审

    doi:10.1016/j.medcli.2014.12.020

    authors: Prieto-Pérez L,Soriano Cea JJ,Górgolas Hernández-Mora M

    更新日期:2015-11-20 00:00:00

  • [Current state of anti-tumor necrosis factor therapy in autoimmune diseases].

    abstract::Tumor necrosis factor (TNF) alpha plays a central role in both the inflammatory response and that of the immune system. Thus, its blockade with the so-called anti-TNF agents (infliximab, etanercept and adalimumab) represents an important tool for the management of a variety of disorders, such as rheumatoid arthritis, ...

    journal_title:Medicina clinica

    pub_type: 杂志文章,评审

    doi:10.1157/13126958

    authors: Sánchez Cano D,Callejas Rubio JL,Ortego Centeno N

    更新日期:2008-10-11 00:00:00

  • [Mortality from pleural mesothelioma in the province of Barcelona].

    abstract:BACKGROUND:Pleural mesothelioma is a tumor of low incidence whose relation with the exposure to asbestos has been widely demonstrated. This exposure is generally occupational, but may also be domestic and there is the possibility of environmental exposure. METHODS:By death certifications all the cases of death by pleu...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:

    authors:

    更新日期:1993-11-06 00:00:00

  • [Quality of life specific questionnaire for constipated patients: development and validation of CVE-20].

    abstract:BACKGROUND AND OBJECTIVE:Although constipation affects quality of life, questionnaires hardly exist for its evaluation. We aimed to develop and validate a questionnaire able to measure the quality of life in patients with constipation. PATIENTS AND METHOD:A Spanish multicenter study was performed in 2 stages: a) quest...

    journal_title:Medicina clinica

    pub_type: 杂志文章,多中心研究

    doi:10.1016/s0025-7753(08)72285-1

    authors: Perona M,Mearin F,Guilera M,Mínguez M,Ortiz V,Montoro M,Serra J,Casanova C,Rey E,Alarcón O,Bujanda L,Lima A,Andreu M,Castro M,López A,Carrillo R,Sempere L,Badia X,Study group on functional gastrointestinal disorders f

    更新日期:2008-09-27 00:00:00

  • [Prospective randomized trial of meropenem versus cefotaxime and metronidazole in the treatment of intraabdominal infections].

    abstract:BACKGROUND:The empiric antibiotic treatment of intraabdominal infections is in constant evolution. Monotherapy appears to be a desirable goal because of the simplicity of its administration, lack of toxic effects and wide spectrum. PATIENTS AND METHODS:A multicentre, prospective, randomized, open study was carried out...

    journal_title:Medicina clinica

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:

    authors: Sitges-Serra A,Guirao X,Díaz J,Azanza R,Rodríguez Noriega A,Lizasoaín M,Jover JM,Moreno Azcoita M,Caínzos M

    更新日期:1998-06-27 00:00:00

  • [Relationship between short-term exposure to atmospheric sulfur dioxide and obstructive lesions in acute coronary syndrome].

    abstract:BACKGROUND AND OBJECTIVES:Urban air pollutants are composed of a heterogeneous mixture of substances in gas and aerosol states. The aim of this study was to compare the effects caused by exposure to contaminants in the gas phase and atmospheric particles in ambient air in patients hospitalized for acute coronary syndro...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:10.1016/j.medcli.2012.05.040

    authors: Domínguez-Rodríguez A,Abreu-Afonso J,González Y,Rodríguez S,Juárez-Prera RA,Arroyo-Ucar E,Jiménez-Sosa A,Abreu-González P,Avanzas P

    更新日期:2013-06-18 00:00:00

  • Effect of alcohol and its metabolites in lung cancer: CAPUA study.

    abstract:BACKGROUND AND OBJECTIVE:Alcohol and its metabolites play an important role in carcinogenesis. This effect could be modulated by polymorphisms in genes encoding enzymes involved in the metabolism of alcohol and folate. Therefore, we analyzed the effect of alcohol consumption and ADH1B Arg48His, ADH1B Arg370Cys, ADH1C I...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:10.1016/j.medcli.2016.12.033

    authors: Álvarez-Avellón SM,Fernández-Somoano A,Navarrete-Muñoz EM,Vioque J,Tardón A

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  • [Risk factors of vascular complications in lower limbs in diabetic patients].

    abstract:BACKGROUND AND OBJECTIVE:To evaluate the risk factors of complications in lower limbs in diabetic patients. PATIENTS AND METHODS:We evaluated 270 patients with diabetes followed in Hospital la Paz from 2000 to 2008.We measured the ankle-brachial index (ABI), toe-brachial index (TBII), and toe blood pressure (BP). We d...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:10.1016/j.medcli.2010.05.032

    authors: Fuentes MM,Herranz de la Morena L,Borge VM,Saez de Ibarra L,Duque MA,Sánchez LF

    更新日期:2011-04-09 00:00:00

  • [Cardiac tamponade and Kaposi's sarcoma].

    abstract::The case of a 31 year-old intravenous drug addict female patient with infection by the human immunodeficiency virus who had recurrent cardiac tamponade and who was diagnosed by pericardic biopsy as Kaposi's sarcoma is reported. The patient demonstrated involvement by cutaneous, mucosal, lymph node and probably pleurop...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:

    authors: Just M,Raventós A,Romeu J,Larrousse E,Santos J,Ojanguren I

    更新日期:1994-04-09 00:00:00

  • [The administration of factor VIII concentrates to hemophiliacs by continuous perfusion pump].

    abstract:BACKGROUND:The administration of factor VIII (FVIII) in continuous infusion (CI) to hemophiliac inpatients is a therapeutic approach made possible by the development of new commercial preparations. METHODS:In the present study the outcome of 14 treatment courses of FVIII in CI to 12 patients with hemophilia A (2 of th...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:

    authors: Rodríguez Bueno S,Montoro Ronsano JB,Martínez Sánchez B,Altisent Roca C,Tusell Puigvert JM

    更新日期:1991-03-16 00:00:00