Assuntos
Doença da Artéria Coronariana/diagnóstico , Anomalias dos Vasos Coronários/diagnóstico , Angiografia por Ressonância Magnética , Adenosina , Idoso , Arteriopatias Oclusivas/diagnóstico , Arteriopatias Oclusivas/terapia , Doença da Artéria Coronariana/terapia , Anomalias dos Vasos Coronários/terapia , Teste de Esforço , Humanos , Imagem Cinética por Ressonância Magnética , Masculino , StentsRESUMO
A 53-year-old woman had noticed numerous papules on her trunk and proximal parts of the limbs. They had healed with a central scar surrounded by a reddish wall. Four months later she had to undergo laparotomy for ileus, resulting from a perforation in the region of the middle jejunum: it was excised and sutured over. At laparotomy white plaque-like lesions were noted on the serosa of both small and large intestine. Histological examination of the jejunal exudate and of a skin biopsy both demonstrated malignant atrophic papulosis (Köhlmeier-Dégos' disease). Treatment with ticlopidine, a platelet-aggregation inhibitor (250 mg twice daily), was initiated and she has now been free of extracutaneous symptoms for 6 years.
Assuntos
Dermatopatias Papuloescamosas/diagnóstico , Biópsia , Terapia Combinada , Feminino , Humanos , Obstrução Intestinal/diagnóstico , Obstrução Intestinal/patologia , Obstrução Intestinal/cirurgia , Perfuração Intestinal/diagnóstico , Perfuração Intestinal/patologia , Perfuração Intestinal/cirurgia , Doenças do Jejuno/diagnóstico , Doenças do Jejuno/patologia , Doenças do Jejuno/cirurgia , Jejuno/patologia , Jejuno/cirurgia , Pessoa de Meia-Idade , Indução de Remissão , Pele/patologia , Dermatopatias Papuloescamosas/patologia , Dermatopatias Papuloescamosas/terapia , Síndrome , Ticlopidina/administração & dosagemRESUMO
The histories of three possible cases of 5-ASA-induced toxic interstitial lung disease are presented. In addition diagnostical methods and procedures for the differential-diagnosis are discussed and as diagnostical program for the identification of remedy-induced toxic lung-damages is explained.