ABSTRACT
El prurito asociado a los fármacos inhibidores de la enzima convertidora de angiotensina (IECA) es un efecto secundario poco descrito en la literatura española. Presentamos 4 pacientes afectos de prurito generalizado debido al enalapril que cedió tras la suspensión del fármaco. Es importante identificar que una de las posibles causas de prurito persistente y prolongado en algunos pacientes es este tipo de fármacos (AU)
Subject(s)
Aged , Female , Male , Middle Aged , Humans , Pruritus/diagnosis , Pruritus/drug therapy , Enalapril/therapeutic use , Angiotensin-Converting Enzyme Inhibitors/administration & dosage , Angiotensin-Converting Enzyme Inhibitors/therapeutic use , Pruritus/complications , Pruritus/epidemiology , Pruritus/physiopathology , Ichthyosis/complications , Voice Disorders/complications , Vomiting/complicationsABSTRACT
CASE REPORT: A 55 year-old Spanish woman with a personal history of lepromatous leprosy treated for 10 years with anti-lepromatous triple therapy was referred to us presenting nodular scleritis in her left eye with no other clinical manifestations. Ophthalmological evaluation disclosed several inflammatory features in both eyes. Complementary tests performed were negative and the clinical picture was diagnosed as an immuno-mediated manifestation of leprosy. A favorable outcome was achieved with steroidal treatment. DISCUSSION: Scleritis and some immunomediated conditions may appear during the evolution of lepromatous patients whose disease may have been declared clinically cured.
Subject(s)
Leprosy, Lepromatous/immunology , Scleritis/immunology , Aged , Drug Therapy, Combination , Female , Humans , Leprostatic Agents/therapeutic use , Leprosy, Lepromatous/drug therapyABSTRACT
Caso clínico: Mujer española de 55 años con antecedentes de lepra lepromatosa tratada durante 10 años con triple terapia antilepromatosa fue remitida por un episodio de escleritis nodular en ojo izquierdo sin otra clínica adicional. La exploración reveló diversas secuelas inflamatorias no activas en ambos ojos. Las pruebas complementarias descartaron una recidiva lepromatosa, etiquetándose el cuadro de manifestación inmunomediada de la lepra y evolucionando favorablemente con tratamiento esteroideo.Discusión: La escleritis y otras manifestaciones inmunomediadas pueden aparecer tardíamente en pacientes lepromatosos cuya enfermedad había sido declarada curada (AU)
Subject(s)
Aged , Female , Humans , Scleritis , Leprosy, Lepromatous , Drug Therapy, Combination , Leprostatic AgentsABSTRACT
A case of tinea faciae caused by Trichophyton equinum affecting a 5-year-old boy is described. The boy had ridden a pony a month earlier and responded to a 6-week course of treatment with oral and topical terbinafine.
