Comparison of different vascular risk engines in the identification of type 2 diabetes patients with high cardiovascular risk.

Background: Some authors consider that secondary prevention should be conducted for all DM2 patients, while others suggest that the drug preventive treatment should start or be increased depending on each patient's individual CVR, estimated using cardiovascular or coronary risk functions to identify the patients with a higher CVR. The principal objective of this study was to assess three different cardiovascular risk prediction models in type 2 diabetes patients.

Methods: Multicentre, cross-sectional descriptive study of 3,041 patients with type 2 diabetes and no history of cardiovascular disease.

[Spontaneous expulsive choroidal hemorrhage. Case report].

Clinical Case: A case is presented of an 85-year-old woman living in a geriatric residence, who was admitted to the emergency department of our hospital with a spontaneous expulsive choroidal hemorrhage in her left eye. There was no a history of ophthalmic disease, and the patient only reported having intracapsular cataract surgery in both eyes 25 years ago, and that she also became blind in her left eye in the past few years.

Discussion: Non-surgical spontaneous expulsive choroidal hemorrhage is a very rare and disastrous clinical event.

Interobserver reliability of store-and-forward teledermatology in a clinical practice setting.

Introduction And Objectives: Although many studies have evaluated the diagnostic reliability of store-and-forward (SF) teledermatology, the reliability of the technique for the diagnosis of general skin conditions in a clinical practice setting has never been demonstrated. We evaluated the reliability of SF teledermatology in clinical practice by analyzing the diagnostic agreement achieved in a subgroup of patients from the DERMATEL-2 study.

Material And Methods: Patients referred from primary care settings were randomized to 3 groups: SF, a combination of videoconferencing and SF technology (VC-SF), and a control group.

[Congenital Horner's syndrome associated to varicella].

Case Report: We present a case of congenital Horner's Syndrome in a four year-old boy. The patient was referred from the Dermatology ward after a check up for malformations present from birth on the left upper limb. A significant factor was determined: a varicella related infection in the mother during the 12th week of pregnancy.