Revista médica de Chile
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Revista médica de Chile · Sep 2020
Diagnostic values of shear wave elastography and strain elastography for breast lesions.
Strain elastography (SE) and shear wave elastography (SWE) have high diagnostic yield for breast lesions, but the optimal parameters remain elusive. ⋯ The diagnostic value of SWE in combination with SE for breast lesions exceeded that of SE or SWE alone. Esd showed a good diagnostic yield when SWE was used alone or combined with SE.
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Revista médica de Chile · Sep 2020
Case ReportsTransitory response of a myelodysplastic syndrome with deletion of chromosome 5q to thalidomide. Report of one case.
Myelodysplastic syndrome with deletion of chromosome 5q (5q-syndrome) has a favorable prognosis and a low risk of transformation to acute myeloid leukemia, when treated with lenalidomide. Azacitidine leads to complete remission even as second-line therapy and in patients with clonal evolution. We report a 70 years old female without previous exposure to myelotoxic drugs, presenting with three weeks with fatigue and dyspnea. ⋯ She achieved complete remission with a normal karyotype and completed 12 cycles of treatment. Thereafter, she relapsed and received only supportive care for a year. She suffered an ischemic stroke and died two weeks later.
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Revista médica de Chile · Sep 2020
[Development of equations based on Body Mass Index to estimate fat mass in older people].
Excess fat mass (FM) has a higher risk of producing sarcopenia, physical deterioration and reduced quality of life in older people. ⋯ This study developed reliable regression equations and referential values to estimate FM in older people.
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Revista médica de Chile · Sep 2020
Case Reports[Type I Brugada electrocardiographic pattern associated with Influenza B and fever. Report of a case].
We report a 44-year-old male who was admitted for Influenza B and fever, presenting a type I Brugada pattern on the electrocardiogram. He evolved without cardiovascular symptoms. ⋯ He was discharged without incidents. Clinical aspects of Brugada syndrome and the importance of fever are discussed in the current context of the COVID-19 pandemic.
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Revista médica de Chile · Sep 2020
Case Reports[Refractory severe hypertriglyceridemia treated with apheresis. Report of one case].
Severe Hypertriglyceridemia (HTG) is associated with complications such as acute pancreatitis (AP) with high morbidity and mortality rates. We report a 42 years-old man with refractory HTG diagnosed at 19 years of age, and multiple episodes of AP, admitted with the suspicion of a new AP episode. Serum triglycerides were over 2000 mg/dl. ⋯ Due to lack of response, apheresis was started. After five sessions, triglycerides decreased to 588 mg/dl (82% reduction) and levels remained below 1000 mg/dl with daily apheresis. The patient continued with weekly sessions as outpatient with a sustained good response.