ABSTRACT
Lung disease is the most frequent extra-articular manifestation of rheumatoid arthritis. It is detected in nearly 50% of patients with this multisystem affection, his knowledge has benefited from advances in computed tomography (CT). The inflammation can affect the pleura, the airways and the lung parenchyma. Intrathoracic lymphadenopathy complicating rheumatoid lung are not usual, and then pose the problem of differential diagnosis. We report a 51-year-old man, with a history of tobacco intoxication, suffering from rheumatoid arthritis who developed an interstitial lung disease at stage of fibrosis with mediastinal and hilar adenopathy. We will discuss the clinical, paraclinical, evolutionary and therapeutic particularities case.
Subject(s)
Arthritis, Rheumatoid/complications , Lung Diseases, Interstitial/complications , Lung/diagnostic imaging , Lymphatic Diseases/complications , Pulmonary Fibrosis/complications , Arthritis, Rheumatoid/diagnosis , Arthritis, Rheumatoid/diagnostic imaging , Diagnosis, Differential , Humans , Lung Diseases, Interstitial/diagnosis , Lung Diseases, Interstitial/diagnostic imaging , Lymphatic Diseases/diagnosis , Lymphatic Diseases/diagnostic imaging , Male , Middle Aged , Pulmonary Fibrosis/diagnosis , Pulmonary Fibrosis/diagnostic imaging , Tomography, X-Ray ComputedABSTRACT
INTRODUCTION: Fahr's syndrome is characterized by symmetrical and bilateral intracerebral calcifications, located in the basal ganglia and mostly associated with a phosphorus calcium metabolism disorder. It must be distinguished from genetic or sporadic Fahr's disease. OBSERVATIONS: We report two cases of this syndrome, the first was revealed by psychotic and cognitive disorders and the other by epilepsy. In both cases, brain imaging and biology resulted in the diagnosis of Fahr's syndrome. The outcome was favorable after treatment in both cases. CONCLUSION: These two observations illustrate various clinical signs of Fahr's syndrome.
Subject(s)
Basal Ganglia Diseases/diagnostic imaging , Basal Ganglia Diseases/psychology , Calcinosis/diagnostic imaging , Calcinosis/psychology , Calcium Metabolism Disorders/diagnostic imaging , Calcium Metabolism Disorders/psychology , Adult , Aged , Basal Ganglia Diseases/therapy , Calcinosis/therapy , Calcium/therapeutic use , Calcium Metabolism Disorders/therapy , Cognition Disorders/etiology , Cognition Disorders/psychology , Female , Humans , Male , Psychotic Disorders/etiology , Syndrome , Tomography, X-Ray Computed , Treatment Outcome , Vitamin B 12/therapeutic use , Vitamin D/therapeutic useABSTRACT
BACKGROUND: The periarteritis nodosa (PAN) is a serious necrotizing vasculitis. Healing is, classically, obtained after a long-term treatment using corticosteroids and immunosuppressive agents. PURPOSE: Reporting the case of a NAP or was spontaneous healing without having recourse to any immunosuppressive treatment. CASE REPORT: We report an observation of a patient aged 27 monitoring for manic-depressive psychosis hospitalized for a fever during the course associated with high blood pressure (hypertension), a weight loss, asthenia and myalgia. Biology was a biological inflammatory syndrome (SIB), a creatinine 115 micromol/l. The survey infectious and immunological balance were negative. The arteriography showed a strongly evocative of the NAP. We have seen no sign of poor prognosis. The recovery was spontaneous after a short period of evolution with an amendment clinical and biological weapons. The patient was put under anti-HTA and reviewed regularly to the consultation. CONCLUSION: An analogy is drawn between such developments and already reported in some cases of viral PAN. The actual frequency of self-limitting PAN is unknown. The scarcity of cases reported in the literature may in part be attributed to ignorance.
