RESUMO
Crohn's disease is characterized by chronic inflammation of the digestive tract which may be localized at any level. Nonetheless, esophageal disease is infrequent. Two cases of esophageal involvement in this disease in 2 young women with a history of previous involvement at an intestinal level are presented. Esophageal involvement by Crohn's disease should be suspected in any patient previously diagnosed with this disease who presents symptoms suggestive of esophagitis, using endoscopy with multiples biopsies of the affected areas and other of normal endoscopic appearance for diagnosis.
Assuntos
Doença de Crohn/diagnóstico , Doenças do Esôfago/diagnóstico , Adulto , Anti-Inflamatórios/administração & dosagem , Anti-Inflamatórios/uso terapêutico , Anti-Inflamatórios não Esteroides/uso terapêutico , Aspirina/uso terapêutico , Criança , Doença de Crohn/tratamento farmacológico , Doença de Crohn/patologia , Doenças do Esôfago/tratamento farmacológico , Doenças do Esôfago/patologia , Esôfago/patologia , Feminino , Seguimentos , Humanos , Prednisona/administração & dosagem , Prednisona/uso terapêuticoRESUMO
The case of a 35 year old female who had paraneoplasic syndrome during a period of one year, together with abdominal pain, is presented. Owing to the aforementioned, she was operated under the suspicion of lymphoma. The intraoperatory diagnosis was of retroperitoneal fibrosis. Physical examination showed important ascites and cachexia. Mild anemia and high sedimentation rate were found in blood test. A barium intestinal X-ray showed loop distention and a CT scan showed ascites and mesenteric thickening which were confirmed by a laparotomy. The histological study showed substantial cholagen and inflammatory infiltrate, together with giant cells of foreign body type. The different clinical presentations were reviewed as well as diagnoses, treatments, and the evolution of the disease.
Assuntos
Paniculite Peritoneal/diagnóstico , Adulto , Biópsia , Diagnóstico Diferencial , Feminino , Humanos , Neoplasias Intestinais/diagnóstico , Linfoma/diagnóstico , Mesentério/patologia , Paniculite Peritoneal/patologia , Fibrose Retroperitoneal/diagnósticoRESUMO
We present 21 cases of visceral Leishmaniasis diagnosed in our hospital during the past 8 years. The diagnostic method used was the visualization of the parasite in bone marrow aspiratory puncture. All cases presented fever at admission, hepatosplenomegaly, anemia elevated sedimentation rate and polyclonal gammapathy. Two of our patients were diagnosed of AIDS during the course of the disease. Cure was observed in all cases after one cycle treatment with pentavalent antimonials except for the two AIDS cases one of whom died due to cerebral toxoplasmosis. We point out visceral Leishmaniasis as an opportunistic infection in patients with AIDS and its resistance to the usual treatment.
