Hallazgos ultrasonográficos en pacientes con Dengue: revisión de la literatura Ultrasound findings in patients with Dengue fever: literature review

Objetivo: Presentar los hallazgos ultrasonográficos abdominales y torácicos en pacientes con Dengue en comparación con la literatura. Material y métodos: Se realizaron exámenes ecográficos a 29 pacientes, 18 de sexo femenino y 11 de sexo masculino -con una media de edad de 35.6 años-, todos ellos con confirmación serológica de Dengue, internados en el Hospital Rawson de Córdoba durante el brote epidémico de enero-junio de 2009. Los hallazgos fueron comparados con los descriptos en la literatura. Resultados: Los resultados ecográficos más relevantes fueron: engrosamiento de la pared vesicular (n=7) (24%); líquido libre abdominal/pelviano (n= 9) (31%); hepatomegalia (n=5) (17%); esplenomegalia (n=4) (14%); líquido pericolecístico y derrame pleural (n=2) (7%). En el 62% de los pacientes (n=18) el estudio ecográfico resultó normal. Conclusión: La ecografía es una herramienta de utilidad para confirmar casos sospechosos de Dengue y para detectar precozmente la gravedad y progresión de la enfermedad.<br>Objective: To review abdominal and thoracic ultrasound findings in patients with serologically proven dengue fever and to compare them with the literature. Material and methods: Twenty-nine patients, 18 females and 11 males, mean age 35.6 years, with serologically proven dengue fever, were admitted to Hospital Rawson of Cordoba and underwent abdominal ultrasound during the epidemic outbreak between January and June 2009. Their ultrasound findings were compared with data from the literature. Results: The most relevant ultrasound findings were diffuse gallbladder wall thickening in 7 cases (24%), abdominal/ pelvic free fluid in 9 (31%), hepatomegaly in 5 (17%), splenomegaly in 4 (14%), and perivesicular fluid and pleural effusion in 2 (7%). Eighteen patients (62%) had normal abdominal ultrasound. Conclusion: Abdominal sonography is a useful diagnostic tool to detect complications in patients with suspected or serologically confirmed diagnostic of Dengue fever

Clinical and Etiological Aspects of Gynecomastia in Adult Males: A Multicenter Study

Objectives. To evaluate the characteristics of presentation, biochemical profile, and etiology of gynecomastia in adults. Methods. Medical records of 237 men aged 18-85 years with gynecomastia were evaluated. Results. Highest prevalence of gynecomastia was observed between 21 and 30 years (n = 74; 31.2%). The most common presenting complaints were aesthetic concerns (62.8%) and breast pain (51.2%). 25.3% of the subjects had a history of pubertal gynecomastia. 56.5% had bilateral gynecomastia. 39.9% were overweight and 22.8% were obese. The etiology could not be identified in 45.1% of the cases; the most frequent identified causes were anabolic steroids consumption (13.9%), hypogonadism (11.1%), and use of pharmaceutical drugs (7.8%). Patients with bilateral gynecomastia had a longer history of disease, higher BMI, and lower testosterone levels. Conclusions. Patients with gynecomastia presented more often with aesthetic concerns and secondarily with breast pain. The most frequent final diagnosis was idiopathic gynecomastia, whereas the most frequent identified etiologies were anabolic steroids consumption, hypogonadism, and use of pharmaceutical drugs. Despite the low frequency of etiologies such as thyroid dysfunction or adrenal carcinoma, we emphasize the importance of a thorough assessment of the patient, as gynecomastia may be the tip of the iceberg for the diagnosis of treatable diseases