ABSTRACT
BACKGROUND: Churg-Strauss is a rare, idiopathic, hypereosinophilic disease characterized by blood, tissue, and systemic vasculitis in patients with a history of asthma or allergic rhinitis. Gastrointestinal manifestations of Churg Strauss appear in a 31-45% of the patients according to some series of studies, abdominal pain being the most frequent symptom followed by diarrhea and bleeding. CLINICAL CASE: Male patient with a history of asthma who presents abdominal pain apparently due to acute appendicitis. During the hospital stay the study protocol is complemented, confirmating the diagnosis of Churg Strauss syndrome with intestinal manifestations. CONCLUSION: Churg Strauss syndrome is a rare vasculitis that may present with intestinal manifestations so it is important to take into consideration the differential diagnosis. There are few cases in the literature associated with this syndrome and acute abdomen, all of them on the poor prognosis of this association.
Antecedentes: la enfermedad de Churg-Strauss es poco común, idiopática, caracterizada por hipereosinofilia en sangre y tejidos, aunada a vasculitis sistémica en pacientes con antecedentes de asma o rinitis alérgica. Las manifestaciones gastrointestinales del síndrome de Churg Strauss se caracterizan por dolor abdominal, seguido de diarrea y hemorragia en 31-45% de los casos. Caso clínico: paciente masculino con antecedente de asma que acudió a consulta por abdomen agudo con probable apendicitis aguda; durante el protocolo de estudio se diagnosticó síndrome de Churg Strauss, con manifestaciones intestinales. Conclusión: el síndrome de Churg Strauss es una vasculitis poco frecuente que puede manifestarse con síntomas intestinales, como en este caso; es importante tenerlo en mente a la hora de los diagnósticos diferenciales. Existen pocos reportes con este síndrome asociado con abdomen agudo, todos ellos con mal pronóstico.
Subject(s)
Abdomen, Acute/etiology , Churg-Strauss Syndrome/complications , Adult , Appendicitis/diagnosis , Asthma/complications , Churg-Strauss Syndrome/diagnosis , Colitis, Ischemic/etiology , Diagnosis, Differential , Diarrhea/etiology , Humans , Male , Postoperative Complications/etiology , Shock/etiology , Vomiting/etiologyABSTRACT
A report is submitted on the activities carried out by National Transplant Center of Mexico and special importance is given to the state transplant councils. Information is provided in a comparative form on the activities of the last ten years as well as those of the states.
Se informa sobre la actividad desarrollada por el Centro Nacional de Trasplantes, destacando la participación de los consejos estatales de trasplantes en las diferentes entidades federativas del país en materia de donación y trasplantes. Se proporcionan datos sobre la actividad en el último decenio en forma comparativa, así como en las entidades federativas.
Subject(s)
Humans , Transplantation/statistics & numerical data , Health Services Needs and Demand , Hospitals/statistics & numerical data , Mexico , Registries , Retrospective Studies , Tissue Donors/statistics & numerical data , Tissue and Organ Procurement/organization & administration , Tissue and Organ Procurement/statistics & numerical data , Transplantation , Waiting ListsABSTRACT
A report is submitted on the activities carried out by National Transplant Center of Mexico and special importance is given to the state transplant councils. Information is provided in a comparative form on the activities of the last ten years as well as those of the states.
