18 research outputs found
Falla hepática aguda sobre crónica (ACLF), síndrome subdiagnosticado con alta mortalidad
Acute on chronic liver failure is an increasingly recognized syndrome characterized by acute decompensation of chronic liver disease associated with organ failure and high short-term mortality. ACLF is frequent, affecting between 24 and 40% of patients admitted for complications of cirrhosis. Sepsis, active alcoholism, and relapse of chronic viral hepatitis are the most frequent precipitating factors. However, in up to 40%–50% of the cases of ACLF have no identifiable trigger. The stage of severity of Acute on chronic liver failure is very important because it allows us to stratify patients according to their prognosis, evaluate therapeutic response, determine transplant urgency, deciding intensive care unit admission, and also have a basis on which to decide therapeutic futility
Manifestaciones cutáneas de enfermedades gastrointestinales
The gastrointestinal system is closely related to the skin. Multiple disorders of the gastrointestinal
tract that manifest clinically on the skin surface are recognized, which can even occur before
establishing the definitive diagnosis of the disease. For this reason, it is necessary that the
dermatologist is internalized regarding the wide variety of clinical signs that can guide the
etiological study, which requires in most cases, a multidisciplinary management