RESUMO
Adult-onset Still's disease (AOSD) is an inflammatory disease that presents with a variety of clinical symptoms. Pulmonary involvement is well-known in AOSD and is seen in up to 53% of AOSD cases, with the most common pulmonary diseases being pleural effusion and transient pulmonary infiltrates. We present the first case of chronic AOSD complicated with diffuse alveolar hemorrhage during the acute flare of the disease.
Assuntos
Adulto , Feminino , Humanos , Anquilose/diagnóstico , Anti-Inflamatórios/administração & dosagem , Diagnóstico Diferencial , Febre de Causa Desconhecida/diagnóstico , Hemorragia/diagnóstico , Pneumopatias/diagnóstico , Metilprednisolona/administração & dosagem , Alvéolos Pulmonares , Doença de Still de Início Tardio/complicações , Tomografia Computadorizada por Raios XRESUMO
Carcinosarcomas are rare biphasic malignant neoplasms with an epithelial and a spindle cell component. We present a 62-year-old man with a history of noticeably abdominal distension, proved by surgery to be caused by carcinosarcoma of the renal pelvis and urinary bladder, occupying the entire left abdominal flank. We also illustrate the appearance of this rare entity on sonography and computed tomography.