ABSTRACT
La pseudohipertrofia gemelar secundaria a una radiculopatía es un fenómeno excepcional raramente descrito. Presentamos el caso de una mujer de 67 años con antecedentes de cirugía discal lumbar que consultaba por aumento progresivo de más de un año de evolución, no doloroso, de la región gemelar derecha con ligera pérdida de fuerza asociada. Los hallazgos electromiográficos evidenciaron una radiculopatía crónica S1 y radiológicamente se apreciaba, en territorio del gastrocnemio medial y sóleo derechos, una sustitución del tejido muscular normal por tejido adiposo, sin evidencia de miopatía o degeneración sarcomatosa (AU)
Calf pseudohypertrophy due to radiculopathy is an exceptional phenomenon rarely described. We report a 67 year old woman with a previous history of lumbar disc surgery consulting by progressive increase for more than a year of evolution painless right calf associated loss of strength. Electromyographic findings showed chronic S1 radiculopathy and radiologically was appreciated in the medial gastrocnemius and soleus rights substitution of normal muscle tissue by adipose tissue without evidence of myopathy or sarcomatous degeneration (AU)
Subject(s)
Humans , Female , Aged , Radiculopathy/complications , Muscular Atrophy/diagnosis , Muscle, Skeletal/physiopathology , Leg , Decompression, SurgicalABSTRACT
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Subject(s)
Humans , Female , Adult , Tumor Necrosis Factor-alpha/therapeutic use , Pneumothorax/complications , Pneumothorax/pathology , Pneumothorax , Rheumatoid Nodule/complications , Rheumatoid Nodule/pathology , Rheumatoid Nodule , Asthenia/complications , Rheumatoid Nodule/drug therapy , Rheumatoid Nodule/physiopathologySubject(s)
Antirheumatic Agents/adverse effects , Immunosuppressive Agents/adverse effects , Rheumatoid Nodule/chemically induced , Solitary Pulmonary Nodule/chemically induced , Tumor Necrosis Factor-alpha/antagonists & inhibitors , Drug Therapy, Combination , Female , Humans , Middle Aged , Rheumatoid Nodule/diagnosis , Solitary Pulmonary Nodule/diagnosisABSTRACT
Calf pseudohypertrophy due to radiculopathy is an exceptional phenomenon rarely described. We report a 67 year old woman with a previous history of lumbar disc surgery consulting by progressive increase for more than a year of evolution painless right calf associated loss of strength. Electromyographic findings showed chronic S1 radiculopathy and radiologically was appreciated in the medial gastrocnemius and soleus rights substitution of normal muscle tissue by adipose tissue without evidence of myopathy or sarcomatous degeneration.
Subject(s)
Muscle, Skeletal/pathology , Muscular Diseases/etiology , Radiculopathy/diagnosis , Aged , Female , Humans , Hypertrophy/diagnostic imaging , Hypertrophy/etiology , Leg , Magnetic Resonance Imaging , Muscle, Skeletal/diagnostic imaging , Muscular Diseases/diagnostic imaging , Muscular Diseases/pathology , Radiculopathy/complicationsABSTRACT
We report the case of a 50-year-old female smoker with an 11-year history of seropositive rheumatoid arthritis (rheumatoid factor and anti-cyclic citrullinated peptide antibodies) receiving triple therapy. She developed pulmonary nodules diagnosed as Langerhans cell histiocytosis by lung biopsy. We found no reported cases of the coexistence of these two diseases. Smoking abstinence led to radiologic resolution without modifying the immunosuppressive therapy.
Subject(s)
Arthritis, Rheumatoid/complications , Histiocytosis, Langerhans-Cell/diagnosis , Multiple Pulmonary Nodules/diagnosis , Female , Histiocytosis, Langerhans-Cell/complications , Humans , Middle Aged , Multiple Pulmonary Nodules/complicationsABSTRACT
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