Spanish multidisciplinary clinical practice guidelines for Anderson–Fabry disease in adults. I. Method and recommendations
Publication date: Available online 22 February 2019Source: Revista Clínica Española (English Edition)Author(s): E.J. Calderón Sandubete, E. Briones Pérez de la Blanca, C. Alonso-Ortiz del Río, R. Santamaría Olmo, M. López Mendoza, M. Barcos Martínez, C. Márquez Infante, I. Marín-León, Fabry Disease Guidelines Group, The Authors of the Fabry Disease Guidelines Group, Manuel Posada de la Paz, Pilar Giraldo Castellano, Juan Ramón Gimeno Blanes, Encarnación Guillén Navarro, Mónica López Rodríguez, Alberto Orti...
Source: Revista Clinica Espanola - February 23, 2019 Category: Internal Medicine Source Type: research

Captured in the act: Thrombus crossing patent-foramen-ovale
Publication date: Available online 23 February 2019Source: Revista Clínica Española (English Edition)Author(s): G. Jiménez-Brítez, E. Flores-Umanzor, X. Freixa (Source: Revista Clinica Espanola)
Source: Revista Clinica Espanola - February 23, 2019 Category: Internal Medicine Source Type: research

Study of arterial stiffness in patients with an acute coronary event and chronic obstructive pulmonary disease confirmed by spirometry
ConclusionsArterial stiffness is greater in patients with an ACE if they have concomitant COPD. These findings can help explain the poorer prognosis of patients with both conditions.ResumenAntecedentes y objetivosLa enfermedad pulmonar obstructiva crónica (EPOC) empeora el pronóstico de los pacientes con un evento coronario agudo (ECA) tratado con intervención coronaria percutánea. Objetivo: evaluar el efecto de la EPOC sobre la rigidez arterial en pacientes con un ECA.MétodosPacientes con un ECA tratado con intervención coronaria percutánea. Al mes se realizó una esp...
Source: Revista Clinica Espanola - February 19, 2019 Category: Internal Medicine Source Type: research

Shorter time to begin of QRS fragmentation predicts non-response to cardiac resynchronization therapy in non-ischemic heart failure patients
ConclusionsShorter time from onset of QRS to beginning of fragmentation is a simple ECG marker to predict non-responsive patients to CRT.ResumenObjetivoLa terapia de resincronización cardíaca (TRC) es una opción eficaz en el tratamiento de los pacientes con insuficiencia cardíaca y QRS ancho. Se ha demostrado que la presencia de un QRS fragmentado (QRS-f) en el electrocardiograma (ECG) de 12 derivaciones se asocia con una no respuesta a la TRC. El objetivo de este estudio es valorar si la aparición de la fragmentación (intervalo Q-f) es importante en la respuesta a la TRC.Mé...
Source: Revista Clinica Espanola - February 12, 2019 Category: Internal Medicine Source Type: research

Ethics and empathy: The relationship between moral reasoning, ethical sensitivity and empathy in medical students
ConclusionsThis study found a correlation between moral reasoning, ethical sensitivity and empathy and a lack of progression of the first 2 variables in the last years of the medical degree.ResumenLa práctica clínica de calidad no incluye tan solo la mejora de conocimientos en aspectos científicos y técnicos, sino también en la gestión de valores, la sensibilidad ética y las habilidades en la valoración y manejo de los conflictos éticos. La literatura revisada sugiere la existencia de la llamada «erosión ética», según la cual la...
Source: Revista Clinica Espanola - February 11, 2019 Category: Internal Medicine Source Type: research

Internal Medicine and its future in health systems. Positioning Statement of the Spanish Society of Internal Medicine and the Portuguese Society of Internal Medicine
Publication date: Available online 10 February 2019Source: Revista Clínica Española (English Edition)Author(s): A. Zapatero Gaviría, L. Campos, R. Gómez Huelgas, J. Araújo Correia, J. Díez-Manglano, V. Barreto (Source: Revista Clinica Espanola)
Source: Revista Clinica Espanola - February 11, 2019 Category: Internal Medicine Source Type: research

Unexpected acute abdomen
Publication date: Available online 2 February 2019Source: Revista Clínica Española (English Edition)Author(s): M. Latorre Asensio, R. Pellón Dabén, S. Nieto Martínez (Source: Revista Clinica Espanola)
Source: Revista Clinica Espanola - February 2, 2019 Category: Internal Medicine Source Type: research

Series of 12 cases of wheat-dependent exercise-induced allergy in Aragon, Spain
ConclusionsWDEIA is a relatively rare but potentially severe food allergy. Understanding this allergy is therefore important for a correct diagnosis.ResumenAntecedentes y objetivoLa ω-5 gliadina (ω5G) se considera el alérgeno principal en la anafilaxia inducida por ejercicio dependiente del trigo (WDEIA). Estos pacientes presentan reacciones anafilácticas tras la ingesta de trigo y la realización de ejercicio físico.El objetivo de nuestro estudio es describir las principales características de 12 pacientes con este diagnóstico.Materiales y métodosEstudio des...
Source: Revista Clinica Espanola - February 2, 2019 Category: Internal Medicine Source Type: research

Reasons to consider low-dose of methimazole as the best option to treat patients with recurrent Graves’ hyperthyroidism
Publication date: Available online 30 January 2019Source: Revista Clínica Española (English Edition)Author(s): R.V. García-Mayor (Source: Revista Clinica Espanola)
Source: Revista Clinica Espanola - January 31, 2019 Category: Internal Medicine Source Type: research

Laboratory guidelines for the diagnosis of patients with cryoglobulinemic syndrome
Publication date: Available online 25 January 2019Source: Revista Clínica Española (English Edition)Author(s): A. Mariscal-Rodríguez, L.M. Villar Guimerans, M. López-Trascasa, M. Hernández González, E. Moga Naranjo, on behalf of grupo de inmunoquímica de la Sociedad Española de InmunologíaAbstractCryoglobulinemic syndromes include a collection of manifestations that are found in various diseases and that share a pathophysiological mechanism: cryoglobulin deposit in vascular beds. For these syndromes, the presence of cryoglobulins is a diagnostic criterion, and ...
Source: Revista Clinica Espanola - January 25, 2019 Category: Internal Medicine Source Type: research

Getting to know internal medicine mentors: New training requirements
ConclusionsReducing the mentor-resident ratio and adding training in assessment techniques and learning development could improve the quality of the mentoring.ResumenIntroducción y objetivosLos tutores son los responsables de planificar el aprendizaje de los residentes. El objetivo de este trabajo es conocer la situación de los tutores de Medicina Interna en España y detectar áreas de mejora que puedan facilitar su trabajo.Material y métodosEncuestas online a tutores de Medicina Interna de mayo a julio de 2017 con análisis posterior de los datos.ResultadosRespondieron 110 tutores, ...
Source: Revista Clinica Espanola - January 25, 2019 Category: Internal Medicine Source Type: research

Endoscopic and histological diagnosis of a case of disseminated tuberculosis with intestinal affectation and lipomembranous fat necrosis
Publication date: Available online 25 January 2019Source: Revista Clínica Española (English Edition)Author(s): J. Yebra Carmona, P. de María Pallares, L. Blasco Santana (Source: Revista Clinica Espanola)
Source: Revista Clinica Espanola - January 25, 2019 Category: Internal Medicine Source Type: research

First hospital admission due to heart failure: In-hospital mortality and patient profile
ConclusionsFirst HF related admissions account for 56.7% of all HF episodes. Roughly one third of patients were already diagnosed by the time of their first hospital admission. Elderly women were the most frequent, but not the only, group of patients. Age, hospital stay and chronic kidney disease were the main contributors for in-hospital death.ResumenObjetivosEvaluamos el perfil de paciente y los resultados del primer ingreso hospitalario asociado a un acontecimiento de insuficiencia cardiaca (IC) en el período de tiempo comprendido entre 2010–2014.DiseñoEstudio de cohorte retrospectivo de centro &uacu...
Source: Revista Clinica Espanola - January 25, 2019 Category: Internal Medicine Source Type: research

Prevalence of diabetes, use of antidiabetic drugs and degree of glycemic control in the province of Cadiz (2014–2016): A population-based study
ConclusionThe prevalence of pharmacologically treated diabetes in the province of Cadiz is high and appears to be increasing. The patients presented limited glycemic control, to which inadequate follow-up in almost a third of the patients could be the major contributor.ResumenAntecedentes y objetivoLos objetivos de este estudio fueron evaluar la prevalencia de diabetes mellitus tratada farmacológicamente, analizar los patrones de prescripción de los fármacos antidiabéticos y evaluar el grado de control de la enfermedad en la provincia de Cádiz.Pacientes y métodosEstudio observacion...
Source: Revista Clinica Espanola - January 22, 2019 Category: Internal Medicine Source Type: research

Hemoconcentration and acute heart failure, an emerging predictive factor or already established?
Publication date: Available online 18 January 2019Source: Revista Clínica Española (English Edition)Author(s): C. Escobar Cervantes (Source: Revista Clinica Espanola)
Source: Revista Clinica Espanola - January 20, 2019 Category: Internal Medicine Source Type: research

Cardiovascular hospitalisations in diabetes: A window of opportunity
Publication date: Available online 18 January 2019Source: Revista Clínica Española (English Edition)Author(s): J. García Alegría (Source: Revista Clinica Espanola)
Source: Revista Clinica Espanola - January 20, 2019 Category: Internal Medicine Source Type: research

Diuretic treatment of the patient with diabetes and heart failure. Role of SGLT2 inhibitors and similarities with carbonic anhydrase inhibitors
Publication date: Available online 18 January 2019Source: Revista Clínica Española (English Edition)Author(s): D. León Jiménez, R. Gómez Huelgas, A.J. Fernández Romero, J.M. López Chozas, L. Pérez de Isla, J.P. Miramontes GonzálezAbstractSodium-glucose cotransporter-2 inhibitors have changed the concept of the effects that hypoglycemic drugs have on hearth failure (HF). For the first time, a therapeutic group has modified the evolution of HF. Its effect goes beyond glycemic control, and different theories have been postulated to justify this benefit. In the art...
Source: Revista Clinica Espanola - January 20, 2019 Category: Internal Medicine Source Type: research

Intervention in frail elderly patients from emergency care
Publication date: Available online 17 January 2019Source: Revista Clínica Española (English Edition)Author(s): I. Bardés Robles, E. Rodríguez Adrada, R. Escoda, P. Herrero (Source: Revista Clinica Espanola)
Source: Revista Clinica Espanola - January 18, 2019 Category: Internal Medicine Source Type: research

Hemoconcentration as a prognostic factor after hospital discharge in acute heart failure in the RICA registry
ConclusionsThe degree of hemoconcentration at 3 months after admission for HF is not prognostic of readmission or death in the subsequent year.ResumenObjetivoDiferentes estudios señalan que la consecución de una mayor hemoconcentración en pacientes ingresados por insuficiencia cardiaca (IC) aguda mejora el pronóstico a lo largo del año siguiente al episodio índice. El objetivo de este estudio es evaluar si el grado de hemoconcentración a los 3 meses tras el ingreso por IC también tiene valor pronóstico de reingreso y/o mortalidad en los 12 meses siguientes al i...
Source: Revista Clinica Espanola - January 18, 2019 Category: Internal Medicine Source Type: research

Health services research for hospitalized patients with diabetes mellitus
Publication date: Available online 17 January 2019Source: Revista Clínica Española (English Edition)Author(s): J. Ena (Source: Revista Clinica Espanola)
Source: Revista Clinica Espanola - January 17, 2019 Category: Internal Medicine Source Type: research

Ethics and management objectives
Publication date: Available online 28 December 2018Source: Revista Clínica Española (English Edition)Author(s): J.M. Prieto de Paula, S. Franco Hidalgo (Source: Revista Clinica Espanola)
Source: Revista Clinica Espanola - December 29, 2018 Category: Internal Medicine Source Type: research

Update on postprandial hyperglycemia: The pathophysiology, prevalence, consequences and implications of treating diabetes
Publication date: Available online 27 December 2018Source: Revista Clínica Española (English Edition)Author(s): P.J. Pinés Corrales, V. Bellido Castañeda, F.J. Ampudia-BlascoAbstractTo achieve appropriate glycaemic control, postprandial and baseline hyperglycemia should be reduced. Various epidemiological studies have suggested an association between fluctuations in postprandial blood glucose and cardiovascular risk. However, studies of interventions performed to date have not shown that selective control of postprandial hyperglycemia is associated with cardiovascular benefits. Accordingly, an a...
Source: Revista Clinica Espanola - December 28, 2018 Category: Internal Medicine Source Type: research

Diagnostic orientation of abdominal aortic graft infection using 18F-FDG PET/CT
Publication date: Available online 27 December 2018Source: Revista Clínica Española (English Edition)Author(s): P.A. de la Riva-Pérez, F.J. García-Gómez, G. Sabatel-Hernández (Source: Revista Clinica Espanola)
Source: Revista Clinica Espanola - December 28, 2018 Category: Internal Medicine Source Type: research

ASIA (Autoimmune/inflammatory syndrome induced by adjuvants): A new case?
Publication date: Available online 27 December 2018Source: Revista Clínica Española (English Edition)Author(s): P. Fernández-Canga, M. Lamoca-Martín, C. Prada-García (Source: Revista Clinica Espanola)
Source: Revista Clinica Espanola - December 28, 2018 Category: Internal Medicine Source Type: research

Erosive and crusty plaque located in the ear of a patient with a childhood burn history
Publication date: Available online 28 December 2018Source: Revista Clínica Española (English Edition)Author(s): L. Quintana-Castanedo, R. Maseda-Pedrero, P. Herranz-Pinto (Source: Revista Clinica Espanola)
Source: Revista Clinica Espanola - December 28, 2018 Category: Internal Medicine Source Type: research

Skin ultrasound in the diagnosis of odontogenic cutaneous fistula
Publication date: Available online 15 December 2018Source: Revista Clínica Española (English Edition)Author(s): C. García Harana, I. Fernández Canedo, M. de Troya Martín (Source: Revista Clinica Espanola)
Source: Revista Clinica Espanola - December 16, 2018 Category: Internal Medicine Source Type: research

Hyperkalemia, also in acute heart failure
Publication date: Available online 14 December 2018Source: Revista Clínica Española (English Edition)Author(s): J. Jacob, L. Llauger, V. Gil, P. Javaloyes (Source: Revista Clinica Espanola)
Source: Revista Clinica Espanola - December 15, 2018 Category: Internal Medicine Source Type: research

Reversible pulmonary toxicity by nitrofurantoin
Publication date: Available online 14 December 2018Source: Revista Clínica Española (English Edition)Author(s): S.M. Santos Seoane, R. Fernández-Madera-Martínez, M.L. Taboada-Martínez (Source: Revista Clinica Espanola)
Source: Revista Clinica Espanola - December 15, 2018 Category: Internal Medicine Source Type: research

Analysis of hospitalizations by cardiovascular disease in the population with diabetes in Spain
In this study, we analyzed the prevalence of diabetes mellitus in hospitalised patients in Spain in 2015 and the burden of associated cardiovascular disease.MethodsBy analysing the 2015 minimum basic data set (MBDS) of the Spanish Ministry of Health, we included all patients discharged with a diagnosis of diabetes mellitus. We describe the epidemiological characteristics, distribution by the various hospital departments and the presence of cardiovascular disease.ResultsIn 2015, there was 3,727,583 hospital discharges in Spain, 619,188 of which involved patients with diabetes (16.7%), 56.8% of whom were men and with a mean ...
Source: Revista Clinica Espanola - December 7, 2018 Category: Internal Medicine Source Type: research

Eruptive sebaceous hyperplasias secondary to ciclosporin in a renal transplant patient
Publication date: Available online 3 December 2018Source: Revista Clínica Española (English Edition)Author(s): T. Gracia-Cazaña, M.P. Sánchez Salas, Y. Gilaberte (Source: Revista Clinica Espanola)
Source: Revista Clinica Espanola - December 4, 2018 Category: Internal Medicine Source Type: research

Silicosis: A former occupational disease with new occupational exposure scenarios
Publication date: Available online 30 November 2018Source: Revista Clínica Española (English Edition)Author(s): M.A. Pascual del Pobil y Ferré, R. García Sevila, M.d.M. García Rodenas, E. Barroso Medel, E. Flores Reos, Juan Gil CarbonellAbstractBackgroundRecent studies have shown an increase in the prevalence of silicosis due to the use of artificial quartz aggregates (AQA). The aim of this study was to assess the cases of silicosis in our area reported to the Healthcare Information System for Occupational Epidemiological Surveillance of the Autonomous Community of Valencia to detect new ...
Source: Revista Clinica Espanola - December 1, 2018 Category: Internal Medicine Source Type: research

Cardiac involvement in patients with end-stage liver disease, beyond the hepatopulmonary syndrome
Publication date: Available online 30 November 2018Source: Revista Clínica Española (English Edition)Author(s): S. Colunga Blanco, C. Corros Vicente, A. García Campos, J.M. de la Hera Galarza (Source: Revista Clinica Espanola)
Source: Revista Clinica Espanola - December 1, 2018 Category: Internal Medicine Source Type: research

Corneal involvement due to Erdheim-Chester disease
Publication date: Available online 29 November 2018Source: Revista Clínica Española (English Edition)Author(s): J. Díez de los Ríos, J. Serra Batlles, F. Ruiz (Source: Revista Clinica Espanola)
Source: Revista Clinica Espanola - November 30, 2018 Category: Internal Medicine Source Type: research

Atypical presentation of transthyretin amyloidosis in a non-endemic area
ConclusionsHereditary ATTR is a rare disease but is present in nonendemic areas and should therefore be considered in the differential diagnosis of patients with polyneuropathy and/or heart failure with preserved ejection fraction.ResumenAntecedente y objetivoExisten 2 tipos de amiloidosis producidas por depósitos de transtiretina, el tipo salvaje (wt-ATTR) y el tipo mutante (m-ATTR), transmitido por herencia autosómica dominante con penetrancia variable, manifestándose con clínica neurológica y/o cardíaca. Describimos 3 familias afectadas por m-ATTR diagnosticadas en un áre...
Source: Revista Clinica Espanola - November 27, 2018 Category: Internal Medicine Source Type: research

Brain abscess in relation to infection of the ventriculoperitoneal shunt system
Publication date: Available online 27 November 2018Source: Revista Clínica Española (English Edition)Author(s): S.M. Santos-Seoane, R. Cabo-Madagán, A. Rodriguez-Guardado (Source: Revista Clinica Espanola)
Source: Revista Clinica Espanola - November 27, 2018 Category: Internal Medicine Source Type: research

Medical and nutritional treatment in adult patients with acute intestinal failure
Publication date: Available online 27 November 2018Source: Revista Clínica Española (English Edition)Author(s): L.E. González-Salazar, M. Guevara-Cruz, A.E. Serralde-ZúñigaAbstractAcute intestinal failure is a reversible clinical condition characterized by reduced intestinal function, which requires the intravenous supplementation of nutrients, water and/or electrolytes for weeks or months to maintain an optimal state of health. Acute intestinal failure occurs mainly in postsurgical patients who have undergone abdominal operations or are critically ill and have organ dysfunction. These pa...
Source: Revista Clinica Espanola - November 27, 2018 Category: Internal Medicine Source Type: research

Fecaloma as a cause of acute renal failure
Publication date: Available online 19 November 2018Source: Revista Clínica Española (English Edition)Author(s): E. Hernández García, M.J. Torres Sánchez, J. Gómez Sánchez (Source: Revista Clinica Espanola)
Source: Revista Clinica Espanola - November 21, 2018 Category: Internal Medicine Source Type: research

Pathological fracture of the humerus and subsequent diagnosis of polyostotic fibrous dysplasia
Publication date: Available online 20 November 2018Source: Revista Clínica Española (English Edition)Author(s): S.M. Santos Seoane, L. Fernández Hernández, E.M. Fonseca Aizpuru (Source: Revista Clinica Espanola)
Source: Revista Clinica Espanola - November 21, 2018 Category: Internal Medicine Source Type: research

Pyomyositis secondary to prostatic abscesses
Publication date: Available online 20 November 2018Source: Revista Clínica Española (English Edition)Author(s): S. Sánchez García, D. Rubio Solís, V. Díaz Fernández (Source: Revista Clinica Espanola)
Source: Revista Clinica Espanola - November 21, 2018 Category: Internal Medicine Source Type: research

Strange rash after travel to Thailand
Publication date: Available online 20 November 2018Source: Revista Clínica Española (English Edition)Author(s): R. Martínez Gutiérrez, S. Santos Seoane, D. Pérez Martínez (Source: Revista Clinica Espanola)
Source: Revista Clinica Espanola - November 21, 2018 Category: Internal Medicine Source Type: research

Klippel-Trénaunay syndrome: Cutaneous manifestations
Publication date: Available online 17 November 2018Source: Revista Clínica Española (English Edition)Author(s): A. Rodríguez-Villa Lario, A. Cabrera-Hernández, L. Trasobares-Marugán (Source: Revista Clinica Espanola)
Source: Revista Clinica Espanola - November 18, 2018 Category: Internal Medicine Source Type: research

Consensus on focused cardiac ultrasound: The beginning of a promising friendship
Publication date: Available online 15 November 2018Source: Revista Clínica Española (English Edition)Author(s): J. Torres Macho, A. Zapatero Gaviria, G. García de Casasola, en representación del grupo de trabajo de Ecografía Clínica de la Sociedad Española de Medicina Interna (Source: Revista Clinica Espanola)
Source: Revista Clinica Espanola - November 16, 2018 Category: Internal Medicine Source Type: research

Geographic tongue: Predisposing factors, diagnosis and treatment. A systematic review
ConclusionsThe diagnosis of GT is mainly clinical. GT is an asymptomatic disorder that usually requires no treatment. Understanding GT is necessary due to the comorbid intraoral and extraoral diseases that accompany the condition.ResumenIntroducciónLa lengua geográfica (LG) es una lesión de origen desconocido asociada a enfermedades sistémicas, por lo que su atención plantea una validez multidisciplinar.MétodosLa búsqueda de los artículos fue realizada a partir de las bases de datos de PubMed, Embase, Web of Science y Cochrane Database. Los criterios de selecció...
Source: Revista Clinica Espanola - November 16, 2018 Category: Internal Medicine Source Type: research

Gastrointestinal stromal tumour
Publication date: Available online 15 November 2018Source: Revista Clínica Española (English Edition)Author(s): J. Franco, A. Brase, L. Lazaro (Source: Revista Clinica Espanola)
Source: Revista Clinica Espanola - November 16, 2018 Category: Internal Medicine Source Type: research

Clinical ultrasonography and abdominal aortic aneurysms in Internal Medicine
Publication date: Available online 14 November 2018Source: Revista Clínica Española (English Edition)Author(s): J.I. Cuende (Source: Revista Clinica Espanola)
Source: Revista Clinica Espanola - November 15, 2018 Category: Internal Medicine Source Type: research

Geographic tongue induced by angiogenesis inhibitors
Publication date: Available online 12 November 2018Source: Revista Clínica Española (English Edition)Author(s): A. Ruiz-Casado, L. Gutiérrez, A. Sánchez, M. Manso (Source: Revista Clinica Espanola)
Source: Revista Clinica Espanola - November 14, 2018 Category: Internal Medicine Source Type: research

Metastatic melanoma-asociated poliosis
Publication date: Available online 13 November 2018Source: Revista Clínica Española (English Edition)Author(s): M.R. Fernández-Díaz, M. Trigo-Rodriguez, N. Faro-Miguez, J. Aneiros-Fernández, A.I. Parejo-Morón (Source: Revista Clinica Espanola)
Source: Revista Clinica Espanola - November 14, 2018 Category: Internal Medicine Source Type: research

Tracheal bronchus: An infrequent pathology
Publication date: Available online 13 November 2018Source: Revista Clínica Española (English Edition)Author(s): I. Ruiz Álvarez, M. Ariza-Prota, A. Bango-Álvarez (Source: Revista Clinica Espanola)
Source: Revista Clinica Espanola - November 14, 2018 Category: Internal Medicine Source Type: research

Portal pneumatosis after diving accident
Publication date: Available online 13 November 2018Source: Revista Clínica Española (English Edition)Author(s): P. Rodríguez García, M. Balsalobre Salmerón, A. García López (Source: Revista Clinica Espanola)
Source: Revista Clinica Espanola - November 14, 2018 Category: Internal Medicine Source Type: research

Calciphylaxis in a kidney transplant patient
Publication date: Available online 13 November 2018Source: Revista Clínica Española (English Edition)Author(s): Á. González-Cantero, B. Moreno-Torres, A.B. Gargallo-Quintero (Source: Revista Clinica Espanola)
Source: Revista Clinica Espanola - November 14, 2018 Category: Internal Medicine Source Type: research