Rhupus en un paciente varón / Rhupus in a male patient
Rev. Soc. Peru. Med. Interna
; 25(3): 130-134, jul.-sept. 2012. ilus
Article
in Spanish
| LILACS, LIPECS
| ID: lil-665020
Responsible library:
PE1.1
RESUMEN
Un paciente varón de 42 años, diagnosticado de artritis reumatoide tres meses antes, presentó poliartritis inflamatoria crónica, alopecia, dolor y debilidad muscular, púrpura palpable, polineuropatía simétrica distal, insuficiencia cardiaca congestiva, síndrome nefrótico por glomerulonefritis proliferativa difusa tipo IV, serología positiva para anticoagulantes lúpica y anticardiolipina IgG sin manifestaciones clínica de síndrome antifosfolipídico. Recibió pulsos de metilprednisolona, luego prednisona y el primer pulso de ciclofosfamida, teniendo respuesta favorable.
ABSTRACT
This case shown clinical, immunological and rheumatic features of a 42 years-old male patient, who was diagnosed of rheumatoid arthritis three months before, developed polyarthritis, alopecia, painful muscle weakness, palpable purpura, symmetrical distal polyneuritis, congestive cardiac failure, nephritic syndrome due to type IV glomerulonephritis and positive serology for anticoagulant and anticardiolipin IgG without clinical manifestations of antiphospholipid syndrome. He responded to pulses of methylprednisolone, prednisone and a pulse of cyclophosphamide.
Full text:
Available
Collection:
National databases
/
Peru
Database:
LILACS
/
LIPECS
Main subject:
Arthritis, Rheumatoid
/
Vasculitis
/
Glomerulonephritis
/
Heart Failure
/
Lupus Erythematosus, Systemic
/
Nephrotic Syndrome
Limits:
Adult
/
Humans
/
Male
Language:
Spanish
Journal:
Rev. Soc. Peru. Med. Interna
Year:
2012
Document type:
Article
Institution/Affiliation country:
Hospital Nacional Arzobispo Loayza/PE
/
Universidad Nacional Mayor de San Marcos/PE
/
Universidad Particular San Martín de Porres/PE