RESUMO
A patient with arthropathy associated with cystic acne, hidradenitis suppurativa, and perifolliculitis capitis abscedens et suffodiens who showed a dramatic response to isotretinoin is described. This, to our knowledge, is the first report documenting effective treatment of this condition, whose nosologic position with respect to other spondyloarthropathies associated with cutaneous disease is considered.
Assuntos
Acne Vulgar/tratamento farmacológico , Artrite/tratamento farmacológico , Hidradenite Supurativa/tratamento farmacológico , Isotretinoína/uso terapêutico , Ceratolíticos/uso terapêutico , Dermatoses do Couro Cabeludo/tratamento farmacológico , Acne Vulgar/complicações , Síndrome de Hiperostose Adquirida/complicações , Síndrome de Hiperostose Adquirida/tratamento farmacológico , Adulto , Artrite/complicações , Hidradenite Supurativa/complicações , Humanos , Masculino , Dermatoses do Couro Cabeludo/complicaçõesRESUMO
Rupture of the membranous interventricular septum resulting in a left ventricular to right atrial shunt is a rare complication of endocarditis. Early recognition of this complication is essential because these patients require early surgical intervention. We report a case of a left ventricular-right atrial shunt complicating aortic valve endocarditis in which transesophageal echocardiography was used to accurately diagnose the lesion before surgery. We will discuss the role of transesophageal echocardiography in the diagnosis of this lesion and will review the existing literature pertaining to this rare complication.
