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Distrofia miotónica de steinert y gestación
M.A. Barbera, I. Eguiluza, W. Plasenciaa, O. Ramíreza
a Servicio de Obstetricia y Ginecología. Hospital Universitario Materno-Infantil de Canarias. Las Palmas de Gran Canaria. España
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        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Myotonic dystrophy is an unusual entity&#44; which is rarely associated with pregnancy due to the fact that those people who are affected usually present with genital atrophy and hypogonadism&#46; It is a neuro-endocrine &#171;inherit-degenerative&#187; dystrophy&#44; with dominant autosomic transmission&#46; Its association with pregnancy can lead to different problems&#46; The myotony often worsens and obstetric complications increase&#59; miscarriage&#44; preterm delivery&#44; hydrops fetalis&#44; intrauterine death&#44; difficulties in expulsion&#44; intra and post partum haemorrhage&#46; Signs of fetal affectation during pregnancy are hydrops&#44; hydramnios&#44; a reduction in fetal movements&#44; and a slow fetal heart rate&#46; Familial antecedents&#44; severe hypotony or respiratory distress in the neonate are suggestive of the congenital form of myotonic dystrophy&#46; The congenital form has a poor prognosis&#44; and is more difficult to diagnose&#46; Today&#44; molecular genetic techniques allow to make both prenatal and an early neonatal diagnosis&#46;</p>"
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        "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">La distrofia miot&#243;nica es una entidad infrecuente&#44; raramente asociada a la gestaci&#243;n debido a que las personas afectadas suelen presentar atrofia genital con hipogonadismo&#46; Se trata de una distrofia neuroendocrina heredodegenerativa&#44; con transmisi&#243;n autos&#243;mica dominante&#46; Su asociaci&#243;n con el embarazo produce diferentes alteraciones&#58; agravamiento de la mioton&#237;a y aumento de las complicaciones obst&#233;tricas&#44; como un incremento de la tasa de abortos&#44; un parto prematuro&#44; hidrops fetal&#44; muerte intrauterina&#44; expulsivo prolongado&#44; hemorragias intraparto o posparto&#44; etc&#46; Los signos que orientan a una afecci&#243;n fetal durante la gestaci&#243;n son&#58; hidrops&#44; hidramnios&#44; disminuci&#243;n de los movimientos fetales y enlentecimiento del ritmo card&#237;aco&#44; y los que sugieren una distrofia miot&#243;nica en su variante cong&#233;nita son&#58; antecedentes familiares&#44; hipoton&#237;a grave o distr&#233;s respiratorio grave&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">La variante cong&#233;nita tiene un peor pron&#243;stico y un diagn&#243;stico m&#225;s dif&#237;cil&#46; Actualmente&#44; las t&#233;cnicas de gen&#233;tica molecular permiten la realizaci&#243;n de un diagn&#243;stico prenatal y neonatal precoz de la enfermedad&#46;</p>"
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Información del artículo
ISSN: 0210573X
Idioma original: Español
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2022 Septiembre 48 13 61
2022 Agosto 38 20 58
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2022 Mayo 32 15 47
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2021 Septiembre 40 29 69
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2021 Mayo 54 24 78
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2021 Marzo 71 11 82
2021 Febrero 59 17 76
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2020 Diciembre 50 13 63
2020 Noviembre 56 10 66
2020 Octubre 37 17 54
2020 Septiembre 45 39 84
2020 Agosto 33 18 51
2020 Julio 41 15 56
2020 Junio 27 8 35
2020 Mayo 34 16 50
2020 Abril 16 8 24
2020 Marzo 33 24 57
2020 Febrero 32 10 42
2020 Enero 44 19 63
2019 Diciembre 62 54 116
2019 Noviembre 48 13 61
2019 Octubre 32 14 46
2019 Septiembre 51 21 72
2019 Agosto 41 21 62
2019 Julio 38 22 60
2019 Junio 93 33 126
2019 Mayo 225 99 324
2019 Abril 77 38 115
2019 Marzo 31 17 48
2019 Febrero 31 11 42
2019 Enero 26 16 42
2018 Diciembre 22 21 43
2018 Noviembre 34 26 60
2018 Octubre 42 19 61
2018 Septiembre 27 27 54
2018 Agosto 18 31 49
2018 Julio 16 12 28
2018 Junio 27 24 51
2018 Mayo 16 17 33
2018 Abril 27 18 45
2018 Marzo 12 10 22
2018 Febrero 22 10 32
2018 Enero 16 11 27
2017 Diciembre 7 3 10
2017 Noviembre 14 13 27
2017 Octubre 25 12 37
2017 Septiembre 20 4 24
2017 Agosto 15 2 17
2017 Julio 16 8 24
2017 Junio 19 10 29
2017 Mayo 24 12 36
2017 Abril 19 4 23
2017 Marzo 36 29 65
2017 Febrero 26 3 29
2017 Enero 28 4 32
2016 Diciembre 40 7 47
2016 Noviembre 98 9 107
2016 Octubre 60 5 65
2016 Septiembre 29 11 40
2016 Agosto 18 3 21
2016 Julio 41 1 42
2016 Junio 76 6 82
2016 Mayo 57 14 71
2016 Abril 59 5 64
2016 Marzo 52 9 61
2016 Febrero 53 6 59
2016 Enero 41 10 51
2015 Diciembre 40 10 50
2015 Noviembre 68 7 75
2015 Octubre 96 7 103
2015 Septiembre 45 3 48
2015 Agosto 70 3 73
2015 Julio 109 3 112
2015 Junio 62 3 65
2015 Mayo 87 9 96
2015 Abril 61 13 74
2015 Marzo 106 3 109
2015 Febrero 115 4 119
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2014 Diciembre 82 4 86
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2014 Septiembre 62 3 65
2014 Agosto 58 1 59
2014 Julio 52 12 64
2014 Junio 43 6 49
2014 Mayo 21 2 23
2014 Abril 26 2 28
2014 Marzo 38 2 40
2014 Febrero 34 1 35
2014 Enero 25 2 27
2013 Diciembre 32 2 34
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2013 Octubre 36 5 41
2013 Septiembre 30 4 34
2013 Agosto 29 6 35
2013 Julio 28 1 29
2003 Mayo 876 0 876
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es en pt

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