RESUMO
Two patients with idiopathic oedema are presented describing their chronic tendency to accumulate fluid in the body and associated clinical features. One patient also tended to develop spontaneous purpura, which has been described in this condition. The other patient had an Odyssey in the healthcare system, before a final diagnosis of idiopathic oedema was reached and explained her different symptoms. Non-pharmacological interventions and various diuretics worked insufficiently, while ephedrine had an excellent efficacy in the second patient.
Assuntos
Edema/diagnóstico , Adulto , Diagnóstico Tardio , Edema/complicações , Edema/tratamento farmacológico , Edema/patologia , Efedrina/uso terapêutico , Feminino , Humanos , Púrpura/etiologia , Púrpura/patologia , Aumento de PesoRESUMO
Infantile haemangioma is a benign vascular tumour seen in 4-5% of infants. It has a characteristic life cycle comprised by a proliferative phase and a spontaneous involution phase. Most infantile haemangiomas do not require intervention. Treatment is relevant when there is a risk of functional impairment or cosmetic disfigurement, or if the haemangiomas are painful and ulcerating. The beta blocker propranolol has been shown to be an excellent first-line treatment, and we present an algorithm for therapeutic decision and monitoring.
