Subject(s)
Humans , Male , Middle Aged , Aged , Guillain-Barre Syndrome/virology , /complications , /prevention & controlABSTRACT
Presentamos el caso de una paciente de 88 años de edad que ingresó en nuestra unidad para estudio de síndrome constitucional de unos cuatro meses de evolución, al que se añadió fiebre elevada y lesiones maculopapulosas generalizadas unos días antes del ingreso. El hemograma inicial mostró una pancitopenia. El diagnóstico sólo pudo realizarse en el estudio post mórtem, siendo éste el de síndrome linfohistiocitosis generalizada y síndrome hemofagocítico asociado a linfoma periférico de las células T (AU)
We report the case of an 88-year-old patient who was admitted in our unit for a study of an appropriate 4-month evolution of constitutional syndrome with high fever, generalized maculopapular exanthema a few days before admission. The initial blood work showed pancytopenia. The diagnosis could only be made in the autopsy study. It was hemophagocytic lymphohistiocytosis and hemophagocytic syndrome associated with peripheral T-cell lymphoma (AU)
Subject(s)
Humans , Female , Aged, 80 and over , Pancytopenia/complications , Pancytopenia/diagnosis , Lymphoma, T-Cell/complications , Lymphoma, T-Cell/diagnosis , Lymphohistiocytosis, Hemophagocytic/complications , Lymphohistiocytosis, Hemophagocytic/diagnosis , Autoimmune Diseases/complications , Autoimmune Diseases/diagnosis , Autoimmune Diseases/epidemiology , C-Reactive Protein/analysis , C-Reactive Protein , Ferritins , Cyclosporine/therapeutic useABSTRACT
No disponible
Subject(s)
Humans , Female , Middle Aged , Pneumoencephalography , Cocaine/adverse effects , Endometriosis/complications , Cocaine-Related Disorders/pathology , Cocaine-Related Disorders , Tomography, Emission-Computed/methods , Headache/complications , Headache/etiology , Intracranial Hypertension/complications , Danazol/therapeutic use , Cerebrum/pathology , Brain Stem/pathology , Substance-Related Disorders/pathology , Craniotomy/methods , Brain Diseases/complications , Brain Diseases , Abdominal Pain/complications , Anastomosis, Surgical/methods , Steroids/therapeutic useABSTRACT
Vasospastic or Prinzmetal's variant angina as it is also known is a special type of ischemic heart disease characterized by spontaneous episodes of chest pain accompanied by transitory ST segment elevations during the episodes. These alterations are essential for its diagnosis and it is difficult to diagnose it in their absence. If clinical suspicion is high, it should be confirmed by coronary vasospasm provocation tests, since, on the contrary, there may be cases that are not diagnosed or considered to be other types of diseases. Furthermore, progression of this type of angina to a myocardial infarction due to coronary stenosis is a relatively uncommon event.
Subject(s)
Adrenergic alpha-Antagonists/therapeutic use , Angina Pectoris, Variant/diagnosis , Angina Pectoris, Variant/drug therapy , Calcium Channel Blockers/therapeutic use , Angina Pectoris, Variant/physiopathology , Electrocardiography , Humans , Life Style , Risk FactorsABSTRACT
La angina vasoespástica o variante de Printzmetal es una forma particular de cardiopatía isquémica, caracterizada por episodios espontáneos de dolor torácico acompañados de elevaciones transitorias del segmento ST durante dichos episodios, siendo estas alteraciones fundamentales para su diagnóstico, el cual se dificulta mucho en ausencia de las mismas, debiendo ser confirmado, si la sospecha clínica es elevada, mediante tests de provocación de vasoespasmo coronario, ya que de lo contrario puede haber casos infradiagnosticados o catalogados de otro tipo de patologías. La progresión de este tipo de angina hacia un infarto agudo de miocardio (IAM) por placa complicada es un hecho relativamente poco frecuente
Vasospastic or Prinzmetal's variant angina as it is also known is a special type of ischemic heart disease characterized by spontaneous episodes of chest pain accompanied by transitory ST segment elevations during the episodes. These alterations are essential for its diagnosis and it is difficult to diagnose it in their absence. If clinical suspicion is high, it should be confirmed by coronary vasospasm provocation tests, since, on the contrary, there may be cases that are not diagnosed or considered to be other types of diseases. Furthermore, progression of this type of angina to a myocardial infarction due to coronary stenosis is a relatively uncommon event (AU)
