Assuntos
Hemorragia Cerebral/etiologia , Vasculite/complicações , Vasculite/diagnóstico , Adulto , Hemorragia Cerebral/diagnóstico , Granulomatose com Poliangiite/diagnóstico , Cabeça/diagnóstico por imagem , Humanos , Imageamento por Ressonância Magnética , Masculino , Pescoço/diagnóstico por imagem , Tomografia Computadorizada por Raios X , Vasculite/patologiaAssuntos
Doenças Musculares/microbiologia , Infecções Estreptocócicas/complicações , Adulto , Feminino , Humanos , Doenças Musculares/tratamento farmacológico , Doenças Musculares/patologia , Penicilina V/uso terapêutico , Penicilinas/uso terapêutico , Recidiva , Infecções Estreptocócicas/tratamento farmacológico , Infecções Estreptocócicas/patologia , Streptococcus pyogenes/isolamento & purificaçãoRESUMO
An unusual case of a lady with seropositive erosive RA, treated for 5 yr with sulphasalazine. She then developed SLE which resolved after stopping the drug. This case is reported with a short review of the literature.
Assuntos
Artrite Reumatoide/tratamento farmacológico , Lúpus Eritematoso Sistêmico/induzido quimicamente , Sulfassalazina/efeitos adversos , Sulfassalazina/uso terapêutico , Adulto , Feminino , HumanosRESUMO
Three cases of systemic sclerosis in which trigeminal neuropathy was the presenting symptom are described. All 3 patients had progressive diseases and 2 died from its complications. In each case extensive neurological investigation was undertaken before the disease was recognized and it is suggested that earlier recognition of the systemic sclerosis might obviate the need for this. Trigeminal neuropathy in systemic sclerosis was associated with a poor prognosis in 2 of the patients.
Assuntos
Escleroderma Sistêmico/complicações , Nervo Trigêmeo , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Doenças do Sistema Nervoso Periférico/etiologia , Escleroderma Sistêmico/diagnósticoRESUMO
Two cases are described of hepatic fibropolycystic disease (Brunt, 1973). Both had neonatal pyloric stenosis, one craniostenosis and the other acromegaly and neuro-fibromatosis.
Assuntos
Cirrose Hepática/complicações , Doenças Renais Policísticas/complicações , Adolescente , Adulto , Criança , Humanos , Cirrose Hepática/genética , Cirrose Hepática/patologia , Masculino , Doenças Renais Policísticas/genética , Doenças Renais Policísticas/patologia , Estenose Pilórica/complicaçõesRESUMO
A case of herniation of the left atrial appendage, through a defect in the pericardium, is described in a 16-year-old boy who was below the third percentile for height and weight. The clinical presentation was an acute pericarditis. Widespread inversion of T waves on the electrocardiogram and collapse of the lower lobe of the left lung with pleural effusion developed. Thoracotomy showed strangulation of the atrial appendage which was excised, and the pericardial defect repaired. After operation there was a striking improvement in the electrocardiogram and a rapid gain in weight. Syndromes caused by pericardial defects are reviewed.
