ABSTRACT
Systemic lupus erythematous is a chronic multi-systemic autoimmune disease that affects multiple organ systems, including the central nervous system. Pseudotumor cerebri is a disorder associated with increased intracranial pressure in the absence of a space-occupying lesion or other identifiable cause that affects young and obese women.We present the case of a pregnant woman with both pseudotumor cerebri and a new diagnosis of active systemic lupus erythematous.
Subject(s)
Lupus Erythematosus, Systemic/complications , Pregnancy Complications/etiology , Pseudotumor Cerebri/etiology , Female , Humans , Pregnancy , Young AdultABSTRACT
Resumen El lupus eritematoso sistémico es una enfermedad autoinmunitaria crónica que afecta múltiples sistemas orgánicos, incluido el sistema nervioso central. El seudotumor cerebral es un síndrome clínico que se caracteriza por aumento de la presión intracraneal en ausencia de lesiones que ocupen espacio u otra causa detectable, que afecta con frecuencia a mujeres jóvenes y obesas. Se presenta el caso de una mujer con diagnóstico de seudotumor cerebral y lupus eritematoso sistémico diagnosticado de novo durante el embarazo.
Abstract Systemic lupus erythematous is a chronic multi-systemic autoimmune disease that affects multiple organ systems, including the central nervous system. Pseudotumor cerebri is a disorder associated with increased intracranial pressure in the absence of a space-occupying lesion or other identifiable cause that affects young and obese women. We present the case of a pregnant woman with both pseudotumor cerebri and a new diagnosis of active systemic lupus erythematous.
Subject(s)
Female , Humans , Pregnancy , Young Adult , Pregnancy Complications/etiology , Pseudotumor Cerebri/etiology , Lupus Erythematosus, Systemic/complicationsABSTRACT
Resumen Reportamos el caso de una paciente con unas lesiones en piel que fueron diagnosticadasinicialmente como morfea, por lo cual fue remitida al servicio de reumatología. Las características clínicas e histológicas nos permitieron descartar morfea clásica y clasificarla mejor como una atrofoderma de Pasini y Pierini. Aunque algunos la consideran una variante localizada y benigna dela morfea para otros se trata de una entidad nosológica distinta. Esta enfermedad debe ser considerada en el diagnóstico diferencial de la esclerodermia localizada y todos aquellos desórdenes que semejan esclerodermia para lograr un diagnóstico correcto y evitar tratamientos y exámenes innecesarios.Informamos la ausencia de respuesta de sus lesiones con el uso de hidroxicloroquina. (Acta MedColomb 2014; 39: 77-80).
Abstract The case of a patient with skin lesions initially diagnosed as morphea is reported. With this diagnosis, she was referred to rheumatology. The clinical and histological characteristics allowed us to rule out classical morphea and better classify it as a Pasini and Pierini atrofoderma. While some consider it a localized and benign variant of morphea, for others it is a distinct nosological entity. This disease should be considered in the differential diagnosis of localized scleroderma and all those disorders that resemble scleroderma for a proper diagnosis and to avoid unnecessary tests and treatments. The lack of response from her lesions with the use of hydroxychloroquine is reported. (Acta Med Colomb 2014; 39: 77-80).