The Ochoa urofacial syndrome: recognize the peculiar smile and avoid severe urological and renal complications
Autor(a) principal: | |
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Data de Publicação: | 2015 |
Outros Autores: | , , , , |
Tipo de documento: | Relatório |
Idioma: | eng |
Título da fonte: | Einstein (São Paulo) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082015000200020 |
Resumo: | Ochoa syndrome is rare and its major clinical problems frequently unrecognized. We describe facial characteristics of six patients to help health professional recognize the inverted smile that these patients present and refer them to proper treatment. Patients’ medical records were reviewed and patients’ urological status clinically reassessed. At last evaluation patients’ mean age was 15.5 years, and age ranged from 12 to 32 years. Mean follow-up was 35 months (12 to 60). Initial symptoms were urinary tract infections in four patients (67%) associated with enuresis and incontinence in three of them (50%). One patient had only urinary tract infection and two lower urinary tract symptoms without infections. Initial treatment consisted of clean intermittent catheterization with anticholinergics for all patients. Four patients (67%) were submitted to bladder augmentation. Two patients had end-stage renal disease during follow-up, one received kidney transplantation and one patient remained on the waiting list for a renal transplantation. Familial consanguinity was present in only one case. This significant condition is rare, but it must be recognized by pediatricians, nephrologists and urologists in order to institute early aggressive urological treatment. |
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The Ochoa urofacial syndrome: recognize the peculiar smile and avoid severe urological and renal complicationsUrologic diseases/genticsEnuresisUrinary incontinenceLower urinary tract symptomsUrinary bladder, neurogenicCase reportsOchoa syndrome is rare and its major clinical problems frequently unrecognized. We describe facial characteristics of six patients to help health professional recognize the inverted smile that these patients present and refer them to proper treatment. Patients’ medical records were reviewed and patients’ urological status clinically reassessed. At last evaluation patients’ mean age was 15.5 years, and age ranged from 12 to 32 years. Mean follow-up was 35 months (12 to 60). Initial symptoms were urinary tract infections in four patients (67%) associated with enuresis and incontinence in three of them (50%). One patient had only urinary tract infection and two lower urinary tract symptoms without infections. Initial treatment consisted of clean intermittent catheterization with anticholinergics for all patients. Four patients (67%) were submitted to bladder augmentation. Two patients had end-stage renal disease during follow-up, one received kidney transplantation and one patient remained on the waiting list for a renal transplantation. Familial consanguinity was present in only one case. This significant condition is rare, but it must be recognized by pediatricians, nephrologists and urologists in order to institute early aggressive urological treatment.Instituto Israelita de Ensino e Pesquisa Albert Einstein2015-06-01info:eu-repo/semantics/reportinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082015000200020einstein (São Paulo) v.13 n.2 2015reponame:Einstein (São Paulo)instname:Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE)instacron:IIEPAE10.1590/S1679-45082015RC2990info:eu-repo/semantics/openAccessRondon,Atila VictalLeslie,BrunoNetto,José Murillo BastosFreitas,Ricardo Garcia deOrtiz,ValdemarMacedo Junior,Antonioeng2015-12-03T00:00:00Zoai:scielo:S1679-45082015000200020Revistahttps://journal.einstein.br/pt-br/ONGhttps://old.scielo.br/oai/scielo-oai.php||revista@einstein.br2317-63851679-4508opendoar:2015-12-03T00:00Einstein (São Paulo) - Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE)false |
dc.title.none.fl_str_mv |
The Ochoa urofacial syndrome: recognize the peculiar smile and avoid severe urological and renal complications |
title |
The Ochoa urofacial syndrome: recognize the peculiar smile and avoid severe urological and renal complications |
spellingShingle |
The Ochoa urofacial syndrome: recognize the peculiar smile and avoid severe urological and renal complications Rondon,Atila Victal Urologic diseases/gentics Enuresis Urinary incontinence Lower urinary tract symptoms Urinary bladder, neurogenic Case reports |
title_short |
The Ochoa urofacial syndrome: recognize the peculiar smile and avoid severe urological and renal complications |
title_full |
The Ochoa urofacial syndrome: recognize the peculiar smile and avoid severe urological and renal complications |
title_fullStr |
The Ochoa urofacial syndrome: recognize the peculiar smile and avoid severe urological and renal complications |
title_full_unstemmed |
The Ochoa urofacial syndrome: recognize the peculiar smile and avoid severe urological and renal complications |
title_sort |
The Ochoa urofacial syndrome: recognize the peculiar smile and avoid severe urological and renal complications |
author |
Rondon,Atila Victal |
author_facet |
Rondon,Atila Victal Leslie,Bruno Netto,José Murillo Bastos Freitas,Ricardo Garcia de Ortiz,Valdemar Macedo Junior,Antonio |
author_role |
author |
author2 |
Leslie,Bruno Netto,José Murillo Bastos Freitas,Ricardo Garcia de Ortiz,Valdemar Macedo Junior,Antonio |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Rondon,Atila Victal Leslie,Bruno Netto,José Murillo Bastos Freitas,Ricardo Garcia de Ortiz,Valdemar Macedo Junior,Antonio |
dc.subject.por.fl_str_mv |
Urologic diseases/gentics Enuresis Urinary incontinence Lower urinary tract symptoms Urinary bladder, neurogenic Case reports |
topic |
Urologic diseases/gentics Enuresis Urinary incontinence Lower urinary tract symptoms Urinary bladder, neurogenic Case reports |
description |
Ochoa syndrome is rare and its major clinical problems frequently unrecognized. We describe facial characteristics of six patients to help health professional recognize the inverted smile that these patients present and refer them to proper treatment. Patients’ medical records were reviewed and patients’ urological status clinically reassessed. At last evaluation patients’ mean age was 15.5 years, and age ranged from 12 to 32 years. Mean follow-up was 35 months (12 to 60). Initial symptoms were urinary tract infections in four patients (67%) associated with enuresis and incontinence in three of them (50%). One patient had only urinary tract infection and two lower urinary tract symptoms without infections. Initial treatment consisted of clean intermittent catheterization with anticholinergics for all patients. Four patients (67%) were submitted to bladder augmentation. Two patients had end-stage renal disease during follow-up, one received kidney transplantation and one patient remained on the waiting list for a renal transplantation. Familial consanguinity was present in only one case. This significant condition is rare, but it must be recognized by pediatricians, nephrologists and urologists in order to institute early aggressive urological treatment. |
publishDate |
2015 |
dc.date.none.fl_str_mv |
2015-06-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/report |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
report |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082015000200020 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082015000200020 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S1679-45082015RC2990 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Instituto Israelita de Ensino e Pesquisa Albert Einstein |
publisher.none.fl_str_mv |
Instituto Israelita de Ensino e Pesquisa Albert Einstein |
dc.source.none.fl_str_mv |
einstein (São Paulo) v.13 n.2 2015 reponame:Einstein (São Paulo) instname:Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE) instacron:IIEPAE |
instname_str |
Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE) |
instacron_str |
IIEPAE |
institution |
IIEPAE |
reponame_str |
Einstein (São Paulo) |
collection |
Einstein (São Paulo) |
repository.name.fl_str_mv |
Einstein (São Paulo) - Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE) |
repository.mail.fl_str_mv |
||revista@einstein.br |
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1752129908288520192 |