ABSTRACT
No disponible
Subject(s)
Humans , Male , Middle Aged , Joint Diseases/complications , Joint Diseases/diagnosis , Amyloidosis/complications , Biopsy/methods , Colchicine/therapeutic use , Arthritis, Psoriatic/complications , Arthritis, Psoriatic/diagnosis , Leukocytosis/complications , Radiography, ThoracicABSTRACT
We present a case of systemic lupus erythematosus complicated by pancytopenia and visceral leishmaniasis in Spain. The literature on opportunistic infection in lupus erythematosus is reviewed.Leishmaniasis is a group of infections caused by the protozoa Leishmania, which is endemic in the Mediterranean basin. These opportunistic infections are an emerging entity in immunosuppressed patients. The use of immunosuppressive treatment in systemic lupus erythematosus modifies natural defense patterns and increases the risk of visceral leishmaniasis in endemic areas.
Subject(s)
Leishmaniasis, Visceral/etiology , Lupus Erythematosus, Systemic/complications , Adult , Amphotericin B/administration & dosage , Amphotericin B/therapeutic use , Antiprotozoal Agents/administration & dosage , Antiprotozoal Agents/therapeutic use , Female , Follow-Up Studies , Humans , Immunosuppression Therapy/adverse effects , Leishmaniasis, Visceral/diagnosis , Leishmaniasis, Visceral/drug therapy , Lupus Erythematosus, Systemic/drug therapy , Lupus Erythematosus, Systemic/immunology , Pancytopenia/etiology , Time FactorsABSTRACT
Presentamos un caso de lupus eritematoso sistémico complicado con pancitopenia y leishmaniasis visceral ocurrido en España. A propósito del mismo, realizamos una revisión bibliográfica sobre infecciones oportunistas en el lupus eritematoso sistémico. La leishmaniasis es un grupo de enfermedades causadas por el protozoo Leishmania, endémica en la cuenca mediterránea y de carácter oportunista y emergente en pacientes inmunodeprimidos. El uso de inmunosupresores en el tratamiento del lupus eritematoso sistémico induce modificaciones en la defensa natural, aumentando el riesgo de aparición de leishmaniasis visceral en zonas endémicas
We present a case of systemic lupus erythematosus complicated by pancytopenia and visceral leishmaniasis in Spain. The literature on opportunistic infection in lupus erythematosus is reviewed. Leishmaniasis is a group of infections caused by the protozoa Leishmania, which is endemic in the Mediterranean basin. These opportunistic infections are an emerging entity in immunosuppressed patients. The use of immunosuppressive treatment in systemic lupus erythematosus modifies natural defense patterns and increases the risk of visceral leishmaniasis in endemic areas
Subject(s)
Female , Adult , Humans , Opportunistic Infections/complications , Opportunistic Infections/diagnosis , Opportunistic Infections/therapy , Lupus Erythematosus, Systemic/complications , Lupus Erythematosus, Systemic/diagnosis , Immunosuppressive Agents/therapeutic use , Interferons/therapeutic use , Amphotericin B/therapeutic use , Pancytopenia/complications , Leishmaniasis, Visceral/complications , Antiphospholipid Syndrome/complications , Antiphospholipid Syndrome/diagnosis , Prednisone/therapeutic use , Calcium/therapeutic use , Vitamin D/therapeutic use , Omeprazole/therapeutic useABSTRACT
La osteoporosis es una enfermedad con una alta prevalencia en nuestro medio y en nuestros hospitales. La mayoría de estos casos corresponde a casos de osteoporosis primaria. La enfermedad celíaca debe ser considerada en el diagnóstico diferencial de la osteoporosis, pues existe una alta prevalencia de osteoporosis en los enfermos de celiaquía. La osteoporosis además puede ser la única manifestación de enfermedad celíaca del adulto, debiendo considerarse como manifestación y consecuencia de la enfermead celíaca (AU)
Subject(s)
Adult , Female , Male , Humans , Osteoporosis/etiology , Celiac Disease/complications , Osteoporosis/drug therapy , Celiac Disease/diet therapy , Duodenum/pathologyABSTRACT
We present the case of a patient under corticosteroid therapy (Deflazacort) developing a cutaneous Kaposi's Sarcoma. In a latter study performed due to the presence of digestive syndrome, a gastric Kaposi's sarcoma was detected. We review the cases published in the literature of patients with rheumatoid pathology under corticosteroid therapy.
Subject(s)
Arthritis, Rheumatoid/complications , Sarcoma, Kaposi/complications , Stomach Neoplasms/complications , Aged , Anti-Inflammatory Agents/therapeutic use , Arthritis, Rheumatoid/drug therapy , Humans , Male , Pregnenediones/therapeutic useABSTRACT
We present a case of nodose polyarteritis (NPA) in a 65-years-old man with clinical manifestations at the level of the peripherical nervous system (PNS) as a subacute sensorimotor polyneuropathy. We believe that this is an interesting case due to the outlined symptomatology and the first clinical signs, not as common as the multiple mononeuropathy. The diagnosis was established through biopsy of muscle-nerve, without observing aneurysms at the Divas and with negative results for the Hepatitis B markers. Response to corticoid and immunosuppressive therapy was positive.
