Abstract：
:The association of celiac disease, epilepsy and occipital calcifications with initial clinical manifestations of epilepsy during the first two decades of life with an often progressive and variable course and clinical expression of malabsorption has recently been described. Two cases of celiac disease with occipital calcifications and a presentation with neurologic symptoms in adulthood are reported. The first case is that of a 40-year-old male who presented recurrent and alternating pure brachial monoparesis and later acute abdominal pain following which celiac sprue was diagnosed. The second case is that of a 53-year-old woman diagnosed with celiac sprue 20 years before, presenting permanent myoclonus in the lower limbs which were progressive in severity, ataxic march and generalized tonoclonic seizures. Both patients had bilateral occipital calcifications on CT and celiac disease was demonstrated on biopsy. The first case also showed marked signal alteration in the white matter on MRI. Celiac disease with cerebral calcifications presents also in adulthood with atypical clinical manifestations. Suspicion of celiac disease may be confirmed by non-invasive methods such as antigliadin and antiendomysium antibody determination. CT imaging is characteristic.
journal_name
Med Clin (Barc)journal_title
Medicina clinicaauthors
Baquero M,Narciso ML,García M,Perla C,Domínguez Fsubject
Has Abstractpub_date
1995-12-08 00:00:00pages
781-3issue
20eissn
0025-7753issn
1578-8989journal_volume
105pub_type
杂志文章相关文献
MEDICINA CLINICA文献大全abstract：BACKGROUND AND OBJECTIVES:To evaluate anti-IgE (ie, omalizumab) efficacy on severe allergic asthma in order to achieve the efficacy of this treatment on severe allergic asthma progress by means of asthma control questionnaire (ACQ), asthma quality of life questionnaire (AQLQ) as well as pulmonary function (FEV1) and ph...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：10.1016/j.medcli.2009.07.011
更新日期：2009-10-03 00:00:00
abstract：:Hemolytic disease by cold-reacting antibodies is a rare form of hemolytic anemia. In most cases a subjacent cause is found. This disease is generally related with reactive lymphoproliferative processes (infections by the Epstein-Barr virus and cytomegalovirus) or uncontrolled lymphoproliferative disorders (lymphomas, ...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：
更新日期：1992-04-04 00:00:00
abstract：:Osteoarthritis and osteoporosis are both common conditions in the elderly but their association has long remained obscure. Recently published studies show that patients with osteoarthritis have higher bone mass but no corresponding decrease in fracture risk. This has been proposed to be due to an increased rate of fal...
journal_title：Medicina clinica
pub_type： 杂志文章,评审
doi：10.1016/j.medcli.2013.01.036
更新日期：2013-09-07 00:00:00
abstract：:The hemophagocytosis or the process of ingestion of blood cells by phagocytes and macrophages of the mononuclear phagocytic system (MFS), is a phenomenon that rarely could be observed in the morphological examination of the bone marrow aspirate. Occasionally it is present in certain pathologic conditions such as, mali...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：
更新日期：1979-12-15 00:00:00
abstract：BACKGROUND:The empiric treatment of extrahospitalary urinary infections must keep in mind the patterns of susceptibility of the potentially causative bacteria. The consumption of antibiotics is one of the most important causes of change in the susceptibility of the bacteria. The recent introduction of fluorquinolones a...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：
更新日期：1993-06-12 00:00:00
abstract：BACKGROUND:Few reports have analysed the transmission of tuberculosis in rural areas with a low incidence of disease. PATIENTS AND METHOD:A population-based molecular epidemiological study of patients with tuberculosis, diagnosed by culture, was conducted in Segovia (Spain) between 1995 and 1999. Clinical, demographic...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：10.1016/s0025-7753(02)72484-6
更新日期：2002-05-11 00:00:00
abstract：BACKGROUND:Outbreaks of nosocomial infection by methicillin resistent Staphylococcus aureus (MRSA) are a problem in many hospitals with the control measures to be adopted being controversial. An outbreak of MRSA in a 550-bed university hospital is herein described and the impact of the adopted control measures on the e...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：
更新日期：1997-03-22 00:00:00
abstract：BACKGROUND:Increasing attention has been given to the care to elderly patients in emergency departments (ED). Moreover, few data are available about final phase of the process, that is hospital admission from ED. This study was conducted to establish appropriateness, reasons and social factors related to hospital admis...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：
更新日期：1994-10-15 00:00:00
abstract：:Spain is one of the european countries with a lowest mortality rate by cardiovascular diseases (although they are the leading cause of mortality) and, specifically, by ischemic heart disease. The trends in the last 16 years for which data are available point to a reduction of the former in 1.07% in males and 1.53% in ...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：
更新日期：1989-10-28 00:00:00
abstract：:We have evaluated the close contacts of 191 patients diagnosed of tuberculosis in our center between 1984 and 1987. The overall number of evaluated contacts was 666, and the mean number of contacts for each index case was 3.7. In 55% of the evaluated population PPD reaction was positive, and their mean age was 33.3 ye...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：
更新日期：1989-04-22 00:00:00
abstract：:Community-acquired pneumonia (CAP) is an infectious respiratory disease with an incidence that ranges from 3 to 8 cases per 1,000 inhabitants per year. This incidence increases with age and comorbidities. Forty per cent of CAP patients require hospitalization and around 10% of these patients are admitted in an Intensi...
journal_title：Medicina clinica
pub_type： 共识发展会议,杂志文章,实务指引
doi：10.1016/j.medcli.2012.09.034
更新日期：2013-03-02 00:00:00
abstract：BACKGROUND AND OBJECTIVE:Around 75% of the population in our country will die as a consequence of chronic advanced diseases. Advanced chronic care is one of the major challenges for public health systems. This study describes the development of a tool to identify patients with advanced chronic diseases and life limited...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：10.1016/j.medcli.2012.06.027
更新日期：2013-03-16 00:00:00
abstract：:Usher syndrome includes hereditary pathologies characterized by bilateral sensorineural deafness and visual impairment due to retinitis pigmentosa. Clinically, there are three distinct subtypes referred to as USH1, USH2, and USH3. Each subtype is genetically heterogeneous. Eleven different genes are implicated in the ...
journal_title：Medicina clinica
pub_type： 杂志文章,评审
doi：10.1157/13079387
更新日期：2005-10-01 00:00:00
abstract：BACKGROUND AND OBJECTIVE:Leptin is an hormone resulting from the obesity gene. Their actions could be important in the pathogenesis of the osteoporosis. The aim of this study is to analyse the influence of tobacco on serum leptin levels, and its relationship with bone mineral density (BMD) and steroid hormones. SUBJEC...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：10.1157/13094819
更新日期：2006-11-04 00:00:00
abstract：BACKGROUND:Upon the detection of an excess number of cases of parotiditis in La Almolda (Zaragoza) a descriptive study of the epidemic was carried out with vaccination efficacy being quantified. METHODS:The definition and system of detection of the cases was established. To calculate the rate of infection the availabl...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：
更新日期：1992-09-19 00:00:00
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
更新日期：2006-10-28 00:00:00
abstract：BACKGROUND AND OBJECTIVE:To include a specific antibiotic in the empiric therapy, it is necessary to predict when a nosocomial pneumonia (NP) is caused by methicillin-resistant Staphylococcus aureus (MRSA). We have developed a model for the prediction of the probability of a NP being caused by MRSA, when the carrier st...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：10.1016/j.medcli.2011.05.028
更新日期：2012-02-18 00:00:00
abstract：BACKGROUND:The aim of this study was to know the opinion of the professionals (physicians and nursing staff) of intensive medicine concerning aspects such as informed consent, family participation in health care decisions, the possibility of not undertaking resuscitation manoeuvers and limiting care in determined cases...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：
更新日期：1994-04-16 00:00:00
abstract：:Epidemiological research has consistently shown that physical activity decreases the risk of coronary heart disease, hypertension and stroke. The finding that a low level of physical activity is a major determinant of the growing epidemics of obesity is also firm and consistent. The direct association existing between...
journal_title：Medicina clinica
pub_type： 杂志文章,评审
doi：
更新日期：2003-11-15 00:00:00
abstract：:Tuberculosis remains one of the communicable diseases that cause increased morbidity and mortality worldwide. With an incidence rate of 13,04 per 100,000 population, Spain ranks third among the most affected European countries. These data show a tendency to decrease meaning that it may go unnoticed with the potential ...
journal_title：Medicina clinica
pub_type： 共识发展会议,杂志文章,实务指引
doi：10.1016/j.medcli.2015.06.018
更新日期：2015-12-21 00:00:00
abstract：:Obstructive sleep apnea-hypopnea syndrome (OSAHS) is a prevalent disease in the general population, associated with an increase in the cardiovascular morbimortality. A basic and/or standardized otolaryngologic exploration could help us to detect the structural abnormalities that alter the upper airway collapsibility a...
journal_title：Medicina clinica
pub_type： 杂志文章,评审
doi：10.1016/j.medcli.2013.04.035
更新日期：2014-04-07 00:00:00
abstract：:The most widespread types of oxygen delivery at home in our area are bottles where the gas is stored under pressure and concentrators. Both devices can only be used at rest. We have assessed a new system for the delivery of liquid oxygen to be used at home, provided with a portable unit which permits that the patients...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：
更新日期：1990-11-10 00:00:00
abstract：:Pulse pressure is calculated as the difference between the systolic and diastolic components of arterial blood pressure. Epidemiological studies have demonstrated that pulse pressure elevation directly correlates with cardiovascular mortality and morbidity, as well as with target organ damage. From a pathophysiologica...
journal_title：Medicina clinica
pub_type： 杂志文章,评审
doi：10.1157/13086050
更新日期：2006-03-18 00:00:00
abstract：BACKGROUND:The current treatment of thalassaemia maior (TM) is based on a hypertransfusion regimen, with deferoxamine (DFO) chelation therapy to minimize the consequences of iron overload. To evaluate the long-term efficacy of chelation therapy, a group of 9 patients treated for a period of 9 years was studied. METHOD...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：
更新日期：1994-05-21 00:00:00
abstract：:The use of physical and pharmacological restraint is controversial but is currently accepted as inevitable. It is indicated for controlling behavioral disorders and psychomotor agitation that put patients and third parties at risk. Its indication should be medical, and we should opt for the least restrictive measure. ...
journal_title：Medicina clinica
pub_type： 杂志文章,评审
doi：10.1016/S0025-7753(14)70068-5
更新日期：2014-03-01 00:00:00
abstract：:Several heritable disorders of glucose transport across cellular membranes have been recently characterized both genetically and pathophysiologically. Diseases such as glucose-galactose malabsorption, Fanconi-Bickel syndrome and GLUT1 deficiency syndrome are caused by mutation of transporters located in bowel, liver a...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：10.1157/13095099
更新日期：2006-11-11 00:00:00
abstract：BACKGROUND AND OBJECTIVE:Patients identified as risk drinkers usually fill a questionnaire in order to assess their alcohol dependence. In our setting, the Münchner Alkoholismus Test (MALT) has been recommended, but there are not enough data about its validity and accuracy, particularly in women. The aim of this study ...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：10.1157/13079611
更新日期：2005-10-08 00:00:00
abstract：BACKGROUND:Exercise tests has been used in the diagnosis of metabolic myopathies. If there is an abnormal response pattern in mild mitochondrial myopathy (MM) and her role in the initial suspect diagnostic is unknown. SUBJECTS AND METHODS:Prospective study of 26 patients with mitochondrial myopathy (15 men, 11 women) ...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：10.1016/s0025-7753(00)71216-4
更新日期：2000-02-05 00:00:00
abstract：BACKGROUND:To analyze the relationship between length of hospitalary stay and early readmission rate. To assess the hypothesis that those admissions with the lowest length of stay are associated with higher early readmission rate. PATIENTS AND METHODS:Retrospective study of 35,902 hospital admissions. A single admissi...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：
更新日期：1996-11-02 00:00:00
abstract：BACKGROUND AND OBJECTIVE:To analyze the serum levels of immunoglobulin G (IgG) subclasses in a broad range of elderly patients with bronchiectasis. PATIENTS AND METHOD:Data were collected from all patients who had a high-resolution chest computerized axial tomography diagnosis of bronchiectasis in our center. We gathe...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：10.1157/13111419
更新日期：2007-10-20 00:00:00
