1
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Aguilera-Franco M, Franco-Acosta A, Yépez-Naranjo AF, Rodríguez-Granger J, Sampedro A, Navarro-Mari JM. [Tuberculous otitis media: A case presentation and review of european literature]. Rev Esp Quimioter 2023; 36:519-525. [PMID: 37265448 PMCID: PMC10586746 DOI: 10.37201/req/011.2023] [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] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/25/2023] [Revised: 03/24/2023] [Accepted: 04/10/2023] [Indexed: 06/03/2023]
Abstract
Tuberculous otitis media (TOM) is a rare affectation in our environment that represents a challenge in its diagnosis due to the non-specific symptoms that it usually presents. This paper presents our experience in the diagnosis of a case of TOM in a 66-year-old woman with hearing loss and chronic otorrhea of more than 6 months of evolution that did not respond to conventional treatments. In addition, a review of the cases published in the last 20 years (2000-2022) in countries of the European Union (EU) is carried out. The most common symptoms were otorrhea (n=43; 100%), hearing loss (n=37; 86.05%), eardrum perforation (n=19; 44.18%), facial paralysis (n=12, 27,91%) and ear pain (n=13; 30,23%). The most used sample for diagnosis was the biopsy obtained by mastoidectomy (n=34; 79.06%). All patients were given antituberculous therapy for a mean duration of 8.11 months (range, 6-12 months). The most frequent aftereffect was hearing loss (n=28; 65.12%). TOM should be included in the differential diagnosis of chronic suppurative otitis, since early diagnosis and treatment reduce the probability of suffering irreversible sequelae.
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Affiliation(s)
- M Aguilera-Franco
- María Aguilera Franco, Servicio de Microbiología y Parasitología Clínica. Hospital Universitario Virgen de las Nieves. Granada. Spaun.
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2
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López-Mínguez JR, Martín de Francisco AL, Soler MJ, Hernández F, Moreno R, Pinar E, Sampedro A, Mareque M, Oyagüez I. Cost-effectiveness analysis of dyevert™ Power XT in patients with chronic kidney disease undergoing percutaneous coronary intervention procedures in Spain. Catheter Cardiovasc Interv 2023. [PMID: 37300893 DOI: 10.1002/ccd.30744] [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] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/11/2023] [Revised: 05/19/2023] [Accepted: 05/26/2023] [Indexed: 06/12/2023]
Abstract
OBJECTIVE To assess the efficiency of Dyevert™ Power XT compared to the standard clinical practice when used for percutaneous coronary interventions (PCI). METHODS A Markov model was developed to estimate, over 3-month cycles and a lifetime time horizon, the cumulative costs and health outcomes (life years gained [LYG] and quality-adjusted life years [QALY]) in a hypothetical cohort of 1,000 patients with chronic kidney disease (CKD) 3b-4 and an average age of 72 years. The incidence of contrast-induced acute kidney injury for these patients is 18.89% in routine practice and 7.78% with Dyevert. QALYs were estimated by applying utilities by health state. Transitions between states and utilities were obtained from the literature. Overall all-cause and state-specific mortality were considered. The total cost (€2,022) estimated with the National Health System perspective included cost of the procedure and of CKD management. The parameters were validated by a panel of experts. A discount rate (3% per year) was applied to costs and outcomes. RESULTS The use of Dyevert yielded more health benefits (34.60 LYG and 5.69 QALYs) compared to the current standard practice (33.11 LYG and 5.38 QALYs). Lifetime cost accumulated at the end of the simulation resulted €30,211/patient with Dyevert and €33,895/patient with current standard clinical practice. CONCLUSIONS The use of Dyevert™ Power XT resulted dominant option, due to its higher effectiveness and lower cost as compared to standard clinical practice and, therefore, a preferred option in patients with CKD stages 3b-4 undergoing PCI in Spain.
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Affiliation(s)
- Jose R López-Mínguez
- Sección de Hemodinámica y Cardiología Intervencionista, Hospital Universitario de Badajoz, Badajoz, España
| | | | - M J Soler
- Servicio de Nefrología, Hospital Universitari Vall d'Hebron, Barcelona, España
| | - Felipe Hernández
- Unidad de Hemodinámica y Cardiología Intervencionista, Clínica Universidad de Navarra, Madrid, España
| | - Raul Moreno
- Unidad de Cardiología Intervencionista, Hospital Universitario La Paz, Madrid, España
| | - Eduardo Pinar
- Departamento de Cardiología, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, España
| | | | - M Mareque
- Pharmacoeconomics & Outcomes Research Iberia (PORIB), Pozuelo de Alarcón, Madrid, España
| | - I Oyagüez
- Pharmacoeconomics & Outcomes Research Iberia (PORIB), Pozuelo de Alarcón, Madrid, España
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3
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Tous-Espelosin M, Iriarte Yoller N, Pavón C, Sanchez P, Sampedro A, Maldonado-Martín S. Predictive value of body composition and core symptoms in schizophrenia for cardiorespiratory fitness: CORTEX-SP study. Eur Psychiatry 2022. [PMCID: PMC9567387 DOI: 10.1192/j.eurpsy.2022.514] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Introduction
Cardiorespiratory fitness (CRF) can be directly measured and assessed by the cardiopulmonary exercise test (CPET) or estimated from different field tests as the Modified Shuttle Walking Test (MSWT). The CRF in schizophrenia (SP) population may be altered due to sex, age, body composition and core symptoms variables. However, the extent to which each domain influences CRF in this pathology is still unknown.
Objectives
To analyze the predictive value of body composition and core symptoms in SP for CRF.
Methods
Participants (N = 144, 41.7 ± 10.3 yr old) with SP were assessed with (1) body mass index and fat percentage; (2) upright bicycle ergometer using an incremental ramp protocol and the MSWT; and (3) positive and negative symptoms of the disease [“Positive and Negative Syndrome Scale” (PANSS) and “The Brief Negative Symptom Scale” (BNSS)]. In the Stepwise Multiple Regression analyses, those variables which correlated (Spearman’s Rho) significantly with each CFR scores were included
Results
Lower negative symptoms (P<0.001) and positive PANSS (P=0.035) predicted V̇O2peak (L·min−1) (R2=28.3%). Lower negative symptoms (P<0.001), positive PANSS (P=0.006) and fat body mass (P<0.001) explained V̇O2peak (mL·kg−1·min−1) (R2=46.5%). MSWT was predicted (R2=58.9%) by lower negative symptoms (P=0.001), body mass (P<0.001) and total PANSS (P=0.004).
Conclusions
In patients with SP significantly higher CRF was detected in those with lower negative and positive symptoms, as well as lower body mass. Exercise interventions for improving CRF should be promoting in this population for a better control of core symptoms.
Disclosure
No significant relationships.
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Cobo F, Jiménez G, Rodríguez-Granger J, Sampedro A, Aliaga-Martínez L, Navarro-Marí JM. Clinical and microbiological findings of septic arthritis caused by Haemophilus parainfluenzae. Med Mal Infect 2017; 47:526-531. [PMID: 28985900 DOI: 10.1016/j.medmal.2017.08.002] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2016] [Revised: 12/01/2016] [Accepted: 08/30/2017] [Indexed: 12/26/2022]
Abstract
OBJECTIVES To report a case of septic arthritis due to H. parainfluenzae and to review the clinical and microbiological characteristics of published case patients. PATIENTS AND METHODS Data was collected on age, sex, infection localization, underlying risk factors, symptom onset-diagnosis interval, analytical findings, microbiological diagnosis, treatment, outcome, and follow-up of the present patient (presenting with septic arthritis of the pubic symphysis due to H. parainfluenzae) and those identified in a literature analysis. RESULTS Data of 18 patients, including 17 reported case patients, was collected. Mean age at presentation was 51±9 years. Underlying diseases for septic arthritis were recorded in 11 patients. The infection site was the knee in eight patients, hip and/or acromioclavicular joint in five. Pain was observed in 15 patients and fever in 10; the mean symptom onset-diagnosis interval was 9.4 days. Diagnosis was obtained from synovial fluid aspirate in 12 patients and from blood cultures in four. Susceptibility of H. parainfluenzae strains was reported in 12 cases. Eight patients were treated with cephalosporins and 10 with penicillins. A favorable outcome was observed in 13 patients. CONCLUSIONS Septic arthritis caused by H. parainfluenzae is a rare entity that requires a high level of suspicion before application of laboratory methods for rapid diagnosis and treatment.
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Affiliation(s)
- F Cobo
- Department of microbiology, hospital Virgen de las Nieves, 2, Avda Fuerzas Armadas, 18014 Granada, Spain.
| | - G Jiménez
- Department of microbiology, hospital Virgen de las Nieves, 2, Avda Fuerzas Armadas, 18014 Granada, Spain
| | - J Rodríguez-Granger
- Department of microbiology, hospital Virgen de las Nieves, 2, Avda Fuerzas Armadas, 18014 Granada, Spain
| | - A Sampedro
- Department of microbiology, hospital Virgen de las Nieves, 2, Avda Fuerzas Armadas, 18014 Granada, Spain
| | - L Aliaga-Martínez
- Department of internal medicine, hospital Virgen de las Nieves, Granada, Spain
| | - J M Navarro-Marí
- Department of microbiology, hospital Virgen de las Nieves, 2, Avda Fuerzas Armadas, 18014 Granada, Spain
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5
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Puertas-Prieto A, Lara-Oya A, Liébana Martos C, Rodríguez-Granger J, Cobo F, Sampedro A, Padilla A, Gutiérrez-Fernández J, Manzanares-Galán S, Cueto-López M, Rosa-Fraile M, Navarro-Mari JM. Streptococcus agalactiae: prevention and vaccine development. Rev Esp Quimioter 2017; 30:312-318. [PMID: 28945063] [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] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Streptococcus agalactiae, group B Streptococcus (SGB), is the most important cause of morbi-mortality among newborn population, and an important pathogen among immunossupressed adult patients. Despite the advances in the treatment and prevention of neonatal infections as a consequence of implementation of national and international recommendations for prevention of infection, there are still some improvements for the final control of the disease. In this sense, the vaccination against SGB could be an effective measure for the prevention of disease in those cases where intrapartum prophylaxis is not useful and in adult patients with risk factors for invasive infection due to SGB. This review summarizes the efforts made until now in order to establish the control of the infection, and brings some information on the current state-of-the art of vaccines against SGB, in which different strategies in their design have been used.
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Affiliation(s)
| | | | | | - J Rodríguez-Granger
- Javier Rodríguez Granger, Servicio de Microbiología. Hospital Universitario Virgen de las Nieves. Avenida de las Fuerzas Armadas s/n C.P 18014 Granada, Spain.
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6
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Cobo F, Rodríguez-Granger J, Sampedro A, Aliaga-Martínez L, Navarro-Marí JM. Pleural effusion due to Parvimonas micra. A case report and a literature review of 30 cases. Rev Esp Quimioter 2017; 30:285-292. [PMID: 28537064] [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] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
The clinical and microbiological characteristics of infections caused by Parvimonas micra is described, including 30 cases in the literature and a new case handled at the present centre. Out of the 31 patients, 18 were male; mean age at diagnosis was 65.1 ± 13.0 years. Infection site was the vertebral spine in 14 patients and joints and heart valves in 5 each one; pain was present in all patients with articular localization and in almost all patients with vertebral involvement. The diagnosis was obtained from fluid aspirate or drainage in 13 cases and blood cultures in 11. In 8 cases, molecular techniques were also applied. The most frequently used antimicrobials were clindamycin, penicillin, amoxicillin and ceftriaxone. The outcome was positive with the medical treatment in 28 patients. P. micra infections are uncommon and requires a high index of suspicion.
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Affiliation(s)
- F Cobo
- Fernando Cobo, Department of Microbiology, Hospital Virgen de las Nieves Avda Fuerzas Armadas, 2 18014 Granada, Spain.
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7
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Cobo F, Rodríguez-Granger J, Sampedro A, Aliaga-Martínez L, Navarro-Marí J. A case of Bartholin cyst due to Neisseria flavescens. Med Mal Infect 2017; 47:286-289. [DOI: 10.1016/j.medmal.2017.03.001] [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] [Received: 01/09/2017] [Accepted: 03/07/2017] [Indexed: 11/15/2022]
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8
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Cubillas M, Sampedro A, Domínguez B, Carrio I, Bango V, Barbón JJ. Endogenous bacterial endophthalmitis. A report of 2cases. ACTA ACUST UNITED AC 2017; 92:280-282. [PMID: 28427732 DOI: 10.1016/j.oftal.2017.02.011] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2016] [Revised: 01/11/2017] [Accepted: 02/06/2017] [Indexed: 10/19/2022]
Abstract
CLINICAL CASES The cases are presented on 2patients with bacterial endogenous endophthalmitis. The first one was caused by Streptococcus bovis, developed after colonoscopy, which had a poor outcome and resulted in evisceration. The second case was caused by a methicillin resistant Staphylococcus aureus from an arthrodesis complicated with a para-spinal abscess. It had an excellent visual outcome. DISCUSSION Bacterial endogenous endophthalmitis is a rare, but serious ocular disease that occurs when bacteria reach the eye via the bloodstream. It requires a very early diagnosis based on the clinical symptoms and patient history. A suitable and specific treatment with intravenous and intravitreal antibiotics may prevent a bad visual prognosis in some cases.
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Affiliation(s)
- M Cubillas
- Servicio de Oftalmología, Hospital San Agustín de Avilés, Avilés (Asturias), España.
| | - A Sampedro
- Servicio de Oftalmología, Hospital San Agustín de Avilés, Avilés (Asturias), España
| | - B Domínguez
- Servicio de Oftalmología, Hospital San Agustín de Avilés, Avilés (Asturias), España
| | - I Carrio
- Servicio de Medicina Interna, Hospital San Agustín de Avilés, Avilés (Asturias), España
| | - V Bango
- Servicio de Medicina Interna, Hospital San Agustín de Avilés, Avilés (Asturias), España
| | - J J Barbón
- Servicio de Oftalmología, Hospital San Agustín de Avilés, Avilés (Asturias), España
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9
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Affiliation(s)
- A Bugallo
- Servicio de Oftalmología, Hospital San Agustín, Avilés, Asturias, España
| | - A Sampedro
- Servicio de Oftalmología, Hospital San Agustín, Avilés, Asturias, España.
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10
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Sampedro A, Moreno E. Comentarios sobre el suplemento «Contraindicaciones y reacciones adversas a los medios de contraste intravenosos». Radiología 2015; 57:264-5. [DOI: 10.1016/j.rx.2014.12.007] [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] [Received: 12/16/2014] [Revised: 12/18/2014] [Accepted: 12/19/2014] [Indexed: 11/25/2022]
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11
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Sampedro A, Barbón JJ. [Roman ophthalmology practised by doctor Castillo-Quartiellers]. Arch Soc Esp Oftalmol 2015; 90:e39-e41. [PMID: 25701557 DOI: 10.1016/j.oftal.2014.11.003] [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] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/18/2012] [Revised: 08/12/2014] [Accepted: 11/03/2014] [Indexed: 06/04/2023]
Affiliation(s)
- A Sampedro
- Servicio de Oftalmología, Hospital San Agustín de Avilés, Avilés, Asturias, España.
| | - J J Barbón
- Servicio de Oftalmología, Hospital San Agustín de Avilés, Avilés, Asturias, España
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12
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Barbón JJ, Sampedro A. [Street vendor glasses]. Arch Soc Esp Oftalmol 2013; 88:e75-e77. [PMID: 24157326 DOI: 10.1016/j.oftal.2013.03.008] [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] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/05/2012] [Revised: 03/13/2013] [Accepted: 03/23/2013] [Indexed: 06/02/2023]
Affiliation(s)
- J J Barbón
- Servicio de Oftalmología, Hospital San Agustín, Avilés, Asturias, España.
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13
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Sampedro A, Carballo C, Barbón JJ, Andrés A, Viña C, Abelairas V. [Ocular paraneoplastic syndrome: cancer-associated retinopathy]. ACTA ACUST UNITED AC 2013; 88:407-9. [PMID: 24060306 DOI: 10.1016/j.oftal.2012.06.006] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2010] [Revised: 12/09/2011] [Accepted: 06/10/2012] [Indexed: 11/17/2022]
Abstract
CASE REPORT We review a patient with ocular manifestations of a paraneoplastic syndrome. It was a cancer-associated retinopathy (CAR) in a woman with visual loss, and attenuated and sheathed retinal arterioles. The electroretinography (ERG) showed severe abnormalities of the a and b-waves. The tumour process was not discovered until 6 months later, when a squamous neoplasia that invaded the uterus and vagina was observed. DISCUSSION Paraneoplastic syndromes are a group of manifestations produced as a remote effect of cancer cells. CAR syndrome is caused by autoimmune reactions to retinal antigens induced by aberrant expression of recoverin in cancer tissues. Ophthalmologists must be aware of ocular paraneoplastic signs as they can be the first manifestations of a malignant tumour.
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Affiliation(s)
- A Sampedro
- Servicio de Oftalmología, Hospital San Agustín, Avilés, Asturias, España.
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14
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Barbón JJ, Sampedro A. [Report on Spanish ophthalmology presented in the 1st Ophthalmology Congress (Brussels, 1857)]. ACTA ACUST UNITED AC 2013; 88:e60-2. [PMID: 23988047 DOI: 10.1016/j.oftal.2013.03.005] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2012] [Accepted: 03/10/2013] [Indexed: 12/01/2022]
Affiliation(s)
- J J Barbón
- Servicio de Oftalmología, Hospital San Agustín, Avilés, Asturias, España.
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15
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Augustine S, Simmons T, Sylvester C, Winner L, Hody R, Sampedro A, Parakh K. Heart Failure – Creating an Innovation Framework Using Technology And Manufacturing Company Methodologies To Develop a Heart Failure Program. Heart Lung 2013. [DOI: 10.1016/j.hrtlng.2013.06.032] [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: 11/17/2022]
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16
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Augustine S, Sampedro A, Sylvester C, Simmons T, Parakh K. Development of Identification Tools to Facilitate Maximal Detection of Patients Admitted with Heart Failure. Heart Lung 2013. [DOI: 10.1016/j.hrtlng.2013.06.033] [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: 11/28/2022]
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17
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Barbón JJ, Sampedro A. [Eyeglasses in XV century Spanish art (II)]. Arch Soc Esp Oftalmol 2013; 88:e39-e41. [PMID: 23726312 DOI: 10.1016/j.oftal.2012.12.012] [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] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/12/2012] [Revised: 11/07/2012] [Accepted: 12/18/2012] [Indexed: 06/02/2023]
Affiliation(s)
- J J Barbón
- Servicio de Oftalmología, Hospital San Agustín, Avilés, Asturias, Spain.
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18
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Barbón JJ, Sampedro A. [Glasses in XV century Spanish art (i)]. Arch Soc Esp Oftalmol 2012; 87:378-380. [PMID: 23058198 DOI: 10.1016/j.oftal.2012.06.009] [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] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/22/2012] [Accepted: 06/10/2012] [Indexed: 06/01/2023]
Affiliation(s)
- J J Barbón
- Servicio de Oftalmología, Hospital San Agustín de Avilés, Asturias, España.
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19
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Sampedro A. [The glasses and spectacles of Viceroy Luis de Velasco (XVI c.)]. Arch Soc Esp Oftalmol 2011; 86:234-235. [PMID: 21798414 DOI: 10.1016/j.oftal.2011.05.007] [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] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/22/2011] [Accepted: 05/03/2011] [Indexed: 05/31/2023]
Affiliation(s)
- A Sampedro
- Servicio de oftalmología, Hospital San Agustín de Avilés, Asturias, España.
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20
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Sampedro A, Barbon JJ. [The Eye of God nebula]. Arch Soc Esp Oftalmol 2011; 86:32-33. [PMID: 21414528 DOI: 10.1016/j.oftal.2010.11.012] [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] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/12/2010] [Accepted: 11/21/2010] [Indexed: 05/30/2023]
Affiliation(s)
- A Sampedro
- Servicio de Oftalmología, Hospital San Agustín de Avilés, Avilés, Asturias, España.
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21
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Sampedro A, Barbón JJ. [The eyeball and appendages in the "Complete Human Anatomy" by Martín Martínez (c. XVIII)]. Arch Soc Esp Oftalmol 2010; 85:282-284. [PMID: 21130945 DOI: 10.1016/j.oftal.2010.08.010] [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] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Affiliation(s)
- A Sampedro
- Hospital San Agustín de Avilés, Asturias, España
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22
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Sampedro A, Barbón JJ. [“Mal de la rosa” and pellagra keratoconjunctivitis]. Arch Soc Esp Oftalmol 2010; 85:190-192. [PMID: 23898477 DOI: 10.1016/s0365-6691(10)55007-x] [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] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Affiliation(s)
- A Sampedro
- Servicio de Oftalmología, Hospital San Agustín de Avilés, Asturias, España.
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23
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Barbón JJ, Sampedro A. [Ophthalmology in the Treatise of surgical operations by Martín Martínez]. Arch Soc Esp Oftalmol 2010; 85:120-122. [PMID: 20619125 DOI: 10.1016/s0365-6691(10)70033-2] [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] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Affiliation(s)
- J J Barbón
- Licenciados en Medicina, Servicio de Oftalmología, Hospital San Agustín, Avilés, Asturias, España.
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24
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Sampedro A. [Rorschach test]. Arch Soc Esp Oftalmol 2010; 85:51. [PMID: 20566174 DOI: 10.1016/s0365-6691(10)70014-9] [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] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Affiliation(s)
- A Sampedro
- Oftalmólogo, Hospital San Agustín, Avilés, Asturias, Spain.
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25
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Sampedro A, Barbón JJ. [Ophthalmic dressings in Canivell's Treaty of Bandages and Dressings, 1763]. Arch Soc Esp Oftalmol 2009; 84:367-368. [PMID: 19658056] [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: 05/28/2023]
Affiliation(s)
- A Sampedro
- Servicio de Oftalmología, Hospital San Agustín de Avilés, Asturias, España.
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26
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Sampedro A, Barbón JJ, Alvarez JA, Andrés MA, Baldó C. [Maternally Inherited Diabetes and Deafness]. Arch Soc Esp Oftalmol 2009; 84:359-361. [PMID: 19658054] [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] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Abstract
CASE REPORT We described the follow up of a patient with diabetes mellitus type 2 who had a macular pattern dystrophy and bilateral neurosensory hearing loss. Electrophysiological studies revealed abnormal pattern electroretinography and impaired electro-oculogram responses. DISCUSSION Maternally Inherited Diabetes, neurosensory Deafness and generally macular pattern distrophy (MIDD syndrome), is a rare mitochondrial disease, responsible for approximately 0.5 to 2.8% of diabetes mellitus.
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Affiliation(s)
- A Sampedro
- Servicio de Oftalmología, Hospital San Agustín, Avilés (Asturias), España.
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27
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Barbón JJ, Sampedro A, Alvarez-Suárez ML. [Several ophthalmologic references in Spanish literature in the beginning of the 20th century]. Arch Soc Esp Oftalmol 2009; 84:315-316. [PMID: 19568993 DOI: 10.4321/s0365-66912009000600008] [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] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Affiliation(s)
- J J Barbón
- Servicio de Oftalmología, Hospital San Agustín de Avilés, Asturias, España.
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28
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Sampedro A, Barbón JJ. [The eyes in the Code of Hammurabi]. Arch Soc Esp Oftalmol 2009; 84:221-222. [PMID: 19384764 DOI: 10.4321/s0365-66912009000400010] [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] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Affiliation(s)
- A Sampedro
- Servicio de Oftalmología, Hospital San Agustín de Avilés, Asturias, España.
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29
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Berasain C, Sampedro A, Mauleón I, Goñi S, Latasa MU, Matscheko N, García-Bravo M, Unzu C, Corrales FJ, Enríquez de Salamanca R, Prieto J, Avila MA, Fontanellas A. Epidermal growth factor receptor ligands in murine models for erythropoietic protoporphyria: potential novel players in the progression of liver injury. Cell Mol Biol (Noisy-le-grand) 2009; 55:29-37. [PMID: 19267999] [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] [Subscribe] [Scholar Register] [Received: 12/31/2008] [Accepted: 01/17/2009] [Indexed: 05/27/2023]
Abstract
Activation of the epidermal growth factor receptor (EGFR) plays an important role in liver regeneration and resistance to acute injury. However its chronic activation participates in the progression of liver disease, including fibrogenesis and malignant transformation. Hepatobiliary disease represents a constant feature in the clinically relevant Fechm1pas/Fechm1pas genetic model of erythropoietic protoporphyria (EPP). Similarly, chronic administration of griseofulvin to mice induces pathological changes similar to those found in patients with EPP-associated liver injury. We investigated the hepatic expression of the EGFR and its seven most relevant ligands in Fechm1pas/Fechm1pas mice bred in three different backgrounds, and in griseofulvin-induced protoporphyria. We observed that the expression of amphiregulin, betacellulin and epiregulin was significantly increased in young EPP mice when compared to aged-matched controls in all genetic backgrounds. The expression of these ligands was also tested in older (11 months) BALB/cJ EPP mice, and it was found to remain induced, while that of the EGFR was downregulated. Griseofulvin feeding also increased the expression of amphiregulin, betacellulin and epiregulin. Interestingly, protoporphyrin accumulation in cultured hepatic AML-12 cells readily elicited the expression of these three EGFR ligands. Our findings suggest that protoporphyrin could directly induce the hepatic expression of EGFR ligands, and that their chronic upregulation might participate in the pathogenesis of EPP-associated liver disease.
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Affiliation(s)
- C Berasain
- Gene Therapy and Hepatology, CIMA, Pamplona, Navarra, Spain
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30
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Buzaleh AM, Morán-Jiménez MJ, Garcia-Bravo M, Sampedro A, Batlle AMDC, Enriquez de Salamanca R, Fontanellas A. Induction of hepatic aminolevulinate acid synthetase activity by isoflurane in a genetic model for erythropoietic protoporphyria. Cell Mol Biol (Noisy-le-grand) 2009; 55:38-44. [PMID: 19268000] [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] [Subscribe] [Scholar Register] [Received: 12/31/2008] [Accepted: 01/17/2009] [Indexed: 05/27/2023]
Abstract
Erythropoietic Protoporphyria (EPP) is an inherited deficiency of ferrochelatase, the last enzyme of the heme pathway. Under general anaesthesia, some patients develop neurological dysfunction suggesting upregulation in heme biosynthesis similar to that described for acute porphyrias after xenobiotic administration. Our aim has been to evaluate whether Isoflurane induces alterations in the heme pathway in a mouse model for EPP. Administration of Isoflurane (a single dose of 2 ml/kg, i.p) to wild-type (+/+), heterozygous (+/Fechm1Pas) and homozygous (Fechm1Pas/Fechm1Pas) mice, was evaluated by measuring the activity of delta-aminolevulinic acid synthetase (ALA-S) and Porphobilinogen-deaminase (PBG-D) in different tissues, as well as Heme oxygenase (HO), cytochrome P-450, CYP2E1 and glutathione levels in liver. Porphyrin precursors were measured in 24 h-urine samples. Fechm1Pas/Fechm1Pas mice receiving anaesthesia show enhanced ALA-S and CYP2E1 activities in the liver and increased urinary excretion of porphyrin precursors. No alterations were found in either PBG-D or HO activities. Diminished glutathione levels suggest that anaesthesia may produce oxidative stress in these animals. In conclusion, Isoflurane induces ALA-S activity and increased excretion of porphyrin precursors in EPP mice. These findings appear to confirm our previous hypothesis and indicate that Isoflurane may be an unsafe anaesthetic not only for patients with acute porphyrias but also for individuals with non acute porphyrias.
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Affiliation(s)
- A M Buzaleh
- Centro de Investigaciones sobre Porfirinas y Porfirias (CIPYP)-CONICET, Buenos Aires, Argentina
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31
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Sampedro A, Barbón JJ. [Purulent ophthalmia in the Spanish Army during the 19th century (1851)]. Arch Soc Esp Oftalmol 2008; 83:509-511. [PMID: 18661450 DOI: 10.4321/s0365-66912008000800011] [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] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Affiliation(s)
- A Sampedro
- Hospital de San Agustín, Avilés, Asturias.
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32
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Fontanellas A, Hervas-Stubbs S, Sampedro A, Collantes M, Azpilicueta A, Mauleón I, Pañeda A, Quincoces G, Prieto J, Melero I, Peñuelas I. PET imaging of thymidine kinase gene expression in the liver of non-human primates following systemic delivery of an adenoviral vector. Gene Ther 2008; 16:136-41. [DOI: 10.1038/gt.2008.122] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
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33
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Sampedro A, Barbón-García JJ. [Ophthalmologic issues in the work of Feijoo (II)]. Arch Soc Esp Oftalmol 2008; 83:137-139. [PMID: 18260028 DOI: 10.4321/s0365-66912008000200015] [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] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
Affiliation(s)
- A Sampedro
- Servicio de Oftalmología, Hospital San Agustín de Avilés, Asturias, España.
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34
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Sampedro A, Barbón García JJ. [Ophthalmologic issues in the work of Feijoo (I)]. Arch Soc Esp Oftalmol 2008; 83:63-66. [PMID: 18188798 DOI: 10.4321/s0365-66912008000100013] [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] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
Affiliation(s)
- A Sampedro
- Servicio de Oftalmología Hospital San Agustín de Avilés, Asturias, España
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35
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Sampedro A, Barbón JJ. [Saint Francis of Assisi and trachoma]. Arch Soc Esp Oftalmol 2007; 82:789-790. [PMID: 18040927 DOI: 10.4321/s0365-66912007001200016] [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] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
Affiliation(s)
- A Sampedro
- Servicio de Oftalmología Hospital San Agustín de Avilés, Asturias, España
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36
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Barbón JJ, González-Tuero J, Gay LL, Pérez-García FJ, Sampedro A. [Regression of a choroidal metastasis from prostate adenocarcinoma after hormonal therapy]. Arch Soc Esp Oftalmol 2007; 82:715-717. [PMID: 17979041] [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] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
Abstract
CASE REPORT We report a case of a patient diagnosed with prostatic adenocarcinoma with multiple bone metastases and a choroidal metastasis in his left eye. Hormonal therapy with an anti-androgen and a LH-RH agonist was followed by regression of the choroidal mass over a period of 2 months. No metastatic recurrence has been demonstrated after a follow-up period of 14 months. DISCUSSION Complete resolution of choroidal metastases of prostatic adenocarcinoma with hormonal therapy is exceptional, but the effect of this treatment on such metastases should be observed before recommending radiation therapy.
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Affiliation(s)
- J J Barbón
- Hospital San Agustín de Avilés, Asturias, Spain.
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37
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Barbón JJ, Sampedro A, Alvarez Suárez ML. [First eyeglasses in paintings and miniatures of the 14th century]. Arch Soc Esp Oftalmol 2007; 82:723-725. [PMID: 17979043] [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: 05/25/2023]
Affiliation(s)
- J J Barbón
- Hospital San Agustín de Avilés, Asturias, Spain.
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38
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Barbón JJ, Alvarez-Suárez ML, Sampedro A. [The three most important books on ophthalmology from the 20th century]. Arch Soc Esp Oftalmol 2007; 82:385-7. [PMID: 17573652 DOI: 10.4321/s0365-66912007000600014] [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] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/15/2023]
Affiliation(s)
- J J Barbón
- Hospital San Agustín de Avilés, Asturias, España.
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39
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Sampedro A, Pinto J, Guerediaga J, Blanco VR, Domínguez B, Barbón JJ. [Retinal cholesterol embolization after coronary angiography]. Arch Soc Esp Oftalmol 2006; 81:413-6. [PMID: 16888696 DOI: 10.4321/s0365-66912006000700011] [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] [Subscribe] [Scholar Register] [Indexed: 05/11/2023]
Abstract
CASE REPORT We report a patient with multiple cholesterol retinal embolism in both eyes following coronary angiography. She also had associated renal, skin and cardiac manifestations of the Cholesterol Embolization Syndrome (CES) and died 10 weeks later. Autopsy revealed cholesterol crystal emboli in several organs. DISCUSSION Atheromatous plaques can be ruptured and displaced during a diagnostic catheterisation, and thus can be a potential source of these massive emboli. Retinal cholesterol crystals help to establish the diagnosis of the syndrome, particularly when other systemic manifestations exist. When this complication occurs, the prognosis can be devastating because of associated multiorgan failure.
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Affiliation(s)
- A Sampedro
- Hospital San Agustín, Avilés, Asturias, España.
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40
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Abstract
We report the case of a 45-year-old male patient not addicted to narcotic who presented with an infective endocarditis on the pulmonary valve. He was found to have an uncomplicated secundum-type atrial septal defect. This association is an extremely rare event.
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Affiliation(s)
- L Aliaga
- Infectious Diseases Unit, Hospital Universitario Virgen de las Nieves, Granada, Spain.
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41
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Suarez-Alvarez B, Garcia Suarez MM, Argüelles ME, Sampedro A, Alvarez Marcos C, Mira E, Van den Brul FA, Liu FT, Chowdhury PS, de los Toyos JR. Circulating IgG response to stromelysin-3, collagenase-3, galectin-3 and mesothelin in patients with pharynx/larynx squamous cell carcinoma. Anticancer Res 2001; 21:3677-84. [PMID: 11848542] [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] [Subscribe] [Scholar Register] [Indexed: 02/23/2023]
Abstract
With the aim of identifying tumor-associated antigens that could be potential markers and/or targets of diagnostic and/or therapeutic approaches, we studied the occurrence of circulating IgG antibodies to human stromelysin-3, collagenase-3, galectin-3 and mesothelin, by Western blot against their purified recombinant forms, in the sera of 50 patients with pharynx/larynx squamous cell carcinoma (PLSCC), as well as in the sera of 50 healthy blood donors. Overall, antibodies to collagenase-3 were detected in 50% of all the cancer patients and 16% of the blood donors examined; this percentage difference was statistically significant (p = 0.00066). With respect to anti-galectin-3 antibodies, the percentages were 32% and 18%, respectively, but they were not statistically different (p = 0.16). Low levels of antibodies to stromelysin-3 and to mesothelin were detected in sera from only two cancer patients. No significant correlations were found in the present study between the presence of antibodies to these proteins and tumor site, clinical and T stages, lymph node involvement, DNA ploidy and histological grade of differentiation of the primary tumors. To our knowledge, this is the first report on the detection of circulating IgG to collagenase-3 in cancer patients. Some of the percentages found here in certain groups of patients are among the highest reported of circulating antibodies to any tumor component studied so far. The monitoring and the use of human antibodies to collagenase-3 could be of diagnostic and therapeutic interest.
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Affiliation(s)
- B Suarez-Alvarez
- Servicio Científico Ténico de Citometría e Inmunotecnología, Instituto Universitario de Oncología, Universidad de Oviedo, Madrid, Spain
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42
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Hermsen M, Guervós MA, Meijer G, Baak J, van Diest P, Marcos CA, Sampedro A. New chromosomal regions with high-level amplifications in squamous cell carcinomas of the larynx and pharynx, identified by comparative genomic hybridization. J Pathol 2001; 194:177-82. [PMID: 11400146 DOI: 10.1002/path.862] [Citation(s) in RCA: 45] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
Squamous cell carcinomas of the head and neck generally exhibit complex karyotypes. To gain better knowledge of the changes in the subgroup of laryngeal and pharyngeal squamous cell carcinoma, chromosomal gains and losses were investigated in 42 predominantly late-stage tumours, using comparative genomic hybridization. On average, 11.2 gains and 6.8 losses were found. Gains were detected in high frequencies at 1q, 3q, 5p, 7q, 8q, 11q13, 17q, and 18p, and losses at 3p, 4p, 5q, 11qter, and 18q. Neither the number nor the type of abnormalities, nor the occurrence of specific chromosome changes, was found to be related to DNA ploidy, tumour stage, or degree of differentiation. Apart from low-level gains, many high-level amplifications were identified, in particular 3q24-qter (15 cases). Other regions recurrently involved were 11q13 (7 cases), 18p (5 cases), 18q11.2 (4 cases), and 8q23-24 and 11q14-22 (3 cases). Many of these amplified regions have not been reported before. Over half of all loci harbour genes coding for growth factors and growth factor receptors, suggesting an important role for such genes in squamous cell tumourigenesis and in the progression of late-stage tumours.
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MESH Headings
- Adult
- Aged
- Aged, 80 and over
- Carcinoma, Squamous Cell/genetics
- Chi-Square Distribution
- Chromosome Aberrations/genetics
- Chromosome Disorders
- Chromosomes, Human, Pair 11
- Chromosomes, Human, Pair 18
- Chromosomes, Human, Pair 3
- Chromosomes, Human, Pair 8
- Disease Progression
- Gene Amplification
- Gene Deletion
- Humans
- Laryngeal Neoplasms/genetics
- Male
- Middle Aged
- Nucleic Acid Hybridization
- Pharyngeal Neoplasms/genetics
- Statistics, Nonparametric
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Affiliation(s)
- M Hermsen
- Department of Pathology, Free University Hospital, Amsterdam, The Netherlands.
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43
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Sampedro A, Alonso Alvarez C, Ruiz Rodríguez M, Usabiaga Bernal JM, Rodríguez Vázquez M. [Traumatic maculopathies]. Arch Soc Esp Oftalmol 2001; 76:57-60. [PMID: 11178804] [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] [Subscribe] [Scholar Register] [Indexed: 04/15/2023]
Abstract
PURPOSE/METHODS We reviewed all patients seen urgently on our Hospital and we studied those that present contusive pathology of the anterior pole with macular repercusion. RESULTS/CONCLUSIONS Post-traumatic maculopathies are usually produced by contusion, namely: rupture of the choroid, chorioretinitis sclopetaria, postraumatic macular hole, commotio retinae (Berlin's oedema) and Purtscher's retinopathy was reported. With the presentation of these clinical cases, some of which are very typical, we aim to show the functional sequelae some patients suffer.
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Affiliation(s)
- A Sampedro
- Hospital de Jarro-Coaña, Asturias, España
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44
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Rosa-Fraile M, Sampedro A, Rodríguez-Granger J, García-Peña ML, Ruiz-Bravo A, Haïdour A. Pigment production by Streptococcus agalactiae in quasi-defined media. Appl Environ Microbiol 2001; 67:473-4. [PMID: 11133484 PMCID: PMC92604 DOI: 10.1128/aem.67.1.473-474.2001] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.2] [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: 11/20/2022] Open
Abstract
A quasi-defined medium that supports the growth of Streptococcus agalactiae as pigmented colonies has been developed. The medium contains starch, a peptic digest of albumin, amino acids, nucleosides, vitamins, and salts. The presence of free cysteine, which could be replaced with other sulphur-containing compounds and to a lesser degree by reducing agents, was required for pigment formation.
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Affiliation(s)
- M Rosa-Fraile
- Microbiology Service, Virgen de las Nieves Hospital, 18014 Granada
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45
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de la Rosa M, Rodríguez-Granger J, Pérez-Ruiz M, Sampedro A. [Use of the Granada media and quality control of culture media]. Enferm Infecc Microbiol Clin 2000; 18:427. [PMID: 11153215] [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] [Subscribe] [Scholar Register] [Indexed: 02/18/2023]
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46
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Myers EN, Sampedro A, Alvarez C, Martínez JA, Suárez C, Alonso-Guervós M, de los Toyos JR. Cell proliferation activity and kinetic profile in the prognosis and therapeutic management of carcinoma of the pharynx and larynx. Otolaryngol Head Neck Surg 1999; 121:476-81. [PMID: 10504608 DOI: 10.1016/s0194-5998(99)70241-x] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.2] [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: 10/25/2022]
Abstract
Prognosis and management of carcinoma of the pharynx and larynx is now based on the morphologic analysis of the tumor spreading, differentiation grading, and type of microscopic invasion. The DNA ploidy status and the cell proliferation activity analyzed by flow cytometry give us complementary information about the prognosis and the management and support of the patients. We performed a study of 91 cases of carcinoma of the larynx and pharynx by means of flow cytometry. Forty-three patients were treated by surgery alone, and 48 patients also received radiotherapy. Fifty-five were aneuploid (60%); this percentage increased to 74% in the pharynx area and fell to 47% at the larynx level. The aneuploid tumors showed worse behavior in the patients treated by surgery alone compared with those who also received radiotherapy. The S-phase fraction was high in aneuploid tumors, in positive lymph nodes, and in advanced stages. The S-phase fraction was higher in poorly differentiated tumors. In patients treated by surgery alone, we noticed that by combining both cytometric variables two different kinetic profiles could be defined related to the patients' behavior. The diploid tumors with a low S phase had the greatest rates of survival, whereas diploid tumors with a high rate of S phase and aneuploids had a lower rate.
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Affiliation(s)
- E N Myers
- Department of Pathology, University of Oviedo-Hospital Central de Asturias, Oviedo, Spain
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47
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Argüelles ME, Alonso M, García Suárez MD, Barneo L, Sampedro A, de los Toyos JR. Performance of thiophilic adsorption chromatography in the purification of rat IgG2b monoclonal antibodies from serum- and protein-free culture supernatants. Biomed Chromatogr 1999; 13:379-81. [PMID: 10477893 DOI: 10.1002/(sici)1099-0801(199910)13:6<379::aid-bmc895>3.0.co;2-x] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.2] [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: 11/06/2022]
Abstract
The usefulness of thiophilic adsorption chromatography for the purification of rat IgG2b monoclonal antibodies has been evaluated. This approach has not shown specificity for immunoglobulins; therefore, to minimize potential interferences, the purification was carried out from supernatants of hybridomas grown in serum- and protein-free conditions. The protein purity of the six final antibody preparations assayed was always >/= 97%. In addition to the easiness of this procedure, which enables one-step antibody purification, the materials employed are rather inexpensive and milligram amounts of antibody can be recovered from 1 L of supernatant. Overall, the purification of rat IgG2b monoclonals under the conditions reported here offers an advantageous alternative to other more expensive and cumbersome methods.
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Affiliation(s)
- M E Argüelles
- Servicio de Citometría, Servicios Comunes de Investigación, Spain
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48
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Abstract
BACKGROUND Primary surgery is the appropriate treatment for most pleomorphic adenomas of the salivary glands. However, no reliable criteria have been established to predict tumors with aggressive features. METHODS In 44 patients treated for salivary pleomorphic adenoma, clinicopathologic features and flow cytometric findings were recorded. S-phase fractions were classified as low (0%-1%), intermediate (1.1%-5%), and high (>5%). The relationship between clinicopathologic parameters and flow cytometric DNA analysis was assessed with the Pearson's correlation coefficient. RESULTS The mean tumor size was 24.4 mm. Microscopically, myxoid structures predominated in 61.4% of cases. Only five specimens showed high S-phase fractions. All samples were DNA diploid (mean coefficient of variation 3.2%). S-phase fraction and tumor size correlated significantly (r = 0.73, P = 0.003). Two patients with recurrent tumors had high S-phase fractions both on the first resected specimens and at the time of the second operation. CONCLUSIONS The S-phase fraction may be a valuable predictor of aggressive behavior in salivary pleomorphic adenomas. High S-phase fractions were associated with higher tumor size and a greater tendency to recur.
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Affiliation(s)
- L Junquera
- Department of Oral and Maxillofacial Surgery, University of Oviedo, Hospital Central de Asturias, Oviedo, Spain
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49
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Rosa-Fraile M, Rodriguez-Granger J, Cueto-Lopez M, Sampedro A, Gaye EB, Haro JM, Andreu A. Use of Granada medium to detect group B streptococcal colonization in pregnant women. J Clin Microbiol 1999; 37:2674-7. [PMID: 10405420 PMCID: PMC85311 DOI: 10.1128/jcm.37.8.2674-2677.1999] [Citation(s) in RCA: 57] [Impact Index Per Article: 2.3] [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: 11/20/2022] Open
Abstract
Direct inoculation onto Granada medium (GM) in plates and tubes was compared to inoculation into a selective Todd-Hewitt broth (with 8 microg of gentamicin per ml and 15 microg of nalidixic acid per ml) for detection of group B streptococci (GBS) in pregnant women with 800 vaginal and 450 vaginoanorectal samples. Comparatively, GM was found to be as sensitive as the selective broth for the detection of GBS in vaginal specimens and more sensitive than selective broth for the detection of GBS in vaginoanorectal samples (96 versus 82%). The use of GM improved the time to reporting of a GBS-positive result by at least 24 h and reduced the direct cost of screening. We have also found that the inconvenience of anaerobic incubation of GM plates can be avoided when a cover slide is placed upon the inoculum, because aerobic incubation in GM plates with cover slides causes GBS to develop the same pigmentation that it develops with incubation under anaerobic conditions. These data support the routine use of GM plates or tubes as a more accurate, easier, and cheaper method of identification of GBS-colonized women compared to the enrichment broth technique.
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Affiliation(s)
- M Rosa-Fraile
- Microbiology Service, Virgen de las Nieves Hospital, 18014 Granada, Spain.
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Sampedro A, Salas-Bustamante A, López-Artimez M, García-Muñíz JL, Urdiales G. Cell cycle flow cytometric analysis in the diagnosis and management of colorectal carcinoma. Anal Quant Cytol Histol 1999; 21:347-52. [PMID: 10560513] [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] [Subscribe] [Scholar Register] [Indexed: 02/14/2023]
Abstract
OBJECTIVE To establish prognostic models and protocols for individualized management in colorectal carcinoma patients based on both clinical and DNA flow cytometric parameters. STUDY DESIGN Prospective study of 88 colon carcinoma patients with a minimum follow-up of 12 months, operated on with the intent to cure and not treated with radiotherapy or chemotherapy. All the cases were subjected to a clinical evaluation: age, sex, tumor localization and size, histologic grade, tumor stage, disease-free interval, survival and flow cytometric study (ploidy, DNA index and S-phase fraction [SPF]). RESULTS From the total of 88 neoplasms studied, 56 (63.6%) were from males and 32 (36.4%) from females; 30 (34%) were located in the right side of the colon, 7 (8%) in the transverse colon and 51 (58%) in the left side of the colon. Eleven (12.5%) were stage I, 52 (59.1%) stage II and 25 (28%) stage III. Forty-two (47.7%) were diploid and 46 (52.3%) aneuploid. The S-phase mean was 14.6% (12% for diploids and 16.9% for aneuploids). During the follow-up period, 26.1% of diploid tumors recurred, whereas aneuploid tumors recurred in 36.9% (P < .05). SPF from diploid and aneuploid tumors was analyzed separately. CONCLUSION Regarding relapse-free interval, the behavior of diploid tumors with a high SPF was similar to that of aneuploid ones. Two kinetic profiles were established, favorable (diploid tumors with low S phase) and unfavorable (diploid with high S phase and all aneuploid tumors), that had significant prognostic value for progression and survival and that allowed identification of patients at high risk of recurrence. We formulated a prognostic index according to SPF and tumor stage that has discriminatory capacity for biologic behavior in colorectal tumors.
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Affiliation(s)
- A Sampedro
- Cytometry Services, University of Oviedo, Hospital Central de Asturias, Spain
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