ABSTRACT
Presentamos el caso de una mujer mayor, que consulta por cuadro de fiebre, dolor abdominal y síndrome constitucional de un año de evolución. El diagnóstico diferencial se realiza entre patología infecciosa, tumoral, o inflamatoria, que pudieran localizarse a nivel abdominal, realizándose exploraciones complementarias que descartaron proceso abdominal. La existencia de dolor en las piernas y la exploración a nivel de muslo izquierdo de una masa de consistencia dura, nos hace plantear otro diagnóstico. Finalmente se demuestran en la ecografía de partes blandas cambios inflamatorios en relación con paniculitis. A partir de este hallazgo se revisan las etiologías de la paniculitis. Se realiza la biopsia cutánea que nos demuestra el diagnóstico final (AU)
We report the case of an old woman, consulting for fever, abdominal pain and constitutional symptoms one year of evolution. The differential diagnosis is between infectious, tumoral, or inflammatory disease, which may be located at the abdominal level, performing additional tests to rule out abdominal process. The existence of pain in the legs and level scan left thigh of a mass of hard consistency, makes us raise another diagnosis. Finally show on ultrasound soft tissue inflammatory changes regarding panniculitis. From this finding aetiologies of panniculitis are reviewed. Skin biopsy that shows the final diagnosis is made (AU)
Subject(s)
Aged, 80 and over , Female , Humans , Panniculitis/diagnosis , Lymphoma, T-Cell, Cutaneous/diagnosis , Diagnosis, Differential , Lymphoma, T-Cell, Peripheral/diagnosis , Adrenal Cortex Hormones/therapeutic useABSTRACT
We report the case of an old woman, consulting for fever, abdominal pain and constitutional symptoms one year of evolution. The differential diagnosis is between infectious, tumoral, or inflammatory disease, which may be located at the abdominal level, performing additional tests to rule out abdominal process. The existence of pain in the legs and level scan left thigh of a mass of hard consistency, makes us raise another diagnosis. Finally show on ultrasound soft tissue inflammatory changes regarding panniculitis. From this finding aetiologies of panniculitis are reviewed. Skin biopsy that shows the final diagnosis is made.
