ABSTRACT
The authors present two cases of myotonic dystrophy (Steinert's disease) with cardiac involvement in young adults. They point out the rareness of this disease, the multisystemic involvement and also the diagnostic problems in the absence of the classic clinical picture.
Subject(s)
Myotonic Dystrophy/diagnosis , Adult , Female , Humans , Male , Myotonic Dystrophy/therapy , Pacemaker, Artificial , Tachycardia, Paroxysmal/diagnosis , Tachycardia, Paroxysmal/therapy , Tachycardia, Supraventricular/diagnosis , Tachycardia, Supraventricular/therapy , Tachycardia, Ventricular/diagnosis , Tachycardia, Ventricular/therapyABSTRACT
The authors describe a case of Sheehan's syndrome that followed hemorrhagic complications due to late abortion, and emphasise the infrequency of changes in plasma lipid levels in this disease. They report a particular case of hypopituitarism and point out the main concepts of pathophysiology, diagnosis, therapeutics and complications that follow this increasingly rarer condition.
Subject(s)
Hypopituitarism/diagnosis , Abdominal Pain/diagnosis , Abdominal Pain/etiology , Abortion, Induced/adverse effects , Adult , Chronic Disease , Female , Humans , Hypopituitarism/etiology , Pregnancy , Pregnancy Trimester, Third , Uterine Hemorrhage/complications , Uterine Hemorrhage/etiologyABSTRACT
The authors present a case of a nonalcoholic steatohepatitis, with progression to liver cirrhosis in an obese female patient. A review of the literature, possible evolution, and principle pathological processes involved is made. Attention is drawn to obesity as a risk factor in the progression of steatohepatitis and the advantage of performing liver biopsies in selected cases as a fundamental technique of diagnosis.
Subject(s)
Fatty Liver/diagnosis , Hepatitis/diagnosis , Biopsy , Bone and Bones/pathology , Chronic Disease , Fatty Liver/complications , Female , Hepatitis/complications , Humans , Hypertension, Portal/diagnosis , Hypertension, Portal/etiology , Liver/pathology , Liver Cirrhosis/diagnosis , Liver Cirrhosis/etiology , Middle AgedABSTRACT
Several infectious, neoplastic or inflammatory skin diseases, may be early manifestations of HIV infection. We reviewed the clinical data of 226 HIV seropositive male patients with cutaneous disease, from a total of 337 inpatients at the Infectious Diseases Unit--Department of Medicine 1--Curry Cabral Hospital, from 1985 to 1991. Some considerations are made about the most common dermatological disorders: oral candidiasis, seborrheic dermatitis, Kaposi's sarcoma, herpes simplex infection, drug-related skin disorders, herpes zoster and dermatophytosis. The high prevalence of cutaneous manifestations in HIV infection, the uncommon clinical findings and their occasional therapeutic problems, makes an early diagnosis essential.
