Sujets)
Humains , Mâle , Maladies testiculaires/anatomopathologie , Épididyme/anatomopathologie , Granulome/anatomopathologie , Spermatozoïdes/anatomopathologie , Maladies testiculaires/imagerie diagnostique , Échographie , Épididyme/imagerie diagnostique , Granulome/imagerie diagnostique , Adulte d'âge moyenRésumé
Abstract: Reflectance confocal microscopy (RCM) is a noninvasive imaging technique that allows visualization of the epidermis and papillary dermis with cellular-level resolution. Granulomatous reactions such as sarcoidosis could be assessed using RCM. The identification of bright beaded-like structures that could correspond to reticulin fibers overlying granulomas, in association with dermoscopy, may be a very useful approach in the diagnosis of sarcoidosis and for the differentiation of this granulomatous entity with superficial cutaneous metastasis.
Sujets)
Humains , Femelle , Sujet âgé , Sarcoïdose/imagerie diagnostique , Maladies de la peau/imagerie diagnostique , Microscopie confocale/méthodes , Sarcoïdose/anatomopathologie , Maladies de la peau/anatomopathologie , Biopsie , Dermoscopie/méthodes , Granulome/anatomopathologie , Granulome/imagerie diagnostiqueRésumé
OBJETIVO: Estabelecer o perfil clínico-epidemiológico da tuberculose intestinal em pacientes assistidos em um ambulatório específico. MÉTODOS: Estudo descritivo e retrospectivo, no qual foram avaliadas as principais características da população com diagnóstico de tuberculose intestinal atendida em um hospital universitário e notificada de janeiro 2009 a junho de 2017. RESULTADOS: A população foi constituída na maioria por mulheres, com média de 47,7 anos, negativas para o anti-HIV e residentes na região metropolitana. Ao diagnóstico, 27,3% apresentavam alteração de hábito intestinal e 45,4% doença fistulizante/ estenosante. Quase todos os resultados do PPD foram positivos, e 100% das radiografias de tórax não possuíam anormalidades. No histopatológico do segmento intestinal, o achado mais prevalente foi o granuloma caseoso. CONCLUSÃO: A tuberculose deve ser investigada em pacientes com doença intestinal no nosso país. (AU)
epidemiological profile of intestinal tuberculosis in patients assisted in a specific outpatient clinic. METHODS: This was a descriptive and retrospective study evaluating the main characteristics of the population with diagnosis of Intestinal tuberculosis treated at a University Hospital, and notified from January 2009 to June 2017. RESULTS: The population consisted mostly of women, with a mean age of 47.7 years, negative for anti-HIV, and livingin the metropolitan region of the city. At diagnosis, 27.3% presented changed bowel habits, and 45.4% fistulizing/stenosing disease. Almost all PPD results were positive and 100% of chest radiographs had no abnormalities. In the histopathology of the intestinal segment, the most prevalent finding was caseous granuloma. CONCLUSION: Tuberculosis should be investigated in patients with intestinal disease in our country. (AU)
Sujets)
Humains , Mâle , Femelle , Tuberculose gastro-intestinale/imagerie diagnostique , Intestins , Test tuberculinique , Maladie de Crohn/imagerie diagnostique , Séroprévalence du VIH , Dossiers médicaux , Coloscopie , Fistule intestinale , Répartition par sexe , Constipation , Sténose pathologique , Abdomen aigu , Granulome/imagerie diagnostique , Occlusion intestinale , Mycobacterium tuberculosis/isolement et purificationRésumé
Xanthogranulomatous cholecystitis [XGC] is an unusual focal or diffuse destructive inflammatory process of the gallbladder that may mimic a malignant neoplasm with associated complications. We present a rare case of Xanthogranulomatous cholecystitis with associated complications of liver abscess and enterobiliary fistula that was diagnosed radiologically and confirmed on histopathology.
Sujets)
Adulte , Cholécystite/diagnostic , Cholécystite/imagerie diagnostique , Granulome/diagnostic , Granulome/imagerie diagnostique , Humains , Mâle , Anatomopathologie , Xanthomatose/diagnostic , Xanthomatose/imagerie diagnostiqueRésumé
We report the results of computed tomography (CT) in 170 patients who developed seizures. Localized signs could be demonstrated by neurologic examination in 23.5%. CT findings were normal in 64 patients (37.6%). The commonest abnormality was a focal ring or disc enhancing lesion in 66 patients (62.3%) followed by calcification (18 patients; 16.9%), cerebral atrophy (9; 8.5%), vascular lesions (7; 6.6%), tumours (4; 3.8%) and congenital hydrocephalus (2; 1.9%). The occurrence of abnormal CT was higher (74.3%) in patients with partial seizures.