Relapsing polychondritis—A study of four cases

1992 ◽  
Vol 106 (10) ◽  
pp. 911-914 ◽  
Author(s):  
B. S. Irani ◽  
D. P. Martin-Hirsch ◽  
D. Clark ◽  
D. W. Hand ◽  
C. E. Vize ◽  
...  

AbstractFour case reports of relapsing polychondritis, (RP), are presented, together with a literature review and management suggestions. There are approximately 211 reported cases in world literature making RP an uncommon condition associated with high morbidity and mortality rates. The key to the management of RP is based on accurate and early diagnosis though the ideal medical regimen has yet to be elucidated.

2019 ◽  
Vol 51 (3) ◽  
pp. 253-256
Author(s):  
Andres Caballero-Lozada ◽  
Alberto Giraldo ◽  
Javier Benitez ◽  
Oscar Naranjo ◽  
Carolina Zorrilla-Vaca ◽  
...  

2019 ◽  
Vol 29 (1) ◽  
pp. 32159
Author(s):  
Larissa Cristina Tavares De Castro ◽  
Zamir Calamita

AIMS: To report the case of a patient diagnosed with common variable immunodeficiency and Crohn-like disease, describing the clinical picture, the diagnostic investigation process, the therapeutic approaches and the clinical outcome of the patient. To carry out a literature review of case reports addressing patients with the common variable immunodeficiency and Crohn-like disease association. Emphasize the importance of early diagnosis and treatment.CASE DESCRIPTION: A male patient was diagnosed with common variable immunodeficiency at nine years of age and with non-specific inflammatory bowel disease at 10 years, after colonoscopy and colonic biopsy indicated moderate lymphoplasmacytic, eosinophilic infiltrate and some neutrophils in lamina propria, with absence of granulomas. At age 14, the diagnosis of Crohn-like disease was confirmed by specialist after correlation between clinical history and complementary exams. Currently with 18 years of age, the patient is under treatment with intravenous human immunoglobulin, infliximab and azathioprine, with stabilization of the clinical picture.CONCLUSIONS: The literature review identified 11 case reports on the association between common variable immunodeficiency and Crohn-like disease, with no Brazilian studies, which highlights the rarity of such association. In this report, the patient received extensive and empirical treatments due to the difficulty in reaching a specific diagnosis, which was only performed at age 14, when more targeted and individualized treatment was started. Although currently stable, the patient presented several complications during the diagnostic investigation, which emphasizes the importance of early diagnosis and more precise treatment, targeted to meet the health needs of these patients.


2012 ◽  
Vol 33 (7) ◽  
pp. 1873-1878 ◽  
Author(s):  
Adriana R. Fonseca ◽  
Sheila K. F. de Oliveira ◽  
Marta C. F. Rodrigues ◽  
Ierecê L. Aymoré ◽  
Romeu C. Domingues ◽  
...  

2015 ◽  
Vol 3 (3) ◽  
pp. 196-207 ◽  
Author(s):  
Evan Y. Choi ◽  
William A. Gomes ◽  
Missak Haigentz ◽  
Jerome J. Graber

Abstract Background Wernicke's encephalopathy is a serious medical condition associated with high morbidity and mortality caused by deficiency of thiamine. This disease is classically associated with alcoholism, but is underappreciated in the nonalcoholic population. There is growing acknowledgement of the development of Wernicke's encephalopathy in patients with malignancies. Methods We conducted a literature review in PubMed for cases of Wernicke's encephalopathy occurring in patients with malignancy. We also present the case of a 47-year-old woman with recurrent laryngeal cancer and multiple hospital admissions for malnutrition. Neurological examination was notable for pendular nystagmus, severe gait ataxia, confusion, and poor memory consolidation. MRI of the brain was significant for T2-weighted fluid-attenuated inversion recovery hyperintensities in periaqueductal regions, medial thalami, and the tectal plate, typical for Wernicke's encephalopathy. She was treated with thiamine repletion, and had marked improvement in her mental status and some improvement in her vision problems and ataxia, although some nystagmus and significant short-term memory impairment persisted. Results The literature review yielded dozens of case reports of Wernicke's encephalopathy in patients with malignancy, dominated by cases of patients with malignancies of the gastrointestinal system, followed by those with hematologic malignancies. Conclusions Malignancy is an important risk factor for the development of Wernicke's encephalopathy. This diagnosis is underappreciated and difficult for the clinician to discern from multifactorial delirium. Clinicians should be aware to treat at-risk patients with thiamine immediately, especially if multiple risk factors are present.


2009 ◽  
Vol 123 (10) ◽  
pp. 1169-1173 ◽  
Author(s):  
M P Kos ◽  
B J van Royen ◽  
E F David ◽  
H F Mahieu

AbstractObjective:We report two cases in which dysphagia and aspiration, caused by anterior cervical osteophytes, were so severe that surgical resection was performed.Method:Case reports and a review of the world literature concerning dysphagia caused by anterior cervical osteophytes, in regard to pathogenesis, diagnosis and treatment.Results:Two patients, aged 71 and 70 years, had long-standing, slowly progressive dysphagia and aspiration; one patient had recurrent episodes of aspiration pneumonia as a result. Both patients were diagnosed on videofluoroscopy with large bony anterior cervical osteophytes. Immediate relief of symptoms was obtained after resection of the osteophytes via an anterolateral, extrapharyngeal approach. Anterior cervical osteophytes are relatively common in the elderly, although not frequently diagnosed, and are mostly seen in cases of diffuse idiopathic skeletal hyperostosis. If therapy is indicated it is mainly conservative; resection is rarely needed.Conclusion:In patients with anterior cervical osteophytes, surgical treatment is indicated only for selected cases with large, bony osteophytes and severe symptoms.


2019 ◽  
Vol 39 (2) ◽  
pp. 343-348
Author(s):  
Ling Hou ◽  
Wan-ting Niu ◽  
Hong-yan Ji ◽  
Xiu-fen Hu ◽  
Feng Fang ◽  
...  

2017 ◽  
Vol 50 (02) ◽  
pp. 130-137 ◽  
Author(s):  
Renato Franz Matta Ramos ◽  
Lucas Cancian ◽  
Fernando Calcagnotto ◽  
Ricardo Zeni ◽  
Gabriel Varela ◽  
...  

ABSTRACTBackground: Tuberculosis is the most prevalent infectious disease in the world. It is mainly caused by Mycobacterium tuberculosis. Osteoarticular tuberculosis represents 1%–3%. Tenosynovitis is the most common form of the disease in the hand. Aims: The aim of this study is to present an update of synovial tuberculosis. Materials and Methods: The authors present a literature review, the clinical and surgical management and case reports. Results: The outcomes were satisfactory and were not report complications. Conclusions: Early diagnosis, surgical transection of the transverse carpal ligament, debridement and complete excision of the infected synovium may be required, along with antituberculosis drugs. Knowledge of this disease in the hand can provide a better diagnosis and outcome.


2011 ◽  
Vol 19 (6) ◽  
pp. 1462-1469 ◽  
Author(s):  
David Sancho Cantus ◽  
María del Carmen Solano Ruiz

Nowadays, Coronary Diseases (CDs) represent the main mortality cause in men and women, but there are gender differences regarding their presentation, progression and the way the disease is tackled. This study mainly focuses on reviewing literature about the CD and its gender approach. The authors carried out a search of texts that use qualitative methodology, published between 2003 and 2009 in the following databases: PUBMED, IME, CUIDEN and CINAHL. Factors that hinder the early diagnosis of Ischemic Heart Disease in women are identified as the main findings, and the possible consequences are pointed out. In the fifty-six texts that were selected initially, we can see the difficulty women face to recognize early symptoms of the CD and their low risk perception of this disease. Greater awareness on Ischemic Heart Disease is needed, so that the high morbidity and mortality rates can be reduced.


Author(s):  
Luíza Maria Rocca de Paula ◽  

The novel coronavirus causes varied symptomatology and several complications, among them, stand out those of the gastrointestinal tract. In order to discuss gastrointestinal complications in SARS-COV-2 infected patients and their outcomes, we’ve developed an integrative literature review, using Pubmed and BVS databases. The following descriptors were used: covid-19, Sars-cov-2, gastrointestinal Tract, and Complications. The selected studies presented patients with covid-19 and gastrointestinal complications. The majority of the 13 articles included were case reports, in Europe, mostly men at the age of 60 or more. As for complications, ischemia, gastrointestinal bleeding, and pneumatosis, arterial narrowing and thrombosis stands out. In diagnoses, commonly exam was the reverse polymerase-transcriptase chain reaction; treatment varied between conservative and surgical resection. It’s evident the importance of good practice, early diagnosis and treatments, avoiding at its most the worsening of the condition. However, whereas is such a recent subject matter, further studies need to be made.


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