ABSTRACT
El neurobehcet (NB) es una manifestación poco frecuente y grave de la enfer-medad de Behcet (EB) con diferentes formas de presentación según el aérea del sistema nervioso que se vea afectada. Se presenta el caso de una paciente de sexo femenino de 38 años de edad con historia de larga data de psicosis de posible cau-sa orgánica. Durante su última hospitalización por deterioro funcional y cognitivo se rescata el antecedente de úlceras orales y genitales y un episodio previo de es-cleritis. Se complementa el estudio con punción lumbar, resonancia y angioreso-nancia nuclear magnética de cerebro y antígeno de histocompatibilidad los cuales sugieren el diagnóstico de NB. Se trata con corticoides e inmunosupresores, pero a pesar de mejoría en el líquido cefalorraquídeo no hay mejoría clínica, que se presume sería consecuencia de lo tardío del diagnóstico y tratamiento.
Neurobehcet (NB) is a rare and serious manifestation of Behcet's disease (EB), with different forms of presentation depending on the area of the nervous system involved. A clinical case of a 38-year-old female patient with a long-standing his-tory of psychosis of possible organic cause is presented. During her last hospital-ization due to functional and cognitive impairment the history of oral and genital ulcers and a previous episode of scleritis is obtained. The study is complemented with a lumbar puncture, magnetic resonance, magnetic nuclear angioresonance of the brain and histocompatibility antigen which suggests the diagnosis of NB. It is treated with corticosteroids and immunosuppressants, but despite improve-ment in cerebrospinal fluid there is no clinical improvement, which is presumed to be a consequence of the late diagnosis and treatment.
Subject(s)
Humans , Female , Adult , Behcet Syndrome/complications , Behcet Syndrome/diagnosis , Behcet Syndrome/therapy , Psychotic Disorders , Venous Thrombosis , Delayed Diagnosis , Nervous System DiseasesABSTRACT
Background: Organ transplantation frequently constitutes a source of public concern. Dealing with such a complex medical problems requires a process of recognition of the different attitudes that social groups have toward organ transplantation attitudes which might vary accordingly to cultural and religious diversity. Judaism is the focus of this review. Our objective is to contribute to the knowledge that Chilean health professionals have about the Jewish point of view on organ transplantation. The supreme value of life is a premise of Judaism, so saving a life should precede the enforcement of certain Old Testament's prohibitions. However, it is difficult and misleading to attempt to define a unique point of view-even though there is an overwhelming majority who are in favor of organ donation-because different theological interpretations and recommendations are continuously in debate. We conclude that the mainstream Jewish position is not significantly different from the contemporary Western thought, even though a minority in Judaism is opposed to cadaveric organ donation.