RESUMO
Pericarditis is an unusual manifestation of gigantic cell arteritis. The following essay describes the case of a female patient who had been diagnosed, three years earlier, with several types of rheumatic myalgia, and because of this, she had had periodical tests in which no complications at all had been observed. At the age of 69, this female patient consulted the doctor for mild fever, dry cough, anorexia and diffuse abdominal pain. The echocardiography showed pericardium discharge and complementary explorations ruled out infectious or neoplasia processes. A corticoid treatment was started and the symptomatology improved in a few days, the pericardium discharge being solved in 3 months.
Assuntos
Arterite de Células Gigantes/complicações , Pericardite/etiologia , Idoso , Feminino , Arterite de Células Gigantes/tratamento farmacológico , Humanos , Pericardite/tratamento farmacológicoRESUMO
La pericarditis es una manifestación inusual de la arteritis de células gigantes. En este trabajo se describe el caso de una paciente diagnosticada 3 años antes de polimialgia reumática por la que había seguido controles periódicos en los que no que no se había observado ninguna complicación. A la edad de 69 años consultó por febrícula, tos seca, anorexia y dolor abdominal difuso y la ecocardiografía mostró un derrame pericárdico. Las exploraciones complementarias descartaron procesos infecciosos o neoplásicos. Se inició tratamiento corticoideo mejorando la sintomatología en pocos días, resolviéndose el derrame pericárdico en 3 meses
Pericarditis is an unusual manifestation of gigantic cell arteritis. The following essay describes the case of a female patient who had been diagnosed, three years earlier, with several types of rheumatic myalgia, and because of this, she had had periodical tests in which no complications at all had been observed. At the age of 69, this female patient consulted the doctor for mild fever, dry cough, anorexia and diffuse abdominal pain. The echocardiography showed pericardium discharge and complementary explorations ruled out infectious or neoplasia processes. A corticoid treatment was started and the symptomatology improved in a few days, the pericardium discharge being solved in 3 months
Assuntos
Feminino , Idoso , Humanos , Pericardite/fisiopatologia , Arterite de Células Gigantes/fisiopatologia , Polimialgia Reumática/fisiopatologia , Fator Reumatoide/análise , Corticosteroides/uso terapêuticoRESUMO
A case of solitary neurofibroma located in the mid-portion of the esophagus in a 61-year-old woman is reported. She was operated with the diagnosis of benign tumor of the esophagus (leiomyoma). The microscopic examination of the tumor tissue found nervous cells. The immunohistochemistry analysis confirmed neurofibroma.
Assuntos
Neoplasias Esofágicas/diagnóstico , Neurofibroma/diagnóstico , Diagnóstico Diferencial , Neoplasias Esofágicas/patologia , Neoplasias Esofágicas/cirurgia , Esôfago/patologia , Esôfago/cirurgia , Feminino , Humanos , Leiomioma/diagnóstico , Pessoa de Meia-Idade , Neurofibroma/patologia , Neurofibroma/cirurgiaRESUMO
Idiopathic retroperitoneal fibrosis (IRF) is a disease difficult to diagnose. It is considered by different authors of autoimmune origin given its similarity to other connective tissue diseases. We present the case of a female patient diagnosed by a postmortem study, of IRF with multiorgan involvement (lymph nodes, serose tissue, liver, spleen, adrenal glands, thyroid and kidneys) and atypical presentation, not finding other similar cases in the national literature.
