RESUMO
La telorragia es una rara manifestación clínica en la infancia que habitualmente obedece a una ectasia ductal mamaria, entidad de curso benigno que precisa establecer un diagnóstico diferencial con otras entidades de evolución más prolongada, incluida la patología tumoral. Aportamos el caso de un lactante de 4 meses con descarga hemorrágica por el pezón izquierdo, sin hipertrofia mamaria y cultivo negativo de la secreción, la ecografía mostraba una ectasia ductal bilateral. El curso fue autolimitado en 3 meses, no presentando descarga en la mama contralateral pese a los hallazgos ecográficos. Se realiza una revisión de los casos previamente publicados, así como recomendaciones diagnósticas y una actualización sobre el tratamiento según las distintas causas
Bloody nipple discharge is a rare finding in infants and is most often associated to mammary duct ectasia. It is a benign course phenomenon and a differential diagnosis with other processes of different evolution, including tumour pathology, has to be established. We report a 4-months-old boy with unilateral bloody nipple discharge, without mammary hypertrophy and negative culture. Ultrasounds showed bilateral ductal ectasia. The course was self-limited to 3 months, without discharge of the contralateral breast in spite of the ultrasonography findings. Literature was reviewed, an approach to evaluation and an update of the clinical management according to the possible implied aetiologies, were also made
Assuntos
Humanos , Masculino , Lactente , Doenças Mamárias/diagnóstico , Hemorragia/diagnóstico , Diagnóstico Diferencial , Galactorreia/diagnóstico , Dilatação PatológicaRESUMO
In this work, several immunological parameters were studied in a group of 40 patients diagnosed as having allergic rhinitis. As a control group we assembled 20 patients with cholinergic rhinitis. A significative increase in the level of serum IgM was detected in the patients with cholinergic rhinitis. The differences observed between other parameters (lymphocyte count, blastic transformation with PHA and Con-A), were not significative. We discuss the results.
