<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2221-2434</journal-id>
<journal-title><![CDATA[Revista Finlay]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Finlay]]></abbrev-journal-title>
<issn>2221-2434</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas de Cienfuegos. Centro Provincial de información de Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2221-24342019000100056</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Trombocitopenia con ausencia de radios. Presentación de un caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Thrombocytopenia with Absence of Radius. Case Presentation]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez Jorge]]></surname>
<given-names><![CDATA[Belkis Lázara]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Díaz Morejón]]></surname>
<given-names><![CDATA[Lucía]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Santa Cruz]]></surname>
<given-names><![CDATA[María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Pediátrico Universitario Paquito González Cueto  ]]></institution>
<addr-line><![CDATA[Cienfuegos ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2019</year>
</pub-date>
<volume>9</volume>
<numero>1</numero>
<fpage>56</fpage>
<lpage>62</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S2221-24342019000100056&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S2221-24342019000100056&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S2221-24342019000100056&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen El síndrome de trombocitopenia con ausencia de radios es una rara malformación congénita caracterizada por aplasia radial bilateral con presencia de ambos pulgares y trombocitopenia. Suelen estar presentes malformaciones en miembros inferiores, además de padecimientos cardiovasculares, gastrointestinales, neurológicos y vasculares. Se presenta el caso de una niña con ausencia bilateral de radios, constatada al nacimiento, que ingresó a los 4 meses por ligera púrpura petequial generalizada y trombocitopenia moderada, sin otras anomalías asociadas, se realizaron varios estudios que incluyeron un medulograma. Se efectuó el diagnóstico de trombocitopenia con ausencia de radios. La evolución del caso ha sido satisfactoria y su atención médica se ha limitado a chequeo clínico y hematológico periódico; así como seguimiento por la especialidad de ortopedia. El objetivo de esta presentación es dar a conocer el comportamiento clínico de este raro trastorno y constituye el primer caso relatado en Cienfuegos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract The syndrome of thrombocytopenia with absence of radius is an uncommon congenital malformation characterized by bilateral radial aplasia with presence of both thumbs and thrombocytopenia. Malformations are usually present in lower limbs, in addition to cardiovascular, gastrointestinal, neurological and vascular diseases. A case of a girl with a bilateral radio absence, confirmed at birth is presented, who was admitted aged 4 months due to slight generalized petechial purpura and moderate thrombocytopenia, without other associated anomalies. Several studies were carried out that included a medullogram. The diagnosis of thrombocytopenia was made with absence of radii. The evolution of the case has been satisfactory and his medical attention has been limited to periodic clinical and hematological check-ups; as well as monitoring by the specialty of orthopedics. The objective of this presentation is to show the clinical behavior of this unusual disorder which is the first case reported in Cienfuegos.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[trombocitopenia]]></kwd>
<kwd lng="es"><![CDATA[anomalías congénitas]]></kwd>
<kwd lng="es"><![CDATA[anomalías musculoesqueléticas.]]></kwd>
<kwd lng="en"><![CDATA[thrombocytopenia]]></kwd>
<kwd lng="en"><![CDATA[congenital abnormalities]]></kwd>
<kwd lng="en"><![CDATA[musculoskeletal abnormalities.]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Borlone]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Trombocitopenia con radios ausentes (TAR)]]></article-title>
<source><![CDATA[MAR Observatio clínica]]></source>
<year>1977</year>
<volume>48</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>aprox. 7p</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Castillo]]></surname>
<given-names><![CDATA[DC]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Algunas consideraciones clínico-genéticas de la trombocitopenia con ausencia de radios.]]></article-title>
<source><![CDATA[Rev Cubana Hematol Inmunol Hemote]]></source>
<year>2010</year>
<volume>26</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>aprox. 10p</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Miscione]]></surname>
<given-names><![CDATA[HF]]></given-names>
</name>
<name>
<surname><![CDATA[Primono]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Síndrome TAR con tetrafocomelia]]></article-title>
<source><![CDATA[Rev Esp Cir Osteoart]]></source>
<year>1997</year>
<volume>32</volume>
<numero>187</numero>
<issue>187</issue>
<page-range>aprox. 4p</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Greenhalgh]]></surname>
<given-names><![CDATA[KL]]></given-names>
</name>
<name>
<surname><![CDATA[Howell]]></surname>
<given-names><![CDATA[RT]]></given-names>
</name>
<name>
<surname><![CDATA[Bottani]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Ancliff]]></surname>
<given-names><![CDATA[PJ]]></given-names>
</name>
<name>
<surname><![CDATA[Brunner]]></surname>
<given-names><![CDATA[HG]]></given-names>
</name>
<name>
<surname><![CDATA[Verschuuren]]></surname>
<given-names><![CDATA[CC]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Trombocytopenia-absent radius syndrome: a clinical genetic study.]]></article-title>
<source><![CDATA[J Med Genet.]]></source>
<year>2002</year>
<volume>39</volume>
<numero>12</numero>
<issue>12</issue>
<page-range>876-81</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hall]]></surname>
<given-names><![CDATA[JG]]></given-names>
</name>
<name>
<surname><![CDATA[Levin]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Kuhn]]></surname>
<given-names><![CDATA[JP]]></given-names>
</name>
<name>
<surname><![CDATA[Ottenheimer]]></surname>
<given-names><![CDATA[EJ]]></given-names>
</name>
<name>
<surname><![CDATA[VanBerkum]]></surname>
<given-names><![CDATA[KA]]></given-names>
</name>
<name>
<surname><![CDATA[McKusick]]></surname>
<given-names><![CDATA[VA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Thrombocytopenia with absent radius (TAR)]]></article-title>
<source><![CDATA[Medicine]]></source>
<year>1969</year>
<volume>48</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>411-39</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Messen]]></surname>
<given-names><![CDATA[HS]]></given-names>
</name>
<name>
<surname><![CDATA[Vargas]]></surname>
<given-names><![CDATA[PL]]></given-names>
</name>
<name>
<surname><![CDATA[García]]></surname>
<given-names><![CDATA[UH]]></given-names>
</name>
<name>
<surname><![CDATA[Miranda]]></surname>
<given-names><![CDATA[GP]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Trombocitopenia y aplasia radial (TAR) de curso benigno en gemelas univitelinas.]]></article-title>
<source><![CDATA[Rev Chil Pediatr]]></source>
<year>1986</year>
<volume>57</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>aprox. 5p</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hedberg]]></surname>
<given-names><![CDATA[VA]]></given-names>
</name>
<name>
<surname><![CDATA[Lipton]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Thrombocytopenia with absent radii. A review of 100 cases.]]></article-title>
<source><![CDATA[Am J Pediatr Hematol Oncol.]]></source>
<year>1988</year>
<volume>10</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>51-64</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Martínez]]></surname>
<given-names><![CDATA[ML]]></given-names>
</name>
<name>
<surname><![CDATA[Bermejo]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[García]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Pérez]]></surname>
<given-names><![CDATA[JL]]></given-names>
</name>
<name>
<surname><![CDATA[Cucalón]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Calvo]]></surname>
<given-names><![CDATA[MJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[An epidemiological study of the thrombocytopenia with radial aplasia syndrome (TAR) in Spain.]]></article-title>
<source><![CDATA[An Esp Pediatr.]]></source>
<year>1998</year>
<volume>49</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>619-23</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Goldfarb]]></surname>
<given-names><![CDATA[CA]]></given-names>
</name>
<name>
<surname><![CDATA[Wustrack]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Pratt]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
<name>
<surname><![CDATA[Mender]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Manske]]></surname>
<given-names><![CDATA[PR]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Thumb function and appearance in thrombocytopenia: absent radius syndrome.]]></article-title>
<source><![CDATA[J Hand Surg Am.]]></source>
<year>2007</year>
<volume>32</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>157-61</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Oishi SN]]></surname>
<given-names><![CDATA[Carter P]]></given-names>
</name>
<name>
<surname><![CDATA[Bidwell T]]></surname>
<given-names><![CDATA[Mills]]></given-names>
</name>
<name>
<surname><![CDATA[J]]></surname>
<given-names><![CDATA[Ezaki M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Thrombocytopenia absent radius syndrome: presence of brachiocarpalis muscle and its importance.]]></article-title>
<source><![CDATA[J Hand Surg Am.]]></source>
<year>2009</year>
<volume>34</volume>
<numero>9</numero>
<issue>9</issue>
<page-range>1696-9</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Garavito]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Silvera]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Fernández]]></surname>
<given-names><![CDATA[CM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Síndrome de TAR y estado de heterocigosis para anemia falciforme.]]></article-title>
<source><![CDATA[Salud Uninorte]]></source>
<year>2004</year>
<volume>19</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>aprox. 5p</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Neunert]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Arnold]]></surname>
<given-names><![CDATA[DM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Severe bleeding events in adults and children with primary immune thrombocytopenia: a systematic review: reply.]]></article-title>
<source><![CDATA[J Thromb Haemost.]]></source>
<year>2015</year>
<volume>13</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>1522-3</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Geddis]]></surname>
<given-names><![CDATA[AE]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Congenital Amegakaryocytic Thombocytopenia and Thrombocytopenia with Absent Radii.]]></article-title>
<source><![CDATA[Hematol Oncol Clin North Am.]]></source>
<year>2009</year>
<volume>23</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>321-31</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Skórka]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Bielicka]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Gieruszczak]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Korniszewski]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Thrombocytopenia-absent radius (tar) syndrome: a case with agenesis of corpus callosum, hypoplasia of cerebellar vermis and horseshoe kidney.]]></article-title>
<source><![CDATA[Genet Couns.]]></source>
<year>2005</year>
<volume>16</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>377-82</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Greenwald]]></surname>
<given-names><![CDATA[HM]]></given-names>
</name>
<name>
<surname><![CDATA[Sherman]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Congenital essential thrombocytopenia.]]></article-title>
<source><![CDATA[Am J Dis Child]]></source>
<year>1929</year>
<volume>38</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>1245-51</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
