Edema pulmonar agudo como primera manifestación de hipertiroidismo en una mujer embarazada / Acute pulmonary edema as a first manifestation of hyperthyroidism in a pregnant woman. Report of one case

We report a 36 year-old pregnant woman who presented with acute pulmonary edema in the absence of preexisting cardiac disease. On admission she was on sinus rhythm and her blood pressure was mildly elevated. No cardiac abnormalities were detected by color Doppler echo car diography and no ischemic changes were seen on the electrocardiogram. Cardiac enzymes were normal. Thyroid function tests were diagnostic for hyperthyroidism. She was treated with propylthiouracil and propranolol and discharged in good conditions seven days after admission. This case emphasizes the need to consider hyperthyroidism as the cause of unexplained pulmonary edema in young patients with no history of heart disease who present with heart failure.

Consumo de alcohol y glomerulonefritis por depósito mesangial de IgA: enfermedad de Berger / Alcohol comsumption and glomerulonephritis by mesangial IgA store: Berger's disease

Alcohol ingestion is considered as a possible pathogenic agent for Berger's disease, since IgA mesangial deposits have been described in liver cirrhosis. Aiming to assess this issue, 28 patients with Berger's disease (BD) and 40 patients with other glomerulopathies (NBD) were subjected to an enquiry about alcohol ingestion. Data was corroborated with 21 closed relatives of BD patients and 34 relatives of NBD patients. No differences were observed in report alcohol intake between BD patients and their relatives, however relatives of NBD patients understimated their alcohol intake. No differences in alcohol intake, either self reported or reported by relatives, were observed between BD and NBD patients. It is concluded that no differences in alcohol intake were observed between patients with Berger's disease and subjects with other glomerulopathies