RESUMEN
A sixty-eight-year-old woman with documented sick sinus syndrome was found to have, five years later, florid clinical features of systemic amyloidosis which only then led to recognition of an underlying IgA, Kappa paraproteinaemia. The literature on this association is outlined. Underlying plasma cell dyscrasias should be excluded in cases of unexplained sick sinus syndrome.
Asunto(s)
Humanos , Persona de Mediana Edad , Femenino , Amiloidosis/diagnóstico , Amiloidosis/terapia , Síndrome del Seno Enfermo/etiología , Síndrome del Seno Enfermo/terapia , Paraproteinemias/terapia , Trinidad y TobagoRESUMEN
A pre-menopausal patient with a six-year history of symptoms of the metastatic carcinoid syndrome leading to progressively worsening carcinoid heart disease is described. The failure of anti-oestrogenic therapy (sequential bilateral oophorectomy and Tamoxifen therapy) to halt progression of disease was documented. Death resulted from right ventricular failure associated with pulmonary and tricuspid valvular disease
Asunto(s)
Humanos , Persona de Mediana Edad , Femenino , Tamoxifeno/uso terapéutico , Síndrome Carcinoide Maligno/tratamiento farmacológico , Tamoxifeno/efectos adversos , Biopsia , Síndrome Carcinoide Maligno/diagnóstico , Síndrome Carcinoide Maligno/patologíaRESUMEN
Twenty patients with Acquired Immune Deficiency Syndrome (AIDS) received treatment with Inosine Pranobex and specific antibacterial and anti-parasitic therapy. Five died shortly after hospitalization, but a further fifteen who also received ACTH, survived, gained weight and improved and clinically, biochemically and haematologically