ABSTRACT
CASE REPORT: We report the case of a 70-year-old patient with serpiginous choroiditis and uterine cervix carcinoma. DISCUSSION: The etiology of serpiginous choroiditis is unknown, but similar lesions have been described in association with systemic lupus erythematosus, non-Hodgkin lymphoma, Crohn's disease, sarcoidosis, tuberculosis, herpes virus infection, autoimmune hepatitis and lung carcinoma.
Subject(s)
Carcinoma, Squamous Cell/complications , Choroiditis/etiology , Paraneoplastic Syndromes, Ocular/etiology , Uterine Cervical Neoplasms/complications , Aged , Anti-Inflammatory Agents/therapeutic use , Atrophy , Autoimmune Diseases/complications , Carcinoma, Squamous Cell/diagnosis , Choroiditis/diagnosis , Choroiditis/drug therapy , Choroiditis/pathology , Fatal Outcome , Female , Fluorescein Angiography , Fundus Oculi , Humans , Metrorrhagia/etiology , Multiple Organ Failure/etiology , Paraneoplastic Syndromes, Ocular/diagnosis , Paraneoplastic Syndromes, Ocular/drug therapy , Paraneoplastic Syndromes, Ocular/pathology , Prednisone/therapeutic use , Retinal Pigment Epithelium/pathology , Uterine Cervical Neoplasms/diagnosisABSTRACT
Caso clínico: Se presenta el caso clínico de una paciente de 70 años con coroiditis serpiginosa y carcinoma de cérvix uterino. Discusión: La etiología de la coroiditis serpiginosa es desconocida pero lesiones similares han sido descritas en asociación con lupus eritematoso sistémico, linfoma no Hodgkin, enfermedad de Crohn, sarcoidosis, tuberculosis, infección por virus del herpes, hepatitis autoinmune y carcinoma pulmonar(AU)
Case report: We report the case of a 70-year-old patient with serpiginous choroiditis and uterine cervix carcinoma. Discussion: The etiology of serpiginous choroiditis is unknown, but similar lesions have been described in association with systemic lupus erythematosus, non-Hodgkin lymphoma, Crohn's disease, sarcoidosis, tuberculosis, herpes virus infection, autoimmune hepatitis and lung carcinoma(AU)
Subject(s)
Humans , Choroiditis/diagnosis , Choroiditis/drug therapy , Choroiditis/etiology , Choroiditis/pathology , Uterine Cervical Neoplasms/diagnosis , Uterine Cervical Neoplasms/drug therapy , Choroiditis/classification , Choroiditis/complications , Choroiditis/radiotherapy , Choroiditis/therapy , Uterine Cervical Neoplasms/microbiology , Uterine Cervical Neoplasms/pathology , Uterine Cervical Neoplasms/radiotherapyABSTRACT
Where legal systems allow therapeutic abortion to preserve women's mental health, practitioners often lack access to mental health professionals for making critical diagnoses or prognoses that pregnancy or childcare endangers patients' mental health. Practitioners themselves must then make clinical assessments of the impact on their patients of continued pregnancy or childcare. The law requires only that practitioners make assessments in good faith, and by credible criteria. Mental disorder includes psychological distress or mental suffering due to unwanted pregnancy and responsibility for childcare, or, for instance, anticipated serious fetal impairment. Account should be taken of factors that make patients vulnerable to distress, such as personal or family mental health history, factors that may precipitate mental distress, such as loss of personal relationships, and factors that may maintain distress, such as poor education and marginal social status. Some characteristics of patients may operate as both precipitating and maintaining factors, such as poverty and lack of social support.
