RESUMO
We present in this paper a new case of monostotic fibrous dysplasia in the hand. The reason for this communication is the rarity of this osseous dystrophy in the hand as well as its radiologic features as a malignant osseous tumor, being a lytic lesion with incomplete periostic reaction.
Assuntos
Displasia Fibrosa Monostótica/diagnóstico por imagem , Mãos/diagnóstico por imagem , Metacarpo/diagnóstico por imagem , Adulto , Cartilagem/patologia , Diagnóstico Diferencial , Diáfises/diagnóstico por imagem , Diáfises/patologia , Feminino , Displasia Fibrosa Monostótica/patologia , Seguimentos , Mãos/patologia , Humanos , Metacarpo/patologia , Periósteo/diagnóstico por imagem , Periósteo/patologia , Tomografia Computadorizada por Raios XRESUMO
We present a case of X-linked myotubular myopathy in a boy who died neonatally because of respiratory insufficiency. Five biopsy revealed predominance and hypotrophy of type 1 fibres with central nuclei in the majority of them, without perinuclear ATPasa activity. Electron microscopic study corroborated these features and showed the absence of perinuclear myofibres. In the postmortem examination there was no involvement of others organs including the central nervous system.
Assuntos
Ligação Genética , Doenças Musculares/genética , Cromossomo X , Humanos , Recém-Nascido , Masculino , Microtúbulos/patologia , Músculos/patologia , Doenças Musculares/patologiaRESUMO
We present a fresh case of inverted type, transitional cell Papilloma in a 70-year-old woman, with a right laterovesical location. This case was dried up 6 years ago, treated with cytostatics and is currently controlled without relapses. Despite being considered a benign entity, its uncertain evolution and its association with other urothelium tumours call for an attitude of extreme caution.
Assuntos
Papiloma/diagnóstico por imagem , Neoplasias da Bexiga Urinária/diagnóstico por imagem , Idoso , Feminino , Humanos , Papiloma/tratamento farmacológico , Papiloma/patologia , Radiografia , Neoplasias da Bexiga Urinária/tratamento farmacológico , Neoplasias da Bexiga Urinária/patologiaRESUMO
We describe a patient with Lyme's disease who showed neurologic symptoms of meningoradiculitis (Bannwarth's syndrome) and had no previous history of exposure to tick bite or chronic erythema migrans. He had longterm fever and bilateral facial paralysis. Antibody titres for Borrelia Burgdorferi in serum and cerebrospinal fluid (CSF) were increased. The CSF changes showed an intrathecal production of immunoglobulins (presence of plasmatic cells and immunoblasts; IgG-CSF: IgG-serum ratio much higher than albumin-CSF: Albumin serum ratio, according to Reiber's diagram; presence of oligoclonal bands). Therapeutic response to high doses of penicillin was resolutive. The second day of treatment the patient developed uveitis, that was treated with corticoids.