ABSTRACT
Apresentamos um caso de doença relacionada à IgG4 devido às suas várias formas de apresentação clínica e dificuldades diagnósticas, objetivando acrescentar à literatura científica essa apresentação atípica. Trata-se de um homem de 65 anos com dor abdominal, febre e sintomas urinários. Exames laboratoriais inocentes para processo infeccioso agudo. Em tomografia computadorizada de abdome, evidenciou-se pseudotumor em região retroperitoneal, envolvendo ureter, veia e artéria ilíacas. Foi submetido à ressecção cirúrgica, tendo sido confirmado o diagnóstico de doença relacionada à IgG4 pela imuno-histoquímica. Iniciou tratamento com glicocorticoide com melhora clínica importante, seguindo em acompanhamento ambulatorial.
This is a case report of IgG4-related disease because of its wide variety of clinical presentations and difficulties in diagnosis, aiming at adding this atypical presentation to scientific literature. It is a case of a 65-year-old man with abdominal pain, fever and urinary symptoms. Laboratory tests were naive for acute infectious processes. In a computed tomography of the abdomen, retroperitoneal pseudotumor involving ureter, and iliac vein and artery was found. The patient underwent surgical resection, and the diagnosis of IgG4-related disease was confirmed by immunohistochemistry. The treatment was begun with glucocorticoids, with important clinical improvement. He was followed in outpatient settings.
Subject(s)
Humans , Male , Aged , Retroperitoneal Neoplasms/diagnostic imaging , Immunoglobulin G4-Related Disease/diagnosis , Retroperitoneal Neoplasms/surgery , Retroperitoneal Neoplasms/pathology , Biopsy , Immunoglobulin G/blood , Immunohistochemistry , Magnetic Resonance Spectroscopy , Tomography, X-Ray Computed , Laparoscopy , Immunoglobulin G4-Related Disease/drug therapy , Immunoglobulin G4-Related Disease/bloodABSTRACT
Relata-se um caso clássico de hemangioma epitelioide encontrado em localização incomum - região vulvar - em uma paciente de 62 anos. Abordam-se aspectos histopatológicos, além do comportamento biológico e prognóstico da lesão.
This is a report of a 62 years old patient with haemangioma epithelioid in a very uncommon site. We study histopathological aspects, biological behaviour and prognosis.
Subject(s)
Humans , Female , Middle Aged , Hemangioma/surgery , Angiolymphoid Hyperplasia with Eosinophilia/surgery , Vulva/pathologyABSTRACT
Relata-se caso clássico de malacoplaquia acometendo rim de paciente de 44 anos. Abordam-se aspectos histopatológicos além da patogenia da lesão.
This is a report of 44 years old patient with renal malakoplakia. We study histopathological aspects and pathogenesis of this lesion.