Asunto(s)
Embolia/complicaciones , Embolia/diagnóstico , Mano/irrigación sanguínea , Isquemia/diagnóstico , Isquemia/etiología , Síndrome del Desfiladero Torácico/complicaciones , Síndrome del Desfiladero Torácico/diagnóstico , Adulto , Angiografía , Anticoagulantes/uso terapéutico , Embolectomía , Embolia/diagnóstico por imagen , Humanos , Isquemia/diagnóstico por imagen , Masculino , Arteria Radial/diagnóstico por imagen , Arteria Radial/fisiopatología , Flujo Sanguíneo Regional/fisiología , Síndrome del Desfiladero Torácico/diagnóstico por imagen , Tomografía Computarizada por Rayos X , Resultado del Tratamiento , Arteria Cubital/diagnóstico por imagen , Arteria Cubital/fisiopatologíaRESUMEN
The Stevens-Johnson syndrome (SJS) classically involves a targetoid skin rash and the association of the oral mucosa, genitals, and conjunctivae. Recently, there have been several documentations of an incomplete presentation of this syndrome, without the typical rash, usually associated with the mycoplasma pneumoniae infection. Our case illustrates that this important clinical diagnosis should not be missed due to its atypical presentation.
RESUMEN
Increasing evidence reveals that patients who have inflammatory arthritis experience structural damage early in the course of the disease. To effectively minimize the destruction caused by chronic inflammation, it is necessary to identify these patients soon after the onset of symptoms. However, differential diagnosis is not always straightforward. This article reviews selected underlying issues that complicate the differential diagnosis of the inflammatory arthritides and describes key features of the typical presentations for 3 of the commonly seen forms of inflammatory arthritis--rheumatoid arthritis, ankylosing spondylitis, and psoriatic arthritis.