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1.
Intern Med ; 60(8): 1311-1315, 2021 Apr 15.
Artigo em Inglês | MEDLINE | ID: mdl-33191326

RESUMO

We herein report a case of aortitis induced by granulocyte colony-stimulating factor (G-CSF) that coincided with lung injury, splenomegaly, and cutaneous manifestations during treatment for recurrent extraosseous mucinous chondrosarcoma. Computed tomography revealed large-vessel vasculitis, splenomegaly, and pulmonary interstitial changes. Treatment with prednisolone was successful. Because sarcoma is a rare disease, this case is valuable for showing clinicians that G-CSF preparations could cause aortitis regardless of the patient's underlying diseases or therapeutic pharmacological backgrounds.


Assuntos
Aortite , Condrossarcoma , Exantema , Lesão Pulmonar , Aortite/induzido quimicamente , Aortite/diagnóstico por imagem , Aortite/tratamento farmacológico , Fator Estimulador de Colônias de Granulócitos , Humanos , Recidiva Local de Neoplasia , Esplenomegalia/induzido quimicamente , Esplenomegalia/tratamento farmacológico
2.
Intern Med ; 59(20): 2623-2627, 2020 Oct 15.
Artigo em Inglês | MEDLINE | ID: mdl-32581157

RESUMO

We herein report on two male patients (age, 22 and 44 years) who were referred to our department with swelling of the upper right arm after attending other hospitals. Right subclavian vein thrombosis was demonstrated by ultrasonography and they were then further evaluated by contrast-enhanced computed tomography (CT). Successful treatment involved venous thrombectomy in one patient and anticoagulant therapy in the other. Paget-Schhroetter syndrome was confirmed using standard vascular ultrasonography. Despite the accuracy of this method for diagnosing Paget-Schroetter syndrome, some cases are difficult to confirm. We reviewed 29 previously published case reports of Paget-Schroetter syndrome and analyzed the patient baseline characteristics, time to diagnosis, and the diagnostic methods used.


Assuntos
Trombose Venosa Profunda de Membros Superiores/diagnóstico , Adulto , Anticoagulantes/uso terapêutico , Humanos , Masculino , Veia Subclávia/diagnóstico por imagem , Trombectomia/métodos , Ultrassonografia Doppler , Trombose Venosa Profunda de Membros Superiores/diagnóstico por imagem , Trombose Venosa Profunda de Membros Superiores/terapia , Adulto Jovem
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