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Jose Ramon Fernandez

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About Jose Ramon Fernandez

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    Jose Ramon
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    Hospital General Universitario Santa Lucía.
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  1. what's this at birth?

    May be congenital varicella syndrome scars? Any rash before 20th week of pregnancy? I would rule out congenital varicella syndrome with PCR of VZV and look for associated malformations (eye,cerebral US...)
  2. Help needed for a presentation

    Maybe this paper could help you,it´s from 2003, but I used it few years ago with your same purpose. Greetings from Spain http://www.ncbi.nlm.nih.gov/pubmed/12615035 Another paper that seems to be useful: http://www.ncbi.nlm.nih.gov/pubmed/17561765
  3. CMV in breast milk

    You´re welcome I don´t remember a recent case of such problem,but what we use to do is to freeze the milk (no matter of time). It seems there is no contraindication regarding to weight (you can brestfeeding even prematures less than 1500g). At the end,the benefits of breastfeeding are greater than damages for the baby.
  4. CMV in breast milk

    Greeting from Spain. I hope this Pubmed search cuold help you. It´s known that especially very low birth preterms could be infected by CMV excreted by breast milk,but this risk seems to be lower if you put breast milk at -20ºC before you feed the baby. Making a pubmed search with "Cytomegalovirus"[Mesh] AND "Breast Feeding"[Mesh] with those Limits activated: Humans, English, French, Russian, Spanish, Newborn: birth-1 month we get 28 results.I point you those I consider most interesting: http://www.ncbi.nlm.nih.gov/pubmed/19687768 http://www.ncbi.nlm.nih.gov/pubmed/20630814 (article in spanish)
  5. newborn with white forelock of hair

    Hi collegues. I think Waardenburg is the first option. Although is probably less common disease on neonatal period, we shouldn´t forget about Chediak-Higashi syndrome. This syndrome appear with partial albinism and reduced iris pigmentation too. Are her parents relatives?? There is any hematological alteration?? Congratulations for your work and for this web Here is a link from OMIM with the clinical synopsis of Waardenburg and Chediak-Higashi: http://www.ncbi.nlm.nih.gov/entrez/dispomim.cgi?id=277580 http://www.ncbi.nlm.nih.gov/entrez/dispomim.cgi?id=214500