ABSTRACT
Resumen La calcifilaxis es un síndrome caracterizado por la calcificación de la pared media de las arteriolas de pequeño y mediano calibre de dermis y tejido celular subcutáneo, que se caracteriza clínicamente por úlceras necróticas, intensamente dolorosas, que afectan sobre todo miembros inferiores. Existen factores de riesgo para su desarrollo, como insuficiencia renal crónica, hiperparatiroidismo, sexo femenino, raza caucásica, diabetes, uso de anticoagulantes, entre otros. Si bien no existe un protocolo estandarizado para su tratamiento, se ha propuesto el uso del tiosulfato sódico como primera elección. Se presenta el caso de una paciente de sexo femenino de 75 años de edad con diagnóstico de calcifilaxis.
Abstract Calciphylaxis is a syndrome characterized by calciphication of the media of small and medium vessels of dermis and subcutaneous celular tissue, clinically characterized by extremely painful, necrotic ulcers, that affects especially lower limbs. There are risk factors for its development, such as renal failure, hyperparathyroidism, female gender, caucasian race, diabetes, use of anticoagulants, among others. Although there is not a standarized protocol for the treatment, it has been proposed the use of sodium thiosulfate as first line. We report a case of a woman of 75 years old with calciphylaxis.
ABSTRACT
Presentamos el caso de un niño con numerosas placas tumorales discrómicas bien definidas, algunas atróficas, otras levantadas, cubiertas por formaciones escamo-costrosas, indoloras, localizadas en extremidad inferior derecha, de curso lentamente progresivo. No se encuentran otros hallazgos clínicos acompañantes de importancia. El diagnóstico de certeza se efectúo mediante estudio de imagen e histopatológico; el tratamiento consistió en extirpación quirúrgica a intervalos irregulares.
An eleven-year old child with multiple depressed and raised skin pigmented tumors and plaques, with adherent desquamation and crusts on their skin suface was located in his right lower extremity. There are not any other clinical manifestation of interest. Diagnostic approach was based on radiological and pathology examinations. Surgical treatment was the suitable option.
ABSTRACT
PURPOSE: We evaluated calcium resolution and clinical improvement of calcific tendinitis after conservative and arthroscopic treatment. MATERIALS AND METHODS: We reviewed 126 patients of calcific tendinitis treated from January,2002 to April, 2005. Average age was 53 and female dominant in 77% of the cases. Calcium deposits were involved in supraspinatus tendon in 84% of the cases. We compared clinical changes for 64 cases treated with injection, and 12 cases treated by arthroscopic decompression with 6 month follow-up. RESULTS: 77%(49/64)of the cases with steroid injection showed symptom improvement. Even though complete resolution of calcific deposit occurred in 36%(23/64), incomplete resolution in 17%(11/64) and no change in 47%(30/64), Pain was relieved in 87%(20/23), 82%(9/11) and 67%(20/30), respectively. With arthroscopic treatment, calcium deposit completely resolved in 83%(10/12), and all cases showed pain free motion after 6 months. CONCLUSION: Conservative treatment with steroid injection was effective for acute pain in resorptive phase. In cases of arthroscopic treatment, there was no need for complete removal of calcium deposit during the procedure, but clinical symptoms improved with resolution of the deposit.
Subject(s)
Female , Humans , Acute Pain , Calcium , Decompression , Follow-Up Studies , Tendinopathy , TendonsABSTRACT
We report herein a case of subcutaneous fat necrosis in an 1-month-old abandoned female neonate who had subcutaneous nodule on the right cheek and linear cord-like subcutaneous nodule on the right upper arm which has been evident from the second post-delivery day. Hiatopathologic findings revealed massive subcutaneous fat necroais with infiltration of foreign body giant cells and inflammatory cells. Calcigm was also deposited but no needle shaped cleft was formed in the fat cells. The akin lesion resolved spontaneously after 2 months.