RESUMO
We report a 30-day-old baby with subcutaneous fat necrosis and symptomatic hypercalcemia, who developed metastatic calcification in the subcutaneous tissue, kidneys, pericardium and brain. The baby also had anemia, hypertriglyceridemia and hypercholesterolemia. He was managed with intravenous saline, furosemide, oral steroids and bisphosphonates and improved with treatment.
Assuntos
Encéfalo/diagnóstico por imagem , Calcinose/epidemiologia , Calcinose/patologia , Humanos , Hipercalcemia/epidemiologia , Hipercalcemia/diagnóstico por imagem , Recém-Nascido , Masculino , Necrose/epidemiologia , Necrose/patologia , Gordura Subcutânea/patologia , Tomografia Computadorizada por Raios XRESUMO
Recurrent abdominal pain is a common problem in children that may need invasive procedures for diagnosis. Hereditary angioedema (HAE) is rarely considered in the differential diagnosis. Here it is reported a girl with HAE, who presented initially as recurrent abdominal pain without cutaneous manifestations. Each episode was managed elsewhere as an acute surgical emergency and an exploratory laparotomy was planned. Diagnosis was confirmed by quantitative assay of C1 inhibitor. On detailed evaluation, many members of her family were affected.