scholarly journals 2. Differential Diagnosis in Rheumatic Diseases Based on Laboratory and Radiological Findings

2014 ◽  
Vol 103 (10) ◽  
pp. 2413-2422
Author(s):  
Kazuyoshi Saito
2000 ◽  
Vol 58 (3B) ◽  
pp. 897-900 ◽  
Author(s):  
ISAC BRUCK ◽  
SÉRGIO A. ANTONIUK ◽  
ARNOLFO DE CARVALHO NETO ◽  
ADRIANE SPESSATTO

We describe the clinical and radiological findings of a pair of siblings with cerebellar vermis hypoplasia and compare them with the literature. Both of them present pregnancies and deliveries uneventful and both presented some grade of hypotonia, ataxia, ocular motor abnormalities and mild motor delay and slurred speech. These siblings meet many of the criteria described in non-progressive congenital ataxia in which can occur familial cases with cerebellar atrophy, including vermis hypoplasia. As differential diagnosis we compare them with related syndromes and with Joubert's syndrome which main radiological finding on MRI is vermis hypoplasia associated with "molar tooth" appearance. The correct answer for these cases will only be possible by molecular genetics.


1996 ◽  
Vol 37 (3P2) ◽  
pp. 489-495 ◽  
Author(s):  
C. Lundstedt ◽  
R. Nyman ◽  
J. Brismar ◽  
C. Hugosson ◽  
I. Kagevi

Purpose: To describe the radiological findings of tuberculosis (TB) of the abdomen as reflected at our hospital. Material and Methods: The radiological files of 503 patients (referred to our institution mainly because of a clinical suspicion of malignancy, and found to have cultureor biopsy-proven TB) were reviewed in order to analyze the spectrum of the TB manifestations in this group of patients. Results: Abdominal manifestations were found in 112 patients, in 1/3 abdominal disease was the only evidence of TB. More than half of the patients also had chest TB. The most common abdominal TB manifestations were peritonitis and lymph node enlargement, each occurring in about 1/3 of the patients. Also 1/3 had genitourinary TB manifestations. About 1/5 had TB of the liver, spleen or pancreas or in the gastrointestinal tract, respectively. Multiple organ involvement was common. Conclusion: The need to consider TB in the differential diagnosis in patients with obscure abdominal symptoms, especially with multiple organ involvement, is stressed.


Rheumatology ◽  
2010 ◽  
Vol 49 (5) ◽  
pp. 933-939 ◽  
Author(s):  
F. Paiva Proenca Lobo Lopes ◽  
M. Newton Leitao de Azevedo ◽  
E. Marchiori ◽  
L. M. Barbosa da Fonseca ◽  
S. Augusto Lopes de Souza ◽  
...  

Open Medicine ◽  
2010 ◽  
Vol 5 (2) ◽  
pp. 243-245 ◽  
Author(s):  
Meltem Ceyhan ◽  
Mehmet Nural ◽  
Tülin Oztas ◽  
İlkay Bayrak ◽  
Riza Rizalar

AbstractParaurethral or Skene’s duct cyst is a rare cause of masses located in the inter-labial genitor-urinary region and their etiology is not fully known. These congenital cysts may be diagnosed easily by inspection in the initial physical examination of the new-borne. Radiological evaluation is helpful for differential diagnosis and in determining the proximal extension of the cystic pathology. Treatment alternatives are needle aspiration and non-surgical follow-ups leading to a spontaneous regression and surgery. In this report the radiological findings of a female newborn diagnosed with paraurethral cyst in US and MR examinations have been discussed.


2020 ◽  
Vol 14 (2) ◽  
pp. 14-19
Author(s):  
N. V. Chichasova

The lecture covers main approaches to differential diagnosis in rheumatic diseases. It highlights the key questions that should be answered at the primary examination of the patient. The most important signs that can identify severe, sometimes urgent nonrheumatic diseases are presented. The author describes pain of different patterns and intensity and the most common variants of acute or chronic onset of mono-, oligo-, or polyarthritis. The 2016 European League Against Rheumatism (EULAR) definition of arthralgia suspicious for the development of rheumatoid arthritis is given. The lecture presents the signs indicating the inflammatory nature of back pain in cases of suspected spondyloarthritis (SpA), as well as a two-step diagnostic strategy for axial SpA. Attention is paid to the semiotics of joint damage and extra-articular manifestations in various rheumatic diseases. A brief algorithm for a differential diagnostic search for joint pain is given.


2021 ◽  
Author(s):  
Renner Araujo ◽  
Rodrigo De La Quintana Vidaurre ◽  
Camila da Silva Cendon Duran ◽  
Lucas Brandão Araújo da Silva ◽  
Carla Baleeiro Rodrigues Silva ◽  
...  

2021 ◽  
Vol 17 ◽  
Author(s):  
Alberto Altomare ◽  
Addolorata Corrado ◽  
Nicola Maruotti ◽  
Daniela Cici ◽  
Francesco Paolo Cantatore

: HCV is a global health problem affecting mainly the liver and often characterized by extrahepatic manifestions mediated by autoimmune reactions. Among these, arthritis and arthralgia are most frequent, as well as the presence of cryoglobulinemia that may induce vasculitis, and sicca syndrome. Thus, HCV appears to be a trigger for autoimmune response as demonstrated by the finding of autoantibody in a high percentage of serum of these patients. Therefore, it is important that clinicians recognize these autoimmune manifestations as symptoms due to an autoimmune activity triggered by HCV, in order to give the correct diagnosis and start an effective therapy strategy. Therefore, clinical examination, searching of markers of infection as well as autoantibody patterns should be performed to make a correct differential diagnosis. The treatment should be based on antiviral drugs associated to immunosuppressive drugs according to autoimmune manifestations.


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