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VolumenN3

Monday, 29 August 2016

ATYPICAL CLUSTERS OF URIC ACID CRYSTALS IN THE URINARY SEDIMENT FROM A BREASTFED BABY

Written by Iñaki Vallés Díez | Blanca Acha Santamaría | Naiara Tirapu Fernández de la Cuesta

PRESENCIA  DE  MACLAS  ATÍPICAS  DE  ÁCIDO  ÚRICO EN  EL SEDIMENTO DE ORINA DE UNA LACTANTE
We report two photographs of the urinary sediment from a 2 month old breastfed baby. In the first image several atypical crystal clusters can be observed (figure 1). Second image shows an intense birefringence in the clusters, when observed in a polarized light microscope (figure 2). This finding, together with other laboratory data, suggests that the clusters are for med by uric acid crystals.

Monday, 29 August 2016

SIALOLITHIASIS: ANALYSIS AND CHEMICAL COMPOSITION

Written by María del Mar Rodríguez Rodríguez | Lucía Jiménez Mendiguchía | Ana María García Cano

SIALOLITIASIS: ANÁLISIS Y COMPOSICIÓN QUÍMICA
In Figure 1 the sialolith of 93 mg obtained by maxillofacial surgery is shown. The macroscopic characteristics of this calculus were the following: honey colour, hard consistency and rough surface, typical features described in the literature. This sialolith corre sponds to a 46 years old patient, who presents an episode of right submandibular inflammation with suppuration by Wharton ́s duct caruncula. Sialoliths are most common within the body of the submandibular gland or Warton ́s duct (80 - 92%). From 6% to 20% of sialoliths occur in the parotid gland, and the remaining 1 - 2% are located within the sublingual or minor salivary glands.

Monday, 29 August 2016

ANTISYNTHETASE SYNDROME, A DIAGNOSTIC CHALLENGE

Written by Jose Luis García de Veas Silva | Rocio Escobar Conesa | Maria del Señor Lopez Vélez

SÍNDROME ANTI - SINTETASA, UN DESAFIO  DIAGNOSTICO
The attached image (Figure 1) corresponds to a dense fine speckled cytoplasmic pattern with neg a- tive metaphases at 1:640 observed by indirect imm u- nofluorescence (IIF) in Hep - 2 cells line. Suspecting the possible association with antisynthetase antib o- dies, the presence of antibodies anti PL - 7 and anti Ro - 52 kD (Figure 2) were identified by “myositis immunoblot”

Monday, 29 August 2016

ACUTE PLASMA CELL LEUKEMIA IN PLURIPATHOLOGICAL PATIENT

Written by Beatriz Moreno González | Rosa María Lillo Rodríguez | Montserrat Alvarellos Outeiro

LEUCEMIA AGUDA DE CÉLULAS PLASMÁTICAS EN PACIENTE PLURIPATOLÓGICO
Figure A shows peripheral Blood morphology from a pluripathological male aged 79 who was admitted in our emergency department due to worsening of the overall condition and appearance of a painful hematoma in his left hemithorax. Urgent blood tests showed an increased leukocyte count (32,9 x 109/L) with marked lymphocytosis (21,1 x 109/L). Morphological analysis showed atypical cells, bigger than normal lymphocytes, and a highly basophilic cytoplasm. In view of the results, a hematological malignancy was suspected. Thus, a bone marrow analysis with flow cytometry and cytogenetics analysis was requested. Biochemical test were also ordered.