RESUMO
Eosinophilic gastroenteritis is considered an uncommon disease with a low incidence rate that remains as a diagnostic challenge for the clinician, in spite of the fact that seventy years have passed since its original description. Hereby we present the case of a 29-year-old male without history of allergies who was evaluated for unspecific gastrointestinal symptoms, without relevant findings on physical examination and presenting an initial complete blood count (CBC) with severe eosinophilia. The patient was evaluated and the diagnosis of eosinophilic gastroenteritis was confirmed by histopathological findings. The relevance of the case resides in highlighting the lack of guidelines or consensus for histological diagnosis being virtually the only one available. To a similar extent, treatment evidence is based on case series with a reasonable number of patients and case reports.
RESUMO
El seudotumor hemofílico es una complicación infrecuente en pacientes hemofílicos y es básicamente un hematoma encapsulado en diferentes estadios de organización, que muchas veces llega a confundirse clínica y radiográficamente como un sarcoma osteogénico o de tejidos blandos. Informamos el caso de un varón de 30 años con hemofilia A y diagnóstico de seudotumor hemofílico en miembro pélvico izquierdo con evolución de un año. Se realizó amputación supracondílea en su manejo multidisciplinario, así como un estudio inmunohistoquímico. Se revisó la literatura(AU)
A rare complication of haemophilia is haemophilic pseudotumour which is an encapsulated haematoma in different stages of organization. However, it often resembling osteogenic or soft tissue sarcoma, both clinically and radiologically. We report a case of a 30 year old male with haemophilia A and a one year history of haemophilic pseudotumour of the left leg. A multidisciplinary team was responsible for his management. A supracondylar amputation was performed and immunohistochemical studies were carried out. The literature was reviewed(AU)
Assuntos
Humanos , Feminino , Hemofilia A/complicações , Hemofilia A/diagnóstico , Hemofilia A/patologia , Hemofilia B/complicações , Hemofilia B/diagnóstico , Hemofilia B/patologia , Fator IX , Neoplasias de Tecidos Moles/patologia , Sarcoma de Células Claras/patologia , Imuno-Histoquímica/métodos , Hemorragia/complicações , Neoplasias de Tecidos Moles/diagnóstico , Sarcoma de Células Claras/complicações , Sarcoma de Células Claras/diagnóstico , Imuno-Histoquímica , Hemorragia/diagnóstico , Hemorragia/patologia , Hemartrose/complicações , Hemartrose/diagnóstico , Hemartrose/patologiaRESUMO
Los angiofibromas extranasales son tumores benignos poco frecuentes que tienen características clínicas e histológicas diferentes a su contraparte nasal. Informamos un caso de angiofibroma atípico de la amígdala palatina, con sus hallazgos histopatológicos e inmunohistoquímicos, en un hombre de 60 años(AU)
Extranasal angiofibromas are rare benign tumours with different clinical and histological characteristics from their nasal counterparts. We describe a case of atypical angiofibroma of the palatine tonsil in a 60 years old man and discuss its characteristic histopathology and immunohistochemistry(AU)
Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , Angiofibroma/diagnóstico , Angiofibroma/patologia , Tonsila Palatina/citologia , Tonsila Palatina/patologia , Tonsila Palatina/ultraestrutura , Tonsila Palatina/fisiopatologia , Tonsila Palatina/cirurgia , Neoplasias Tonsilares/diagnóstico , Neoplasias Tonsilares/patologia , Imuno-Histoquímica/métodos , Imuno-HistoquímicaRESUMO
Se presenta el caso de una mujer de 41 años de edad con crecimiento uterino, debido a la presencia de tumores de estirpe muscular lisa, muchos de ellos microscópicos, y con proliferación de células miógenas alrededor de vasos sanguíneos. Los datos anteriores conforman el cuadro morfológico de leiomiomatosis difusa. Se comenta la patogénesis del padecimiento y el diagnóstico diferencial con sarcoma del estroma endometrial de bajo grado y la adenomiosis.
