RESUMO
Chronic abdominal pain sometimes constitute a major challenge, specially when a patient has two diseases with dominant features of abdominal pain in both. At this point, clinicians face a daunting task both in diagnosing and treating an individual's chronic abdominal pain. Similarly, familial Mediterranean fever disease and Crohn's disease have the same clinical features in terms of chronic abdominal pain, and inflammatory properties of these diseases. The association of familial Mediterranean fever disease and Crohn's disease is very rare and may lead to a remarkable challenge in both diagnosis and treatment. Here, we report a young man with FMF disease presented with extraordinary and intolerable abdominal pain relieved only by excessive narcotic analgesics. The presented case was diagnosed with CD and successfully treated with anti-TNF (tumor necrosis factor) due to steroid refractory.
Assuntos
Doença de Crohn/diagnóstico por imagem , Doença de Crohn/tratamento farmacológico , Febre Familiar do Mediterrâneo/complicações , Fármacos Gastrointestinais/administração & dosagem , Infliximab/administração & dosagem , Dor Abdominal/etiologia , Adolescente , Endoscopia , Humanos , Masculino , Tomografia Computadorizada por Raios XRESUMO
A new staging system for osteoradionecrosis of the mandible has been retrospectively applied to a group of 31 patients. In this system clinic radiographic signs and symptoms are incorporated in a simplified manner. For imaging purposes the use of plain radiographs such as periapical films and panoramic radiographs is recommended, mainly because of their readily availability. The presented staging system seems well reproducible, facilitating the comparison of study groups dealing with the various issues of osteoradionecrosis of the mandible. It is yet to be evaluated whether the presently proposed staging system is useful for management purposes
Assuntos
Humanos , Osteorradionecrose/classificação , Doenças Mandibulares/classificação , Estudos Retrospectivos , Radiografia Panorâmica , Estudos de Casos e Controles , Radioterapia/efeitos adversos , Índice de Gravidade de DoençaRESUMO
A new staging system for osteoradionecrosis of the mandible has been retrospectively applied to a group of 31 patients. In this system clinicoradiographic signs and symptoms are incorporated in a simplified manner. For imaging purposes the use of plain radiographs such as periapical films and panoramic radiographs is recommended, mainly because of their readily availability. The presented staging system seems well reproducible, facilitating the comparison of study groups dealing with the various issues of osteoradionecrosis of the mandible. It is yet to be evaluated whether the presently proposed staging system is useful for management purposes.
