RESUMO
We report the case of a 7 years old previously asymptomatic child who initially presented with respiratory distress because of massive left-sided hemothorax but was subsequently diagnosed to be having strangulated small intestine through a diaphragmatic rent on laparotomy. The case is being discussed in detail and the possible causes of hemothorax in such a scenario discussed.
Assuntos
Criança , Hemotórax/complicações , Hérnia Diafragmática/complicações , Humanos , Intestino Delgado/cirurgia , Laparotomia , Masculino , Radiografia Torácica , Síndrome do Desconforto Respiratório/etiologiaRESUMO
We report a case of systemic onset juvenile idiopathic arthritis (SOJIA), the manifestations of which started with fever and skin rash followed by arthritis within neonatal age. Such presentation is extremely rare in the newborn. After exclusion of closely mimicking conditions like congenital infections, neonatal onset multisystem inflammatory disease (NOMID), neonatal; lupus erythematosus (NLE) diagnosis of SOJIA may be entertained even in a neonate where arthritis, fever and rash are the presenting features.
Assuntos
Artralgia/diagnóstico , Artrite Juvenil/diagnóstico , Diagnóstico Diferencial , Quimioterapia Combinada , Exantema/diagnóstico , Febre/fisiopatologia , Seguimentos , Humanos , Ibuprofeno/administração & dosagem , Lactente , Medição da Dor , Medição de Risco , Índice de Gravidade de Doença , Esteroides/administração & dosagem , Resultado do TratamentoRESUMO
Juvenile idiopathic arthritis (JIA) is the most common chronic rheumatic disorder of the childhood and is manifested by synovitis with or without systemic features. Secondary vasculitis occurring in response to JIA is reflected clinically on different structures or systems of the body. Here is reported a rare case of systemic onset JIA (SOJIA) with vasculitis leading to peripheral gangrene.
Assuntos
Amputação Cirúrgica , Antirreumáticos/uso terapêutico , Artrite Juvenil/complicações , Pré-Escolar , Pé/irrigação sanguínea , Gangrena/etiologia , Humanos , Ibuprofeno/uso terapêutico , Masculino , Prednisolona/uso terapêutico , Vasculite/etiologiaRESUMO
Systemic lupus erythematosus (SLE) is a multisystem immunologic disease. Renal and neurological manifestations are frequently seen in childhood SLE. Out of the neurological features movement disorders are uncommon. A case of SLE is presented here with unusual neurological manifestation i.e. chorea associated with microphonia.
Assuntos
Criança , Coreia/etiologia , Feminino , Humanos , Lúpus Eritematoso Sistêmico/complicações , Distúrbios da Fala/etiologiaRESUMO
Two cases of Wilson's disease with unusual features are reported. In one case neurological abnormality was the presenting feature without any clinical involvement of the liver. In the other case, neurologic manifestations were associated with rickets and cholelithiasis, a result of chronic hemolytic state. Apart from clinical profile both the cases were diagnosed by grossly reduced serum ceruloplasmin level. However, Kayser-Fleischer rings were found in each case.