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        "resumen" => "<span class="elsevierStyleSectionTitle">Fundamento</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se ha postulado que la causa de la enfermedad de Perthespueda ser una trombosis intravascular condicionadapor un potencial trastorno cong&#233;nito de la hemostasia queconducir&#237;a a situaciones de trombofilia o hipofibrin&#243;lisis&#46;</p> <span class="elsevierStyleSectionTitle">Pacientes y m&#233;todo</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Un estudio completo de la hemostasia&#44; que incluya factoresde coagulaci&#243;n&#44; estudio de la trombofilia y de la fibrin&#243;lisisen un grupo de ni&#241;os con enfermedad de Perthes&#44;podr&#237;a determinar la prevalencia de trastornos de lahemostasia y fibrin&#243;lisis en este colectivo&#46; Un grupo de25 pacientes con edades comprendidas entre 5 y 25 a&#241;osen el momento del estudio&#44; anteriormente diagnosticadosde enfermedad de Perthes&#44; fueron sometidos a an&#225;lisis dela hemostasia y trombofilia&#44; comparando los resultadoscon los de un grupo control&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Se detectaron alteraciones en la trombofilia en un solopaciente con un d&#233;ficit moderado-leve de prote&#237;na S&#44;siendo los dem&#225;s casos considerados dentro de la normalidaden relaci&#243;n a la edad de los pacientes&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Los datos cl&#237;nicos&#44; epidemiol&#243;gicos y de laboratorio deeste grupo de pacientes pedi&#225;tricos&#44; comparados con losde un grupo control estudiado&#44; no abonan la hip&#243;tesis deun defecto en la trombog&#233;nesis&#44; como causante de la necrosisavascular de la cabeza del f&#233;mur en nuestro medio&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Background</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">It has been suggested that the cause of Perthes diseasemay be intravascular thrombosis induced by a potentialcongenital hemostatic disorder leading to conditions ofthrombophilia or hyperfibrinolysis&#46;</p> <span class="elsevierStyleSectionTitle">Patients and method</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Complete study of hemostasis with coagulation and antithrombinfactors as well as study of thrombophilia andfibrinolysis in these patients could determine the prevalenceof hemostasis and fibrinolysis in this group of patients&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Alterations in hemostasis and thrombosis were detectedin one patient who had moderate-to-light protein Sdeficiency&#46; The remaining patients were considered withinthe normal range when age was taken into account&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Epidemiological and laboratory data from this group ofpediatric patients and from the control group do not supportthe hypothesis that a thrombogenesis defect couldbe the underlying cause of avascular necrosis of the hipjoint&#46;</p>"
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¿Trombofilia y enfermedad de Perthes?
Thrombophilia and perthes' disease¿
J.M. Tusell Puigberta,*, C. Aulesa Martíneza, M. Aguirre Canyadella, I. Nicolau Fustéb, P. Valentín Valentínb, J.J. Ortega Aramburua
a Hospital Materno-Infantil
b Hospital General Vall d'Hebron. Barcelona.
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        "resumen" => "<span class="elsevierStyleSectionTitle">Fundamento</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se ha postulado que la causa de la enfermedad de Perthespueda ser una trombosis intravascular condicionadapor un potencial trastorno cong&#233;nito de la hemostasia queconducir&#237;a a situaciones de trombofilia o hipofibrin&#243;lisis&#46;</p> <span class="elsevierStyleSectionTitle">Pacientes y m&#233;todo</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Un estudio completo de la hemostasia&#44; que incluya factoresde coagulaci&#243;n&#44; estudio de la trombofilia y de la fibrin&#243;lisisen un grupo de ni&#241;os con enfermedad de Perthes&#44;podr&#237;a determinar la prevalencia de trastornos de lahemostasia y fibrin&#243;lisis en este colectivo&#46; Un grupo de25 pacientes con edades comprendidas entre 5 y 25 a&#241;osen el momento del estudio&#44; anteriormente diagnosticadosde enfermedad de Perthes&#44; fueron sometidos a an&#225;lisis dela hemostasia y trombofilia&#44; comparando los resultadoscon los de un grupo control&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Se detectaron alteraciones en la trombofilia en un solopaciente con un d&#233;ficit moderado-leve de prote&#237;na S&#44;siendo los dem&#225;s casos considerados dentro de la normalidaden relaci&#243;n a la edad de los pacientes&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Los datos cl&#237;nicos&#44; epidemiol&#243;gicos y de laboratorio deeste grupo de pacientes pedi&#225;tricos&#44; comparados con losde un grupo control estudiado&#44; no abonan la hip&#243;tesis deun defecto en la trombog&#233;nesis&#44; como causante de la necrosisavascular de la cabeza del f&#233;mur en nuestro medio&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Background</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">It has been suggested that the cause of Perthes diseasemay be intravascular thrombosis induced by a potentialcongenital hemostatic disorder leading to conditions ofthrombophilia or hyperfibrinolysis&#46;</p> <span class="elsevierStyleSectionTitle">Patients and method</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Complete study of hemostasis with coagulation and antithrombinfactors as well as study of thrombophilia andfibrinolysis in these patients could determine the prevalenceof hemostasis and fibrinolysis in this group of patients&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Alterations in hemostasis and thrombosis were detectedin one patient who had moderate-to-light protein Sdeficiency&#46; The remaining patients were considered withinthe normal range when age was taken into account&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Epidemiological and laboratory data from this group ofpediatric patients and from the control group do not supportthe hypothesis that a thrombogenesis defect couldbe the underlying cause of avascular necrosis of the hipjoint&#46;</p>"
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