ABSTRACT
Tuberous sclerosis complex manifests predominantly as a neurocutaneous disorder Lung involvement was considered rare. Lymphangioleiomyomatosis which occurs mainly in women of childbearing age is the major pulmonary disorder seen in tuberous sclerosis. Multifocal micronodular pneumocyte hyperplasia has also been described in tuberous sclerosis. The case of a 51-year old female diagnosed with tuberous sclerosis is described after she presented with progressive shortness of breath and was found to have interstitial lung disease. Tuberous sclerosis should be considered as a differential in patients with interstitial lung disease especially in association with cutaneous lesions.
Subject(s)
Hyperplasia/pathology , Lung Diseases/etiology , Lung/pathology , Tuberous Sclerosis/pathology , Chest Pain/diagnosis , Disease Progression , Dyspnea/diagnosis , Female , Humans , Hyperplasia/diagnosis , Lung Diseases/diagnosis , Lung Diseases/pathology , Middle Aged , Skin Diseases/etiology , Tuberous Sclerosis/complications , Tuberous Sclerosis/diagnosisABSTRACT
Tuberous sclerosis complex manifests predominantly as a neurocutaneous disorder Lung involvement was considered rare. Lymphangioleiomyomatosis which occurs mainly in women of childbearing age is the major pulmonary disorder seen in tuberous sclerosis. Multifocal micronodular pneumocyte hyperplasia has also been described in tuberous sclerosis. The case of a 51-year old female diagnosed with tuberous sclerosis is described after she presented with progressive shortness of breath and was found to have interstitial lung disease. Tuberous sclerosis should be considered as a differential in patients with interstitial lung disease especially in association with cutaneous lesions.
El complejo de esclerosis tuberosa se manifiesta predominantemente como un desorden neurocutáneo. El compromiso pulmonar era considerado raro. La linfangioleiomiomatosis que se presenta principalmente en mujeres en estado de gestación, es el principal trastorno observado en la esclerosis tuberosa. La hiperplasia micronodular pneumocítica ha sido también descrita en la esclerosis tuberosa. Se describe el caso de una mujer de 51 años a quien se le diagnosticó esclerosis tuberosa, luego de que se presentara con disnea y se hallara que padecía la enfermedad intersticial del pulmón. La esclerosis tuberosa deber ser considerada como un diagnóstico diferencial en pacientes con la enfermedad intersticial del pulmón, especialmente cuando se encuentra asociada con lesiones cutáneas.
Subject(s)
Humans , Female , Middle Aged , Tuberous Sclerosis/pathology , Hyperplasia/pathology , Lung Diseases/etiology , Lung/pathology , Skin Diseases , Disease Progression , Dyspnea/diagnosis , Chest Pain/diagnosis , Tuberous Sclerosis/complications , Tuberous Sclerosis/diagnosis , Hyperplasia/diagnosis , Lung Diseases/diagnosis , Lung Diseases/pathologyABSTRACT
This paper reports the case of a 21-year-old Afro-Caribbean pregnant woman with hyperthyroidism and hypokalaemic quadriparesis and reviews the literature on the topic. Thyrotoxic periodic paralysis is a very rare condition in the Caribbean. This case reminds West Indian physicians to consider this rare condition in any patient that presents with paralysis.
Subject(s)
Hypokalemia/etiology , Paralysis/etiology , Pregnancy Complications/diagnosis , Thyrotoxicosis/complications , Adult , Antithyroid Agents/therapeutic use , Black People , Carbimazole/therapeutic use , Female , Humans , Hypokalemia/drug therapy , Potassium/therapeutic use , Pregnancy , Pregnancy Complications/drug therapy , Thyrotoxicosis/diagnosis , Thyrotoxicosis/drug therapyABSTRACT
This paper reports the case of a 21-year-old Afro-Caribbean pregnant woman with hyperthyroidism and hypokalaemic quadriparesis and reviews the literature on the topic. Thyrotoxic periodic paralysis is a very rare condition in the Caribbean. This case reminds West Indian physicians to consider this rare condition in any patient that presents with paralysis
Subject(s)
Humans , Female , Pregnancy , Adult , Thyrotoxicosis , Pregnancy Complications/diagnosis , Hypokalemia/etiology , Paralysis/etiology , Antithyroid Agents , Thyrotoxicosis , Black People , Carbimazole/therapeutic use , Pregnancy Complications/drug therapy , Hypokalemia/drug therapy , Potassium/therapeutic useABSTRACT
A sonographic study of 49 randomly selected healthy adult Jamaicans was conducted to establish a guide for renal dimensions in the population. The mean length of the right kidney was 9.7 +/- 0.7 cm and the left 10 +/- 0.7 cm. The left kidney was longer than the right in the overall group and in males. There was no difference in width between right or left kidneys in the group as a whole or within either gender. There was a significant association between the weight of males and width of their kidneys; however, this association was not seen in females. The lone association between weight of participants and renal length occurred in females and only with respect to the left kidney. Lengths and widths of kidneys were not associated with height in either gender. Renal surface area (RSA) was similar between the genders and also between right and left kidneys. Similarly, there was no significant association between renal length and body surface area (BSA) overall or within the genders. Renal index (RI) which is more reliable at assessing renal parenchymal mass than renal length alone was 20.92 and 22.86 for the right and left kidneys, respectively, in males. Similarly, RI for the right and left kidneys in females was 23.76 and 25.54, respectively.
