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Dominguez-Millan R.A.,Residente del Servicio de Cirugia Plastica | Mercadillo-Perez P.,Hospital General de Mexico Dr. Eduardo Liceaga
Dermatologia Revista Mexicana | Year: 2016

Tungiasis is an endozoonosis, that causes a transient ectoparasitosis in human beings throughout skin penetration of the pregnant female sand flea Tunga penetrans. It is endemic in beaches and rural areas of Central and South America, the Caribbean and Sub-Saharan Africa. As a result of increased immigration and travel to tropical destinations there has been an increased incidence of tungiasis outside endemic areas, therefore it constitutes a diagnostic challenge. We report the case of a Mexican young man who traveled to a community of Honduras, who got infected by Tunga penetrans, and we review the related literature.

Pantoja-Mendoza I.Y.,Valle de Mexico University | Melendez G.,Hospital General de Mexico Dr. Eduardo Liceaga
Nutricion Hospitalaria | Year: 2015

Background: The early introduction of food is consistent with a significant increase in the prevalence of overweight and obesity, particularly in children, partly because of the resulting changes in feeding patterns. The purpose of this study was to describe the complementary feeding practices of Mexican children younger than two years of age. Methods: Medline, Lilacs and manual methods were used to search for studies that assessed feeding practices in children younger than two years of age in Mexico. The following terms were used: complementary feeding, supplementary feeding, Mexico and weaning. Data on complementary feeding practices, including the age of initiation, the type of foods eaten, the frequency of food intake and the reasons for starting complementary feeding, were collected. The information gathered was subjected to qualitative analysis, and the data are presented as proportions in the tables. Results: The seven studies included in this evaluation revealed that children were introduced to complementary feeding before the age of 6 months. Although fruits were the foods most commonly provided when complementary feeding began, processed juices, soft drinks and fried snacks were also offered. The intake of these products increased as the children grew older and coincided with a low intake of foods containing high-biological value protein, particularly red meats. Conclusions: The results of the included studies showed that during complementary feeding, infants receive high-energy density foods, whereas the intake of foods that provide animal protein and iron in particular is low. In addition, common conditions associated with complementary feeding include overweight, obesity, malnutrition, and anemia, which may contribute to health problems. © 2015, Grupo Aula Medica S.A. All rights reserved.

Simental-Lara F.,Hospital General de Zona num. 29 | Ponce-Olivera R.M.,Hospital General de Mexico Dr. Eduardo Liceaga
Dermatologia Revista Mexicana | Year: 2014

Rosacea fulminans, formerly called pyoderma faciale, is a rare dermatosis that occurs almost exclusively in young women and is characterized by a sudden eruption of papules and confluent pustules and nodules and pseudocysts usually located on the face, but it can spread to other regions. The simultaneous presentation of rosacea fulminans and inflammatory bowel disease is rare, there are cases of this association reported in the world literature, but to our knowledge it is the first reported in Mexico. We describe a case of rosacea fulminans in a patient with ulcerative colitis treated with infliximab and discuss a possible association between the two conditions.

Rodriguez-Carmona Y.,Instituto Nacional Of Medicina Genomica | Lopez-Alavez F.J.,Metropolitan Autonomous University | Gonzalez-Garay A.G.,Instituto Nacional Of Pediatria | Solis-Galicia C.,Instituto Nacional Of Pediatria | And 2 more authors.
International Journal of Surgery | Year: 2014

Purpose: Bone regulation system may be affected after bariatric surgeries, but procedures impact differently to bone mineral density (BMD) and measures restraining bone loss are frequently neglected until clinical consequences become manifest. This is a systematic review aimed to elucidate whether BMD loss is comparable after different bariatric surgeries. Materials and methods: A search of morbid obese adults, undergone to bariatric surgery, with BMD measured by dual-energy X-ray absorptiometry at baseline and after surgery studies was performed in several databases. Studies were assessed using the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement and COCHRANE Risk of Bias tool. The random model was selected for meta-analysis; heterogeneity was analyzed with T2, inconsistency (I2>50%) and Chi2 (p<0.10). Level of evidence and strength of recommendations were summarized using the Grading of Recommendations, Assessment, Development and Evaluation (GRADE System). Results: Twelve studies met the selection criteria. After one year, reduction in total BMD in patients with mixed surgical procedures was significant:-0.03g/cm2 (CI 95% 0.00 to-0.06, p<0.05). BMD was reduced by-0.12g/cm2 (CI 95%-0.10 to-0.15, p<0.001) in the hip,-0.07g/cm2 (CI 95%-0.03 to-0.11, p<0.001) in the column, and-0.03g/cm2 (IC 95%-0.02 to-0.04, p<0.001) in the forearm, but not in restrictive surgeries. Studies included showed high heterogeneity and low quality of evidence. Conclusions: Patients undergone to mixed bariatric surgery had significant higher BMD deterioration as demonstrated in this review, suggesting that more attention for preventing fractures is required. © 2014 Surgical Associates Ltd.

Lagos A.,Residente de Dermatologia | Tirado-Sanchez A.,Hospital General de Mexico Dr. Eduardo Liceaga | Ponce-Olivera R.M.,Hospital General de Mexico Dr. Eduardo Liceaga
Dermatologia Revista Mexicana | Year: 2016

Pruritus is the most important symptom in various dermatological diseases, as atopic dermatitis and psoriasis. Regarding the complexity in the evocation and transmission of pruriceptive impulses, it has been difficult to precise the characteristics of pruritus in each disease. Chronic pruritus (>6 weeks) causes impairment in the quality of life. Recently, mechanisms of actions have been elucidated and security profiles have been established for long used treatments for pruritus, such as topical anesthetics, capsaicin, zinc, menthol, alcamphor, calcineurin inhibitors, mast cells inhibitors, opioid receptors agonists and antagonists, cannabinoids, thalidomide, neuroleptics and some immunosuppressants. Likewise, new drugs have been developed from advances in the discoveries in pruriceptive pathways, such as antihistamines H4, olopatadine, aprepitant, neurotropin, nervous growing factor antagonists and semaphorin 3A.

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