RESUMO
We report a case of reversible dilated cardiomyopathy, in a middle-aged male. The patient presented with severe left ventricular dysfunction and atrial fibrillation. Inspite of vigorous medical therapy there was only mild clinical improvement. Subsequently laboratory test results diagnosed it as hyperthyroidism and then specific thyrostatic treatment was added. There was a prompt clinical and hemodynamic improvement in the form of reversal of left ventricular dysfunction and achievement of sinus rhythm at the end of two weeks.
Assuntos
Antagonistas Adrenérgicos beta/administração & dosagem , Adulto , Antitireóideos/administração & dosagem , Fibrilação Atrial/tratamento farmacológico , Carbimazol/administração & dosagem , Cardiomiopatia Dilatada/tratamento farmacológico , Humanos , Hipertireoidismo/complicações , Masculino , Resultado do Tratamento , Disfunção Ventricular Esquerda/tratamento farmacológicoRESUMO
Papillon Lefèvre syndrome is a rare disease characterized by skin lesions caused by palmar-plantar hyperkeratosis, and severe periodontal destruction involving both the primary and permanent dentitions. It is transmitted as an autosomal recessive condition and consanguinity of parents is evident in about one-third of cases. Pyogenic liver abscess is an increasingly recognized complication. We report a new case of this association and review the current literature.