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Neuropatía laríngea y movimiento paradojal de cuerdas vocales en la edad pediátrica: Reporte de un caso
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Pizarro M., Marina

; Centeno A., Diana

; Nercelles C., Loreto

Revista de otorrinolaringología y cirugía de cabeza y cuello

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Set 2022, Volume 82 Nº 3 Páginas 338 - 342

Resumo: En Es | Texto: En Es | PDF: En | PDF: Es

Abstract Laryngeal neuropathy is a condition of hypersensitivity, hyperresponsiveness and laryngeal hyperfunction secondary to an imbalance between laryngeal afferent and efferent information. The individual and exaggerated response to diverse specific triggers can lead to symptoms such as chronic cough, laryngeal paresthesia, throat clearing, dysphonia, stridor, globus pharyngeus, vocal cord dysfunction, and/or laryngospasm. There is plentiful literature on laryngeal neuropathy in adults, however, in children, it is limited. Here, we present a case report of laryngeal neuropathy in the pediatric age and discuss the importance of its consideration in the approach of these patients. A case of a 13-year-old patient, recently intervened with cardiac surgery that evolves with severe dysphonia is presented. Nasofibrolaryngoscopy shows apparent bilateral vocal fold immobility with discordant results in laryngeal electromyography. Later, his voice improves but other laryngological symptoms appeared, such as throat clearing, globus pharyngeus and stridor, not explained by anatomical causes. The otolaryngological-speech therapy evaluation and approach for the case is exposed. We conclude that for the diagnosis of laryngeal neuropathy, a high index of clinical suspicion is required in the presence of suggestive laryngological symptoms, and organic and structural causes must be previously ruled out. The otorhinolaryngological-logopedic approach constitutes the mainstay of treatment associated with the use of neuromodulators in selected cases.

Resumen La neuropatía laríngea es una condición de hipersensibilidad, hiperreactividad e hiper-función laríngea secundaria a un desequilibrio entre las aferencias y eferencias laríngeas. La respuesta individual y exagerada frente a diversos gatillantes específicos puede generar síntomas como tos crónica, parestesia laríngea, carraspera, disfonía, estridor, sensación de globus faríngeo, movimiento paradojal de las cuerdas vocales (también conocido como disfunción cordal) y/o laringoespasmo. Existe abundante literatura sobre neuropatía laríngea en adultos, sin embargo, en niños es limitada. El objetivo de este artículo es dar a conocer un caso de neuropatía laríngea en la edad pediátrica y la importancia de su consideración en el enfrentamiento de estos pacientes. Se presenta caso clínico de un paciente de 13 años, con antecedente de cirugía cardiaca reciente, evoluciona con disfonía severa evidenciándose aparente inmovilidad cordal bilateral con resultados discordantes entre nasofibrolaringoscopía y electromiografía laríngea. Posteriormente presenta mejorías en su voz, sin embargo, se agregan otros síntomas laringológicos como carraspera, globus faríngeo y estridor no explicados por causas anatómicas. Se expone la evaluación y abordaje otorrinolaringológico-fonoaudiológico para el caso. Se concluye que el diagnóstico de neuropatía laríngea requiere un alto índice de sospecha clínica ante signos laringológicos sugerentes, debiendo descartarse causas orgánicas y estructurales. El abordaje otorrinolaringológico-fonoaudiológico constituye el pilar terapéutico asociado al uso de neuromoduladores en casos seleccionados.

https://doi.org/10.4067/s0718-48162022000300338

Trastorno del procesamiento sensorial. Una mirada conjunta desde la terapia ocupacional y la otorrinolaringología
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Pizarro M., Marina

; Saffery Q., Katherine

; Gajardo O., Pilar

Revista de otorrinolaringología y cirugía de cabeza y cuello

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Mar 2022, Volume 82 Nº 1 Páginas 114 - 126

Resumo: En Es | Texto: En Es | PDF: En | PDF: Es

Abstract Sensory processing disorder (SPD) is an unknown condition for many health care professionals. Sensory processing is defined as the capacity of the central nervous system to interpretate and organize sensations from our own body and from the environment, for their proper use by adaptive responses. Any dysfunction in this processing (registration, modulation and or discrimination) is expressed by a maladaptive response, being considered abnormal when this response has a negative impact in the patient's daily activities. Is our duty as health care workers to suspect this disorder, help our patients and their families by doing a proper referral to an occupational therapist for their evaluation and management, according to each patient needs.

Resumen El trastorno del procesamiento sensorial (TPS) es una condición frecuente, pero poco conocida por muchos profesionales de la salud. El procesamiento sensorial se define como la capacidad que posee el sistema nervioso central de interpretar y organizar las sensaciones del propio cuerpo y del ambiente, para su uso efectivo en el entorno mediante respuestas adaptativas. Por lo tanto, cualquier disfunción en el procesamiento (registro, modulación y/o discriminación) de estos estímulos se expresa como una respuesta desadaptativa, siendo significativo cuando esta impacta en la vida diaria del paciente. Es deber del médico sospechar este trastorno, acogiendo al paciente y su familia, derivando oportunamente a terapia ocupacional para su correcta evaluación y eventual manejo de acuerdo con las necesidades de cada paciente.

https://doi.org/10.4067/s0718-48162022000100114 634 downloads

Principal Lesions and Patterns of Mortality Observed in a Broiler Breeder Flock During the Laying Period
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Fragoso, JS

; Moreno, JCA

; Infiesta, PC

; Benevides, WS

; Lucio, ET

; Pizarro, M

Brazilian Journal of Poultry Science

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2021, Volume 23 Nº 2 elocation eRBCA-2020-1320

Resumo: En | Texto: En | PDF: En

ABSTRACT In any broiler breeder flock, there is always some mortality that is considered to be “normal” during the life of the flock. The aim of this study is to summarize the prevalence and patterns of mortality during the production period. To evaluate the mortality, each dead hen was systematically and completely examined via necropsy. In addition to post mortem evaluation, weights (whole body, liver, spleen and heart) were recorded to correlate the bird’s physical condition with the mortality category or lesion. In general, the variation in mortality was not associated with the specific weight of the organs. However, for specific diseases like fatty liver, septicemia and ascites, there was a correlation with the organ weight of the liver, spleen and heart respectively. Ovaritis was observed to be the most prevalent lesion found in dead hens during the production period followed by ovarian regression (atrophy), peritonitis, internal lay and vent pecking. The two periods with the higher total percentage of morality were onset of lay (25-30 weeks) and end-stage of the production period (56-61 weeks). During the laying period, we mainly observed metabolic disorders followed by infectious lesions. Infectious lesions, including ovaritis and septicemia, were the predominant cause for mortality at the onset production. Vent and feather pecking were also primarily concentrated during the first weeks of the production period. Metabolic diseases were observed in higher prevalence during the latter half of the production period.

https://doi.org/10.1590/1806-9061-2020-1320 111 downloads

Evaluation of survival and metamorphosis of larvae of Caligus rogercresseyi (Boxshall and Bravo, 2000) (Crustacea, Copepoda) in Chile, depending on temperature, salinity and oxygen
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Mardones, A.

; Gajardo, V.

; Pizarro, M. I.

; Augsburger, A.

; Vega, R.

; Encina, F.

; Pichara, C.

; Escalante, P. De los Ríos

Brazilian Journal of Biology

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Abr 2019, Volume 79 Nº 2 Páginas 174 - 179

Resumo: Pt En | Texto: Pt En | PDF: Pt | PDF: En

Resumo O presente estudo avaliou a percentagem de sobrevivência e metamorfose dos estádios larvais de Caligus rogercresseyi (Boxshall and Bravo, 2000) nauplio I, nauplio II ae nauplio II a copepodita, realizando bioensaios em triplicado com 50 larvas cada, nauplio I ou nauplio II, À temperatura de 12 °C, 15 °C e 18 °C; Salinidade 20, 23, 25, 2729, 31, 33 e 35 g / L e saturação de oxigénio com variações entre 30-60%, 90-100% e 190-200%. Os bioensaios foram realizados na estação Quillaipe da Fundação Chile, Puerto Montt, Chile. Conclui - se que a temperatura é inversamente proporcional ao tempo de metamorfose e sobrevivência das larvas de Caligus rogercresseyi. Na salinidade observa-se que aumentou esta, maior é a percentagem de sobrevivência e metamorfose é mais rápida, enquanto as larvas não sobrevivem menos de 20g / L. Os intervalos de saturação de oxigénio indicam que as larvas não sobrevivem a saturações entre 30-60% e não têm diferenças entre 90-100% de saturação e 190-200%.

Abstract The present study assessed the percentage of survival and metamorphosis of larval stages of Caligus rogercresseyi (Boxshall and Bravo, 2000) nauplius I, nauplius II to and nauplius II to copepodite, conducting bioassays in triplicate with 50 larvae each, nauplius I or nauplius II, at temperature of 12 °C, 15 °C and 18 °C; salinity 20, 23, 25, 2729, 31, 33 and 35 g/L and oxygen saturation with ranges between 30-60%, 90-100% and 190 - 200%. Bioassays were performed in station Quillaipe of Fundación Chile, Puerto Montt, Chile. It is concluded that the temperature is inversely proportional to the time of metamorphosis and survival of the larvae of Caligus rogercresseyi . In salinity is observed that increased this, greater is the percentage of survival and metamorphosis is faster, while the larvae do not survive less than 20g/L. Oxygen saturation ranges indicate that the larvae do not survive at saturations between 30-60%, and it had no differences between 90-100% saturation and 190-200%.

https://doi.org/10.1590/1519-6984.173162 1363 downloads

Autopercepción de conocimientos y competencias de profesores en la prevención de conductas suicidas adolescentes pre y posintervención
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Barrueto O., Carolina

; Gaete O., Jorge

; Bustamante V., Francisco

; Pizarro M., Marina

Revista chilena de neuro-psiquiatría

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Jul 2017, Volume 55 Nº 3 Páginas 170 - 178

Resumo: En Es | Texto: En Es | PDF: En | PDF: Es

Introduction: Suicide is the second leading cause of death among people aged 15-29 years, therefore, prevention is essential. There are no programs implemented in chilean's schools to train teachers in the prevention of these behaviors. A training was designed to teachers to know if this strategy is effective in the improvement of the self-perception of competencies when facing these situations. Method: Quantitative quasi-experimental, interrupted time-series design. A questionnaire was carried out on 27 teachers from a school in San Felipe, Chile, before and after 3 months of the intervention. Their experiences, knowledge and competences on prevention of suicidal behavior were evaluated. Results: There were no significant differences in the assessment of knowledge. However, there was a significant (p < 0.05) change in self-perception of competencies in 6 items. Increased confidence and comfort in responding to these young people, the perception that juvenile suicide is a priority and requires specialized help, the feeling of having more tools and knowledge of the resources of their community. However, the sense of responsibility in the management of these adolescents had a negative change. Conclusions: The training studied that provides knowledge and strategies on adolescents’ suicidal behaviors to teachers produces significant changes in self-perception of competencies, but it does not allow to establish a tendency to change. It is necessary to have other studies.

Resumen Introducción: El suicidio es la segunda causa mundial de mortalidad en personas de 15 a 29 años, por ende, su prevención es fundamental. En Chile no existen programas implementados en colegios para capacitar a profesores en la prevención de estas conductas. Se diseñó una capacitación orientada a profesores para conocer si esta estrategia es efectiva en mejorar la autopercepción de competencias al enfrentarse a estas situaciones. Método: Diseño cuantitativo cuasi experimental de series cronológicas. Se realizó un cuestionario a 27 profesores de un colegio de San Felipe, Chile, antes y después de 3 meses de la intervención. Se evaluaron sus experiencias, conocimientos y competencias sobre prevención de conductas suicidas. Resultados: No hubo diferencias significativas en la evaluación de conocimientos. Sin embargo, hubo un cambio significativo (p < 0,05) en la autopercepción de competencias en 6 aspectos. Aumentó la confianza y sensación de comodidad para responder a estos jóvenes, la percepción de que el suicidio juvenil es prioridad y requiere de ayuda especializada, sensación de contar con más herramientas y conocimientos de los recursos de su comunidad. No obstante, la sensación de responsabilidad en el manejo de estos adolescentes tuvo un cambio negativo. Conclusiones: La capacitación estudiada que entrega conocimientos y estrategias sobre suicidalidad en adolescentes, a profesores, produce cambios significativos en la autopercepción de competencias, pero no permite establecer una tendencia al cambio. Se hace necesario contar con otros estudios.

https://doi.org/10.4067/s0717-92272017000300170 2835 downloads

La coccidioidomicosis en Argentina, 1892-2009
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Canteros, C. E.

; Toranzo, A.

; Ibarra-Camou, B.

; David, V.

; Carrizo, S. G.

; Santillán-Iturres, A.

; Serrano, J.

; Fernández, N.

; Capece, P.

; Gorostiaga, J.

; Chacón, Y.A.

; Tonelli, R.

; Boscaro, G.

; Abiega, C.

; Mendieta, S.

; Fernández, C.

; Fernández, A.

; Vitale, R.

; Santos, P.

; Pizarro, M. R.

; López-Joffre, M. C.

; Lee, W.

; Mazza, M.

; Posse, G.

; Tiraboschi, I. N.

; Negroni, R.

; Davel, G.

Revista argentina de microbiología

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Dez 2010, Volume 42 Nº 4 Páginas 261 - 268

Resumo: En Es | Texto: En Es | PDF: En | PDF: Es

Clinical cases of coccidioidomycosis are rare in Argentina and are generally found in the large arid precordilleran area of the country. This study aims to perform a retrospective review of all coccidioidomycosis cases documented in the country from 1892 to 2009, and to describe those occurring in the last 4 years. One hundred and twenty eight cases were documented in the 117 year-period. Since the original description of the disease in 1892 until 1939, only 6 cases were registered; between 1940 and 1999, 59 (6-14/10 yrs) and the remaining 63 (49% of total cases) occurred in the last decade. The median age of 34 patients registered in 2006-2009 was 31 years (range: 7-89), male/female ratio was 1.3:1 and 12 patients were immunocompromised. Twenty-six cases were confirmed by direct microscopy and/or culture whereas the remaining ones by serology. All isolates were identified as Coccidioides posadasii. Thirty patients lived in a vast geographic region with epicenter in Catamarca Valley. Between 2006 and 2009, annual disease incidence rates in Catamarca Province increased from historical values below 0.5/100,000 to 2/100,000 inhabitants. Such increase suggests an emergency of coccidioidomycosis in that region.

Los casos clínicos de coccidioidomicosis en Argentina son pocos y han tenido lugar fundamentalmente en la extensa región árida precordillerana. Este trabajo tiene como objetivos realizar una revisión retrospectiva del total de casos de coccidioidomicosis documentados en Argentina desde el año 1892 hasta 2009 y describir una serie de casos ocurridos en los últimos 4 años. En 117 años se documentaron 128 casos. Desde la primera descripción de la enfermedad en 1892 hasta 1939 se registraron 6 casos; desde 1940 hasta 1999, 59 casos (6-14 casos cada 10 años); y los 63 casos restantes (49% del total histórico) se produjeron en el último decenio. La mediana de edad de los 34 pacientes registrados en el período 2006-2009 fue de 31 años (rango: 7-89), la relación hombre:mujer fue 1,3:1; 12 de estos individuos eran inmunocomprometidos. Veintiséis casos se confirmaron por examen microscópico, por cultivo o por ambos procedimientos; los casos restantes se confirmaron por serología. Todos los aislamientos recuperados fueron identificados como Coccidioides posadasii. Treinta pacientes residían en una amplia área geográfica con epicentro en el valle de Catamarca. Entre 2006 y 2009, la tasa de incidencia en la provincia de Catamarca se incrementó desde valores históricos inferiores a 0,5 casos cada 100 000 habitantes hasta 2,0 casos cada 100 000 habitantes. Este aumento sugiere una emergencia de la coccidioidomicosis en el área.

1060 downloads Citado 5 vezes em SciELO

Manejo endovascular de las complicaciones agudas de la disección aórtica tipo B
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IBÁÑEZ C, FERNANDO

; BIANCHI S, VÍCTOR

; SEITZ C, JUAN

; PARRA G, JUAN

; SALAS DEL C, CRISTIÁN

; ARRIAGADA R, ALFREDO

; CORVALÁN Z, FELIPE

; BASTÍAS F, WALDO

; PIZARRO M, ISMAEL

; CAM L, ALFREDO

; JULIO A, RODRIGO

; HERRERA N, JUAN

Revista médica de Chile

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Jul 2010, Volume 138 Nº 7 Páginas 821 - 826

Resumo: En Es | Texto: En Es | PDF: En | PDF: Es

Background: Type B aortic dissection is usually managed by intensive care medical therapy and surgery is reserved for treating the complications that can occur during the evolution of a case. Aim: To assess the endovascular management of acute complications of type B aortic dissection and the closure of the intimal defect and aortic false lumen. Material and Methods: Retrospective analysis of 8 consecutive patients aged 40 to 57 years (seven males) treated for acute complications in the initial episode of a type B aortic dissection between August 2006 and July 2008. Results: Six/eight were known hypertensive patients. The indications for surgery were intractable pain in one, hypertension refractory to treatment in two and distal hypoperfusion in fve. Five patients required covering of the left subclavian artery ostium, without need for surgical repair. One patient was subjected to renal angioplasty and stenting. Technical success was achieved in all cases, with complete closure of the proximal aortic tear and thoracic aortic false lumen, although 7 of patients had a persistent distal aortic false lumen. One case had a transient lower limb paraparesis. No patient died. Conclusions: Endovascular treatment is effective in closing the aortic tear as well as the thoracic aortic false lumen in aortic type B dissections with a low complication rate. Due to the high frequency of distal aortic false lumen persistence, it is not a defnitive treatment for this condition but it is useful for the acute complications of the initial phase of type B aortic dissection.

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Cambios en la etiología, resultados y características de los pacientes con hemorragia digestiva aguda grave a lo largo del periodo 1999-2005
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Garrido, A.

; Márquez, J. L.

; Guerrero, F. J.

; Leo, E.

; Pizarro, M. A.

; Trigo, C.

Revista Española de Enfermedades Digestivas

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Mai 2007, Volume 99 Nº 5 Páginas 275 - 279

Resumo: En Es | Texto: En Es | PDF: En | PDF: Es

Objectives: to analyze the evolution of the following variables in patients admitted to a Blood Unit for gastrointestinal bleeding throughout 1999-2005: etiology, comorbid diseases, use of NSAIDs/anticoagulants, and mortality. Material and methods: we analyzed the evolution of the following causes of GIB that required admission to the Blood Unit from 1999 to 2005: duodenal ulcer (DU), gastric ulcer (GU), portal hypertension (PHT), and others. We also analyzed changes in the percentage of patients admitted with comorbid disease, use of NSAIDs/anticoagulants, and mortality. Results: 1,611 patients with a mean age of 60.45 years (59.7-61.2) were included in this study; 76.41% were males (74.3-78.5). DU was the cause of bleeding in 22.20% of cases (20.2-24.3), GU in 18.40% of cases (16.6-20.4), and PHT in 33.60% of cases (31.3-36.0). In all, 34.5% (32.6-37.3) of patients were taking NSAIDs, 7.1% (6.0-8.6) were receiving anticoagulant therapy, 72.6% (70.4-74.8) presented with comorbid disease, and overall mortality was 6.27% (5.16-7.59). Throughout the 1999-2005 period there was an increase in the number of patients with comorbid diseases (p < 0.02), and a decrease in cases of DU (p < 0.04), without significant differences in the remaining variables. Conclusions: DU, GU and PHT account for three quarters of admissions to our Blood Unit. Over the last seven years, there has been a decrease in cases due to DU, and an increase in patients with comorbid disease; overall mortality rates have remained stable.

Objetivos: analizar la evolución, a lo largo del periodo 1999-2005, de las siguientes variables de los pacientes ingresados por hemorragia digestiva (HD) en una Unidad de Sangrantes: etiología, patología de base, consumo de AINE/anticoagulación y mortalidad. Material y métodos: durante el periodo 1999-2005 se ha estudiado la evolución de las siguientes causas de HD que requirieron ingreso en la Unidad de Sangrantes: ulcus duodenal (UD), ulcus gástrico (UG), hipertensión portal (HPT) y otros. De igual forma se ha analizado la evolución en el porcentaje de enfermos ingresados con patología de base, consumo de fármacos AINE/anticoagulantes y mortalidad. Resultados: se han incluido 1.611 pacientes en el estudio con una edad media de 60,45 años (59,7-61,2), 76,41% hombres (74,3-78,5). La UD fue responsable del 22,20% de episodios (20,2-24,3), la UG del 18,40% (16,6-20,4) y la HPT del 33,60% (31,3-36,0). De forma global realizaban tratamiento con AINE el 34,5% (32,6-37,3), anticoagulación el 7,1% (6,0-8,6), presentaban patología de base el 72,6% (70,4-74,8) y la mortalidad global fue del 6,27% (5,16-7,59). A lo largo del periodo estudiado se constató un aumento de los pacientes con patología de base (p < 0,02) y un descenso en los ingresos por UD (p < 0,04), permaneciendo estables el resto de variables estudiadas. Conclusiones: la UD y UG junto con la HPT suponen el 75% de los ingresos en la Unidad de Sangrantes. A lo largo de los últimos 7 años se constata un descenso de los casos debido a UD y un aumento de pacientes con patología de base, mientras la mortalidad global se mantiene estable.

1523 downloads Citado 10 vezes em SciELO

Transfusion requirements in patients with gastrointestinal bleeding: a study in a Blood Unit at a referral hospital
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Garrido, A.

; Márquez, J. L.

; Guerrero, F. J.

; Pizarro, M. A.

; Leo, E.

; Giráldez, A.

Revista Española de Enfermedades Digestivas

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Out 2006, Volume 98 Nº 10 Páginas 760 - 769

Resumo: En | Texto: En | PDF: En

Objectives: 1. To study transfusion requirements in the Department of Gastroenterology of a Tertiary Referral Hospital, and their evolution over the last seven years. 2. To analyze risk factors associated with greater erythrocyte transfusion requirements. Patients and methods: erythrocyte transfusion requirements were compared for patients admitted to the Department of Gastroenterology at Hospital Virgen del Rocío, Seville, from 1999 to 2005. Clinical data of interest have been analyzed in order to determine factors associated with greater transfusion requirements. Results: 1,611 patients with a mean age of 60.45 years (59.7-61.2) were included in this study; 76.41% were males. Gastric ulcers were the cause of bleeding in 18.4% of cases (with 69% requiring transfusions); duodenal ulcers caused 22.2% of cases (with 52.9% requiring transfusions), and portal hypertension caused 33.6% of cases (with 90.2% requiring transfusions). Upper and lower gastrointestinal bleeding of unknown origin requires transfusions in 88.9 and 96.2% of cases, respectively. A multivariate logistic regression analysis showed that clinical presentations such as hematemesis (odds ratio = 3.12), hematochezia (odds ratio = 33.17), gastrointestinal hemorrhage of unknown origin (odds ratio = 6.57), and hemorrhage as a result of portal hypertension (odds ratio = 3.43) were associated with greater transfusion requirements for erythrocyte concentrates. No significant differences were observed between the percentages of patients who received transfusions from 1999 to 2005. Conclusions: 1. No differences have been observed between the percentages of patients who received transfusions over the last seven years at our Department of Gastroenterology. 2. Patients presenting with hematemesis or hematochezia, in addition to those with bleeding of unknown origin or from portal hypertension, are prone to have greater transfusion requirements.

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10.

Un nuevo caso de Creutzfeld-Jakob
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Tabuyo Pizarro, M.

; Bowakim Dib, W.

; Acebes Rey, J. M.

; Vaquero Puerta, J. L.

; Garcia Garcia, D.

; Cano del Pozo, M.

Anales de Medicina Interna

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Mar 2003, Volume 20 Nº 3 Páginas 56 - 57

Resumo: Es | Texto: Es | PDF: Es

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11.

Infección por Helicobacter pylori y daño gástrico en niños de nivel socioeconómico bajo
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Sarmiento Q, Fernando

; Chávez C, Eduardo

; Pizarro M, Barbara

; Kakarieka W, Elena

; Vial P, Maria Teresa

; Gotteland R, Martín

Revista chilena de pediatría

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Dez 1997, Volume 68 Nº 6 Páginas 251 - 255

Resumo: Es | Texto: Es | PDF: Es

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12.

Endoscopia digestiva alta en pacientes pediátricos
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Daza C, Wilson

; Chávez C, Eduardo

; Ceresa O, Sergio

; Pizarro M, Bárbara

Revista chilena de pediatría

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Fev 1997, Volume 68 Nº 1 Páginas 20 - 23

Resumo: Es | Texto: Es | PDF: Es

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13.

Ictericia colestásica del primer trimestre de vida
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Chávez C, Eduardo

; Pizarro M, Bárbara

; Guevara P, Gladys

; Ceresa O, Sergio

; Heras B, Jorge Las

; Kakarieka W, Elena

Revista chilena de pediatría

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Abr 1993, Volume 64 Nº 2 Páginas 105 - 109

Resumo: Es | Texto: Es | PDF: Es

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14.

Enfermedad celíaca en la adolescencia
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Chavez C, Eduardo

; Ceresa O, Sergio

; Guevara P, Gladys

; Espinoza M, Julio

; Pizarro M, Barbara

; Rossel G, Maureen

Revista chilena de pediatría

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Jun 1991, Volume 62 Nº 4 Páginas 238 - 241

Resumo: Es | Texto: Es | PDF: Es

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