RESUMO
A woman with Takayasu arteritis is reported who presented with constitutional symptoms and persistent thrombocytosis documented since 3 years before the diagnosis. Disease-specific symptoms such as arm claudication, transient loss of vision, and self-remitting eye ptosis present at the time were apparently missed, because she is a non-English-speaking Hispanic woman whose history was obtained through an interpreter. Extensive workup done at the time failed to reach a definite etiology. A computed tomography scan of the chest done because of midthoracic back pain and an elevated erythrocyte sedimentation rate showed circumferential wall thickening and mild surrounding edema throughout the thoracic and abdominal aorta and both carotid arteries consistent with Takayasu arteritis. Prednisone at a dosage of 1 mg/kg twice a day decreased the platelet count within 45 days of its initiation. Takayasu arteritis should be considered in the differential diagnosis of unexplained thrombocytosis, particularly in young women.
Assuntos
Arterite de Takayasu/diagnóstico , Trombocitose/etiologia , Adulto , Sedimentação Sanguínea , Feminino , Glucocorticoides/uso terapêutico , Humanos , Prednisona/uso terapêutico , Radiografia Torácica , Arterite de Takayasu/tratamento farmacológico , Trombocitose/tratamento farmacológicoRESUMO
Prenatal sonographic evaluation is of utmost importance in the detection of congenital anomalies. At the Ultrasound Section of our Radiology service, we incidentally detected fetal intracranial neoplasms in two different patients using non-invasive imaging. Our presumptive diagnosis in both cases was a teratoma, the most common brain tumor in the perinatal period. Subsequent confirmation was provided with pathological samples obtained at autopsy in both patients, revealing immature teratomas. Fetal intracranial tumors are so rare and incredibly, these two unique cases presented in our section within just a few months of one another.
Assuntos
Neoplasias Encefálicas/diagnóstico por imagem , Teratoma/diagnóstico por imagem , Ultrassonografia Pré-Natal , Adolescente , Adulto , Feminino , Humanos , GravidezRESUMO
Prenatal sonographic evaluation is of utmost importance in the detection of congenital anomalies. At the Ultrasound Section of our Radiology service, we incidentally detected fetal intracranial neoplasms in two different patients using non-invasive imaging. Our presumptive diagnosis in both cases was a teratoma, the most common brain tumor in the perinatal period. Subsequent confirmation was provided with pathological samples obtained at autopsy in both patients, revealing immature teratomas. Fetal intracranial tumors are so rare and incredibly, these two unique cases presented in our section within just a few months of one another.
