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Matamalas A, Figueras C, Pizones J, Moreno-Manzanaro L, Betegón J, Esteban M, Pellisé F, Sanchez-Raya J, Sanchez-Marquez JM, Bagó J. How back pain intensity relates to clinical and psychosocial factors in patients with idiopathic scoliosis. Eur Spine J 2022; 31:1006-1012. [PMID: 35128586 DOI: 10.1007/s00586-022-07117-x] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/21/2021] [Revised: 12/22/2021] [Accepted: 01/10/2022] [Indexed: 11/25/2022]
Abstract
OBJECTIVE A pain intensity of 3 can reliably distinguish idiopathic scoliosis (IS) patients with acceptable pain or not. This research aims to analyze psychosocial, family and quality of life differences in patients according to their pain status. MATERIAL AND METHODS Patients with IS, without previous surgery, Cobb ≥ 30° and age (12-40) were included in the study. They completed the questionnaires Numerical Rate Scale (NRS), Tampa Scale for Kinesiophobia (TSK)-11, SRS22r, Hospital Anxiety-Depression Scale (HADS), COMI item 7 (work/school absenteeism) and family APGAR. Comorbidities and family health history were collected. Analysis of covariance was performed to compare means between the PAIN (NRS > 3), (NRS < = 3) groups controlling for the effect of age and the magnitude of the curve. RESULTS In total, 272 patients were included. 37.1% belonged to the PAIN group (PG). The PG showed a significantly higher Cobb grade and age than the NO-PAIN group. After controlling for these variables, the PG had worse pain, mental health and SRS22-subtotal values. However, they did not differ in function or self-image. PG showed higher levels of kinesiophobia, anxiety, depression, absenteeism from work/school and impact on social/family environment. PG patients reported a higher prevalence of comorbidities and family history of nonspecific spinal pain. CONCLUSIONS Patients with IS and unacceptable pain constitute a group with a different incidence of psychological, social, family and comorbidities factors than those with acceptable pain. In contrast, the severity of IS was not substantially different between the groups. This profile is similar to that observed in patients with nonspecific spinal pain.
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Affiliation(s)
- Antonia Matamalas
- Orthopaedic Surgery Department, Spine Unit, Hospital Vall D'Hebrón, Passeig de la Vall d'Hebron 119- 129, 08035, Barcelona, Spain
| | - Clara Figueras
- Fundacio Institut de Recerca Vall Hebron, Vall D'Hebron Research Institute (VHIR), Passeig Vall d'Hebron 119-129, 08035, Barcelona, Spain.
- Departament de Cirurgia, Universitat Autonoma de Barcelona, Barcelona, Spain.
| | - Javier Pizones
- Orthopaedic Surgery Department, Spine Unit, Hospital Universitario La Paz, Paseo de la Castellana 261, 28046, Madrid, Spain
| | - Lucia Moreno-Manzanaro
- Orthopaedic Surgery Department, Spine Unit, Hospital Universitario La Paz, Paseo de la Castellana 261, 28046, Madrid, Spain
| | - Jesús Betegón
- Orthopaedic Surgery Department, Spine Unit, Complejo Asistencial Universitario de León (CAULE), Calle Altos de nava, s/n, 24001, León, Spain
| | - Marta Esteban
- Orthopaedic Surgery Department, Spine Unit, Complejo Asistencial Universitario de León (CAULE), Calle Altos de nava, s/n, 24001, León, Spain
| | - Ferran Pellisé
- Orthopaedic Surgery Department, Spine Unit, Hospital Vall D'Hebrón, Passeig de la Vall d'Hebron 119- 129, 08035, Barcelona, Spain
| | - Judith Sanchez-Raya
- Physical Medicine and Rehabilitation Department, Hospital Universitari Vall d'Hebron, Passeig de la Vall d'Hebron 119-129, 08035, Barcelona, Spain
| | - Jose Miguel Sanchez-Marquez
- Orthopaedic Surgery Department, Spine Unit, Hospital Universitario La Paz, Paseo de la Castellana 261, 28046, Madrid, Spain
| | - Juan Bagó
- Orthopaedic Surgery Department, Spine Unit, Hospital Vall D'Hebrón, Passeig de la Vall d'Hebron 119- 129, 08035, Barcelona, Spain
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Sanchez-Raya J, Matamalas A, Figueras C, Bago J. Validity of a one-item drawing-based instrument to assess trunk deformity perception in kyphotic deformities. Spine Deform 2020; 8:1239-1246. [PMID: 32638334 DOI: 10.1007/s43390-020-00167-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/23/2020] [Accepted: 06/30/2020] [Indexed: 12/01/2022]
Abstract
INTRODUCTION Body image and trunk appearance perception are two crucial attributes in determining the quality of life of individuals with spinal deformities. The Trunk Appearance Perception Scale (TAPS) is a drawing-based instrument used to evaluate this feature. The TAPS does not include a sagittal view of the trunk so it is never been used to assess trunk deformity perception in hyperkyphotic patients. This study aims to analyze the effect of introducing a new drawing on the TAPS scale representing the trunk view in the sagittal plane. PATIENTS 170 non-surgical patients were included (mean age 16.9 years and 77.4% women) distributed in three groups. CONTROL group (no deformity): 22 cases; KYPHOSIS group (sagittal deformity): 49 cases and SCOLIOSIS group (coronal deformity): 99 cases (mean Cobb 42.4º). METHOD Cross-sectional study. A new drawing (TAPS4) was designed to represent the deformity in the sagittal plane with five response options. Clinical (SRS-22 and TAPS 4-items) and radiological (kyphosis T4-T12) data were collected in all patients. The statistical analysis consisted in determining for each group the internal consistency of the 3-items TAPS vs 4-items TAPS, as well as the discriminant validity (correlation with kyphosis magnitude) and convergent validity (correlation with the SRS-22 image subscale). In addition, test-retest reliability of new item 4 was determined in a subgroup of 30 kyphotic patients. During control visit, the patients received a complete physical examination and a full-spine AP and lateral X-ray in standing position using a low-radiation technique and fulfilled instruments TAPS 4 items and SRS-22r. RESULTS The three groups were found to have statistically significant differences in the magnitude of kyphosis, quality of life, body image perception, the 3-items TAPS, 4-items TAPS and new item 4 score. The addition of the item 4 to TAPS 3 items did not cause a significant change in the internal consistency of the scales (Cronbach's alpha) (TAPS 3-items 0.8 vs. TAPS 4-items 0.8). Kyphosis magnitude was not correlated with the 3-items TAPS and 4-items TAPS scores; however, in the KYPHOSIS group, a significant negative correlation was observed between kyphosis and item 4 (Rho = - 0.4, p = 0.0001). A significant correlation was found in all groups between TAPS 3-items and TAPS 4-items and SRS-22 image domain; the correlation between item 4 and SRS-22 body image domain was 0.3 in the Scoliosis group and 0.7 in the Kyphosis group. CONCLUSIONS The 4-items TAPS scale does not provide advantages in the assessment of trunk deformity over the 3-items scale. However, in patients with kyphosis, the item 4 (Kypho-TAPS) alone is a valid and reliable instrument to monitor the perception of the trunk deformity.
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Affiliation(s)
- Judith Sanchez-Raya
- Physical Medicine and Rehabilitation Department, Hospital Vall D'Hebrón, 119-129, 08035, Barcelona, Spain
| | - Antònia Matamalas
- Orthopaedic Surgery Department, Hospital Vall D'Hebrón, 119-129, 08035, Barcelona, Spain
| | - Clara Figueras
- Fundacio Institut de Recerca Vall Hebron, Vall D'Hebron Research Institute (VHIR), Passeig Vall d'Hebron119-129, 08035, Barcelona, Spain.
| | - Joan Bago
- Orthopaedic Surgery Department, Hospital Vall D'Hebrón, 119-129, 08035, Barcelona, Spain
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Fernández-San José C, Moraga-Llop F, Codina G, Soler-Palacín P, Espiau M, Figueras C. The use of polymerase chain reaction in the diagnosis of invasive meningococcal disease. Anales de Pediatría (English Edition) 2015. [DOI: 10.1016/j.anpede.2015.01.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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Pålsson E, Figueras C, Johansson AGM, Ekman CJ, Hultman B, Östlind J, Landén M. Neurocognitive function in bipolar disorder: a comparison between bipolar I and II disorder and matched controls. BMC Psychiatry 2013; 13:165. [PMID: 23758923 PMCID: PMC3691847 DOI: 10.1186/1471-244x-13-165] [Citation(s) in RCA: 61] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/10/2013] [Accepted: 05/25/2013] [Indexed: 01/19/2023] Open
Abstract
BACKGROUND Cognitive deficits have been documented in patients with bipolar disorder. Further, it has been suggested that the degree and type of cognitive impairment differ between bipolar I and bipolar II disorder, but data is conflicting and remains inconclusive. This study aimed to clarify the suggested differences in cognitive impairment between patients with bipolar I and II disorder in a relatively large, clinically stable sample while controlling for potential confounders. METHODS 67 patients with bipolar I disorder, 43 with bipolar II disorder, and 86 randomly selected population-based healthy controls were compared. A number of neuropsychological tests were administered, assessing verbal and visual memory and executive functions. Patients were in a stable phase during testing. RESULTS Patients with bipolar type I and type II were cognitively impaired compared to healthy controls, but there were no statistically significant differences between the two subtypes. The strongest predictor of cognitive impairment within the patient group was current antipsychotic treatment. CONCLUSIONS The present study suggests that the type and degree of cognitive dysfunction is similar in bipolar I and II patients. Notably, treatment with antipsychotics - but not a history of psychosis - was associated with more severe cognitive impairment. Given that patients with bipolar I disorder are more likely to be on antipsychotic drugs, this might explain why some previous studies have found that patients with type I bipolar disorder are more cognitively impaired than those with type II.
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Affiliation(s)
- Erik Pålsson
- Institute of Neuroscience and Physiology, University of Gothenburg, Gothenburg, Sweden.
| | - Clara Figueras
- Institute of Neuroscience and Physiology, University of Gothenburg, Gothenburg, Sweden
| | - Anette GM Johansson
- Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden
| | - Carl-Johan Ekman
- Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden
| | - Björn Hultman
- Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden
| | - Josefin Östlind
- Institute of Neuroscience and Physiology, University of Gothenburg, Gothenburg, Sweden
| | - Mikael Landén
- Institute of Neuroscience and Physiology, University of Gothenburg, Gothenburg, Sweden,Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden
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Serra J, Rosello E, Figueras C, Pujol M, Peña Y, Céspedes P, Dapena JL, Díaz-Heredia C, Codina MG, Andreu A. Clinical evaluation of the Magicplex Sepsis Real-time Test (Seegene) to detect Candida DNA in pediatric patients. Crit Care 2012. [PMCID: PMC3504843 DOI: 10.1186/cc11729] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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Figueras C, Díaz de Heredia C, García JJ, Navarro M, Ruiz-Contreras J, Rossich R, Rumbao J, Frick MA, Roselló EM. [The Spanish Society of Paediatric Infectious Diseases (SEIP) recommendations on the diagnosis and management of invasive candidiasis]. An Pediatr (Barc) 2011; 74:337.e1-337.e17. [PMID: 21396895 DOI: 10.1016/j.anpedi.2010.12.012] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2010] [Revised: 12/22/2010] [Accepted: 12/23/2010] [Indexed: 02/02/2023] Open
Abstract
Candida yeasts are ubiquitous commensals, which can cause opportunistic infection in any location of the body. The source of infection may be both endogenous and exogenous. Invasive candidiasis encompasses different entities ranging from invasive candidiasis to disseminated multiorgan infection. Invasive candidiasis is the third leading cause of nosocomial bloodstream infection and the fourth of all nosocomial infections. It is also the most common invasive fungal infection in non-neutropenic critically ill patients, with a remarkable increase in the last 20 years owing to the increased survival of these patients and to more complex diagnostic, therapeutic and surgical procedures. Its incidence in infants, according to recent reviews, stands at 38.8 cases/100,000 children younger than 1 year. Candida albicans remains the most frequent isolate in invasive infections, although infections caused by other species have risen in the last years, such as C. kruzsei, C. glabrata and C. parapsilosis; the latter causing invasive candidiasis mainly associated with central venous catheter management, especially in neonatal units. The overall mortality of invasive candidiasis is high, with 30-day mortality reaching 20-44% in some series involving paediatric patients. This report provides an update on incidence, epidemiology, clinical presentation, diagnosis, treatment and outcome of invasive infection by Candida spp. in the paediatric patient.
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Affiliation(s)
- C Figueras
- Unidad de Patología Infecciosa e Inmunodeficiencias de Pediatría, Hospital Vall d'Hebron, Barcelona, España. Coordinadora del Grupo de estudio de la IFI de la SEIP
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Martín A, Soler-Palacín P, Español T, Dapena JL, Urrutia E, Navarro M, Alvez F, Figueras C. [Spanish Paediatric Infectious Diseases Society consensus document on the treatment of fungal infections based on the immune response]. An Pediatr (Barc) 2010; 73:362.e1-8. [PMID: 20638349 DOI: 10.1016/j.anpedi.2010.04.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2010] [Revised: 04/23/2010] [Accepted: 04/23/2010] [Indexed: 11/17/2022] Open
Abstract
Despite the emergence of new diagnostic and therapeutic methods, invasive fungal infections are still a major cause of morbidity and mortality in immunocompromised and critical patients. Therefore, adjuvant treatments to the standard antifungal therapy are being investigated, with immunity-based therapy being one of the most important. Both immunomodulatory (dendritic and T cells transfusions, colony stimulating factors, interferón-gamma, interleukin 12, fungal vaccines, transfer factors and certain drugs such as chloroquine) and immunotherapeutic modalities (granulocyte transfusions, monoclonal antibodies and intravenous immunoglobulin) have been described. This document aims to summarise currently available data on immunity-based therapy of fungal infections and to provide basic knowledge on the immune response to fungal infections. This helps to understand how, in selected cases, immunity-based therapy may improve the response to standard antifungal treatment. The potential indications of immunity-based therapy in the paediatric patient are reviewed, although there is still a lack of scientific evidence for its use in children.
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Affiliation(s)
- A Martín
- Hospital Universitari Vall d'Hebron, Barcelona, España.
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Abstract
The frequency and diversity of invasive fungal infections has changed over the last 25 years. The emergence of less common, but medically important fungi has increased, and the children at risk has expanded, with the inclusion of medical conditions such as cancer, mainly haematological malignancy or stem cell transplant, immunosuppressive therapy, prolonged neutropenia, and T-cell immunodeficiency. Among mould infections, fusariosis and phaeohyphomycosis (Dematiaceous fungi) have been increasingly reported in this group of patients. To successfully manage these challenging infections, it is imperative that paediatricians and sub-specialists remain aware of the optimal and timely diagnosis and therapeutic options. Unlike other common mycoses that cause human disease, there no simple antigen or serological tests available to detect these pathogens in tissue or blood. The outcome for these disseminate, and often refractory fungal infections in neutropenic patients and transplant recipients remains extremely poor, requiring early and aggressive therapy. Unfortunately there are no guidelines outlining the choices for optimal therapy in the treatment of paediatric invasive fungal infections do not exist, and on the other hand are limited paediatric data available comparing antifungal agents in children with proven, probable or suspected invasive fungal infection. The options for treatment rest mainly on some adult guidelines that comment on the treatment of these emerging and uncommon important fungi in children. Despite the sparse clinical trials available on treatment and its poor outcome, options for treatment of invasive fungal infections have increased with the advance of new antifungal agents, with improved tolerability and increased range of activity. The epidemiology, clinical manifestations, diagnosis and treatment of fusariosis and phaeohyphomycosis are discussed in this article.
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Affiliation(s)
- F Alvez
- Hospital Clínico Universitario, Santiago de Compostela, España.
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Soler Palacin P, Torrent A, Rossich R, Moraga FA, Yeste D, Carreño JC, Encabo G, Figueras C. Osteoporosis and multiple fractures in an antiretroviral-naive, HIV-positive child. J Pediatr Endocrinol Metab 2007; 20:933-8. [PMID: 17937065 DOI: 10.1515/jpem.2007.20.8.933] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
Abstract
As a result of the increased incidence of osteopenia and osteoporosis in HIV-infected patients, numerous publications have suggested that there may be a link between bone metabolism alterations and HIV infection. The early bone loss seen in these patients was initially attributed to the use of highly active antiretroviral treatment (HAART) that included protease inhibitors. Recent studies, however, have suggested that it may be a direct consequence of the viral infection on bone metabolism, persistent activation of pro-inflammatory cytokines (TNFa), or altered vitamin D metabolism secondary to the virus, combined with subsequent factors (e.g., antiretroviral treatment) that aggravate the bone demineralization. We present an antiretroviral-naive 6-year-old girl with vertically transmitted HIV infection who presented with severe osteoporosis and multiple pathological fractures of the vertebrae, ribs, and upper and lower limbs. The child was treated with HAART, appropriate nutritional support for her age, physiotherapy and rehabilitation, calcium and vitamin D supplements, and alendronate therapy. After 6 weeks of treatment, the intense pain and muscle atrophy had disappeared and she was able to walk unassisted. At 6 months, bone mass had increased by 72%. The interest of this case lies in the presence of severe osteoporosis and multiple pathological fractures in an HIVinfected naive child. To date, this condition has only been described in patients treated with antiretrovirals. Moreover, this is the first reported HIV-positive pediatric patient treated with bisphosphonates, which proved to be highly successful.
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Affiliation(s)
- P Soler Palacin
- Pediatric Infectious Disease Unit, University Hospital Vall d'Hebron, Barcelona, Spain.
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Barton DL, Soori GS, Bauer B, Sloan J, Johnson PA, Figueras C, Duane S, Dakhil S, Liu H, Loprinzi CL. A pilot, multi-dose, placebo-controlled evaluation of american ginseng (panax quinquefolius) to improve cancer-related fatigue: NCCTG trial N03CA. J Clin Oncol 2007. [DOI: 10.1200/jco.2007.25.18_suppl.9001] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
9001 Background: Fatigue is one of the most common symptoms in people diagnosed with cancer. Ginseng is a popular herb for treatment of this. It has been termed an “adaptogen”, felt to be able to restore balance to the body; its potential anti-fatigue efficacy is supported by animal data. The purpose of this pilot trial was to evaluate three doses of American Ginseng versus placebo for cancer-related fatigue. Methods: Patients with a life expectancy = 6 months and a history of cancer-related fatigue who had been experiencing fatigue = 1 month were eligible. Exclusion criteria included prior use of ginseng, chronic systemic steroids and brain malignancies. Other etiologies for fatigue, such as pain, were also excluded. Participants were randomized to receive, in a double blind manner, placebo, 750 mg/d, 1,000 mg/d or 2,000 mg/d of American Ginseng in BID dosing for 8 weeks. Endpoints included The Brief Fatigue Inventory (BFI), the Vitality Subscale of the SF-36 and several numeric analogue questions of perceived benefit; endpoints were measured at baseline, 4 weeks and 8 weeks. Area under the curve (AUC) and change from baseline were calculated. Results: Two hundred eighty two patients (69–72 per arm) were enrolled from 10/21/2005 to 07/05/2006. Available 8-week data are provided in the table below; higher numbers are better. There were no statistically significant differences in any grade of toxicity between active and placebo arms, and an equivalent number of patients discontinued the study due to adverse events in each arm. Conclusion: This randomized pilot trial provided data to suggest that American Ginseng doses of 1000–2000 mg/d may be effective for alleviating cancer related fatigue. Therefore, further study of American Ginseng in cancer survivors appears warranted. No significant financial relationships to disclose. [Table: see text]
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Affiliation(s)
- D. L. Barton
- Mayo Clinic College of Medicine, Rochester, MN; Missouri Valley Cancer Consortium, Omaha, NE; Mayo Clinic, Rochester, MN; Carle Cancer Center, Urbana, IL; Michigan Cancer Research Consortium, Ann Arbor, MI; Metro-Minnesota CCOP, St. Louis Park, MN; Wichita CCOP, Wichita, KS
| | - G. S. Soori
- Mayo Clinic College of Medicine, Rochester, MN; Missouri Valley Cancer Consortium, Omaha, NE; Mayo Clinic, Rochester, MN; Carle Cancer Center, Urbana, IL; Michigan Cancer Research Consortium, Ann Arbor, MI; Metro-Minnesota CCOP, St. Louis Park, MN; Wichita CCOP, Wichita, KS
| | - B. Bauer
- Mayo Clinic College of Medicine, Rochester, MN; Missouri Valley Cancer Consortium, Omaha, NE; Mayo Clinic, Rochester, MN; Carle Cancer Center, Urbana, IL; Michigan Cancer Research Consortium, Ann Arbor, MI; Metro-Minnesota CCOP, St. Louis Park, MN; Wichita CCOP, Wichita, KS
| | - J. Sloan
- Mayo Clinic College of Medicine, Rochester, MN; Missouri Valley Cancer Consortium, Omaha, NE; Mayo Clinic, Rochester, MN; Carle Cancer Center, Urbana, IL; Michigan Cancer Research Consortium, Ann Arbor, MI; Metro-Minnesota CCOP, St. Louis Park, MN; Wichita CCOP, Wichita, KS
| | - P. A. Johnson
- Mayo Clinic College of Medicine, Rochester, MN; Missouri Valley Cancer Consortium, Omaha, NE; Mayo Clinic, Rochester, MN; Carle Cancer Center, Urbana, IL; Michigan Cancer Research Consortium, Ann Arbor, MI; Metro-Minnesota CCOP, St. Louis Park, MN; Wichita CCOP, Wichita, KS
| | - C. Figueras
- Mayo Clinic College of Medicine, Rochester, MN; Missouri Valley Cancer Consortium, Omaha, NE; Mayo Clinic, Rochester, MN; Carle Cancer Center, Urbana, IL; Michigan Cancer Research Consortium, Ann Arbor, MI; Metro-Minnesota CCOP, St. Louis Park, MN; Wichita CCOP, Wichita, KS
| | - S. Duane
- Mayo Clinic College of Medicine, Rochester, MN; Missouri Valley Cancer Consortium, Omaha, NE; Mayo Clinic, Rochester, MN; Carle Cancer Center, Urbana, IL; Michigan Cancer Research Consortium, Ann Arbor, MI; Metro-Minnesota CCOP, St. Louis Park, MN; Wichita CCOP, Wichita, KS
| | - S. Dakhil
- Mayo Clinic College of Medicine, Rochester, MN; Missouri Valley Cancer Consortium, Omaha, NE; Mayo Clinic, Rochester, MN; Carle Cancer Center, Urbana, IL; Michigan Cancer Research Consortium, Ann Arbor, MI; Metro-Minnesota CCOP, St. Louis Park, MN; Wichita CCOP, Wichita, KS
| | - H. Liu
- Mayo Clinic College of Medicine, Rochester, MN; Missouri Valley Cancer Consortium, Omaha, NE; Mayo Clinic, Rochester, MN; Carle Cancer Center, Urbana, IL; Michigan Cancer Research Consortium, Ann Arbor, MI; Metro-Minnesota CCOP, St. Louis Park, MN; Wichita CCOP, Wichita, KS
| | - C. L. Loprinzi
- Mayo Clinic College of Medicine, Rochester, MN; Missouri Valley Cancer Consortium, Omaha, NE; Mayo Clinic, Rochester, MN; Carle Cancer Center, Urbana, IL; Michigan Cancer Research Consortium, Ann Arbor, MI; Metro-Minnesota CCOP, St. Louis Park, MN; Wichita CCOP, Wichita, KS
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Figueras C, Garcia L, Bertran JM. Hyperpigmentation in a patient with AIDS, receiving rifabutin for disseminated Mycobacterium genavense infection. Eur J Pediatr 1998; 157:612. [PMID: 9686833 DOI: 10.1007/s004310050895] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Ortiz N, Figueras C, Valverde M, Alvarez M, Arbea A, Borrás N, Bosch F, López-Guillermo A. [Pulsating pumps in ambulatory chemotherapy]. Rev Enferm 1998; 21:33-4. [PMID: 9653322] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Affiliation(s)
- N Ortiz
- Hospital de día, Hospital Clínico y Provincial, Barcelona
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Pinós T, Xiol X, Herranz R, Figueras C, Catalá I. Caroli's disease versus polycystic hepatic disease. Differential diagnosis with Tc-99m DISIDA scintigraphy. Clin Nucl Med 1993; 18:664-7. [PMID: 8403697 DOI: 10.1097/00003072-199308000-00008] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/30/2023]
Abstract
Four patients with multiple hepatic cysts were studied: two were diagnosed with Caroli's disease (CD) and two with polycystic hepatic disease (PHD). In CD, hepatic scintigraphy with Tc-99m DISIDA showed areas of focally increased radiotracer accumulation that persisted more than 120 minutes, whereas in PHD, areas of focally decreased radiotracer accumulation were observed with normal liver washout and biliary excretion. When multiple hepatic cysts are shown by abdominal echography or CT scan, hepatic scintigraphy with Tc-99m DISIDA should be performed. This examination is safe and noninvasive, and permits differential diagnosis between CD and PHD.
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Affiliation(s)
- T Pinós
- Quinta de Salud La Alianza (Sabadell) Barcelona, Hospital Princeps d'España (Hospitalet), Spain
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Borras N, Codina C, Valverde M, Alvarez M, Arbea A, Figueras C, Ortiz N, Valero D. Improving the teaching and learning process. Eur J Cancer 1993. [DOI: 10.1016/0959-8049(93)92041-p] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Pinós T, Figueras C, Herranz R. Scintigraphic diagnosis of Dubin-Johnson syndrome: DISIDA is also useful. Am J Gastroenterol 1991; 86:1687-8. [PMID: 1951255] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
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Pinos T, Figueras C, Mas R. Doxicycline-induced esophagitis: treatment with liquid sucralphate. Am J Gastroenterol 1990; 85:902-3. [PMID: 2371996] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
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Pinós T, Constansa JM, Palacin A, Figueras C. A new diagnostic approach to the Dubin-Johnson syndrome. Am J Gastroenterol 1990; 85:91-3. [PMID: 2296972] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
Dubin-Johnson syndrome (DJS), a congenital metabolic disorder of bilirubin excretion, was classically diagnosed by the bromsulfalein (BSP) curve and needle hepatic biopsy methods. We present three cases of DJS and propose a new diagnostic approach which could conceivably become a substitute for more aggressive techniques. The results of the 24-h urine coproporphyrin determination and 99mTc-Disofenin scintigraphy gave, together, enough data for an accurate diagnosis.
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Affiliation(s)
- T Pinós
- Department of Gastroenterology, Quinta de Salud La Aliança, Sabadell, Spain
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