RESUMO
We report on a 21-year-old Nigerian girl with toe gangrene, which is one of the most unlikely forms of presentation of antiphospholipid syndrome among Africans. The essence of this case report is to raise awareness that, although antiphospholipid syndrome typically presents in Africans in association with a pregnancy-related event or a neuropathology, it should be considered as a differential diagnosis in all African patients with unexplained vasculitis. A high index of suspicion and early treatment will prevent toe amputations and reduce mortality rates.
Assuntos
Síndrome Antifosfolipídica/etiologia , Isquemia/etiologia , Lúpus Eritematoso Sistêmico/complicações , Trombose/etiologia , Dedos do Pé/irrigação sanguínea , Vasculite/etiologia , Amputação Cirúrgica , Anti-Inflamatórios não Esteroides/uso terapêutico , Anticoagulantes/uso terapêutico , Síndrome Antifosfolipídica/diagnóstico , Síndrome Antifosfolipídica/etnologia , Síndrome Antifosfolipídica/terapia , População Negra , Feminino , Gangrena , Humanos , Isquemia/diagnóstico , Isquemia/etnologia , Isquemia/terapia , Lúpus Eritematoso Sistêmico/diagnóstico , Lúpus Eritematoso Sistêmico/terapia , Nigéria , Esteroides/uso terapêutico , Trombose/diagnóstico , Trombose/etnologia , Trombose/terapia , Dedos do Pé/cirurgia , Resultado do Tratamento , Vasculite/diagnóstico , Vasculite/etnologia , Vasculite/terapia , Adulto JovemRESUMO
Idiopathic pulmonary fibrosis (IPF) is a rarely reported disease in Nigeria. Cor pulmonale, one of the complications of this type of diffuse parenchymal lung disease is even rarer. The authors present a Nigerian patient with IPF with a classical high-resolution CT features, managed in our centre together with associated problems.