Revista médica de Chile
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Revista médica de Chile · Nov 2013
Review Case Reports[Acrodermatitis enteropathica: report of one case].
Acrodermatitis enteropathica is an uncommon disease caused by hereditary or acquired zinc deficiency. It is characterized by a triad of alopecia, diarrhea and acral and periorificial dermatitis. ⋯ We report a 31-year-old indigent and drug addict female with a cutaneous-mucous syndrome characteristic of acrodermatitis enteropathica. She had a positive clinical evolution after Zinc supplementation.
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Revista médica de Chile · Nov 2013
Observational Study[Prognostic value of the lethal triad among patients with multiple trauma].
Patients who have suffered multiple traumatic injuries, have a serious risk for death. Hypothermia, acidosis and coagulopathy are three complications in these patients, whose presence is known as lethal triad and indicates bad prognosis. ⋯ The presence of the lethal triad among patients with multiple trauma is associated with a higher mortality and ISS.
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Revista médica de Chile · Nov 2013
[Characteristics of trauma patients admitted to the intensive care unit of a general hospital in Chile].
Trauma is an important cause of death among young adults. ⋯ The characteristics and evolution of PT and ST of this series of patients are similar to those described abroad. Mortality was in agreement with ISS and APACHE II scores.
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The diabetic foot is responsible for 70% of amputations in adults, entails a significant impact in the life of patients and it is associated with an excessive use of resources in our health system. The 2009-2010 National Health Survey indicated that in the "last year" 6.7% of subjects with diabetes consulted a health care professional for diabetic foot. With the permanent rise of worldwide and national prevalence of Diabetes Mellitus and the increased life expectancy in our country, the public health system needs to adapt to this new epidemiological situation. ⋯ However, in our country there is little experience with them. This deficiency results in increased rates of amputation and possibly a deterioration of the quality of life of diabetic patients. The objective of this article is to provide an update on the knowledge about diabetic foot.
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Revista médica de Chile · Oct 2013
[Prevalence of Gilbert syndrome and its genetic determinants in Chile].
In Europeans the TATA box TA7 repeat promoter variant in the UGT1A1 gene (UGT1A1*28) is the major determinant of bilirubin levels. ⋯ While the prevalence of GS was lower in Chile compared to Europeans (~5%), the prevalence of UGT1A1*28 homozygotes was similar (~12%). In Chilean Hispanics, the UGT1A1*28 variant explain 75% of GS phenotype.