Asunto(s)
Enfermedad de Crohn/complicaciones , Enfermedad de Crohn/tratamiento farmacológico , Ciclosporina/uso terapéutico , Inmunosupresores/uso terapéutico , Fístula Intestinal/etiología , Fístula Urinaria/etiología , Adulto , Femenino , Humanos , Fístula Intestinal/tratamiento farmacológico , Fístula Urinaria/tratamiento farmacológicoRESUMEN
BACKGROUND: To study the seroprevalence of hepatitis C virus in a cohort of six patients with a diagnosis of polyarteritis nodosa (PAN). METHODS: There have been included six patients with a diagnosis of PAN, carrying out a serodiagnosis of hepatitis B virus (VHB) and C (VHC) this last one by means of the following methods: ELISA, RIBA-II and PCR. RESULTS: These cases (50%) showed exclusive positivity to VHC by means of the three ways of diagnosis, two cases showed positivity to VHB (33.3%), one case (16.6%) showed positivity to both virus (VHB and (VHC) and one case didn't show positivity virus. CONCLUSIONS: It is probable a ethipatogenic relation between hepatitis C virus and polyarteritis nodosa, our sample doesn't show any difference from that written in the literature. The positive rheumatoid factors can give false positive for VHC by means of the technique ELISA because of this it is necessary to confirm the positive by means of the techniques RIBA-II and PCR.
Asunto(s)
Hepatitis C/complicaciones , Poliarteritis Nudosa/virología , Anciano , Hepacivirus/aislamiento & purificación , Humanos , Masculino , Persona de Mediana Edad , Pruebas SerológicasRESUMEN
Recently, the syndrome of remitting seronegative symmetrical synovitis with pitting edema (RS3PE), has been proposed. The RS3PE syndrome has an acute onset, does not produce bony erosions, with a predilection for elderly patients and an excellent prognosis. This condition distinguishing if from rheumatoid arthritis and polymyalgia rheumatica. The purpose is to call attention to a benign forms of arthritis in aging patients. We report two cases of RS3PE syndrome.
Asunto(s)
Artritis/complicaciones , Edema/complicaciones , Sinovitis/complicaciones , Enfermedad Aguda , Anciano , Anciano de 80 o más Años , Artritis/tratamiento farmacológico , Edema/tratamiento farmacológico , Glucocorticoides/uso terapéutico , Humanos , Masculino , Persona de Mediana Edad , Síndrome , Sinovitis/tratamiento farmacológicoRESUMEN
A 37 year old woman is presented with solitary splenic abscess, without involvement of other organs, in the context of septic abortion. Splenic abscess were effectively treated with 21 days of antibiotic administration, not was necessitated splenectomy and percutaneous drainage. Emphasis is laid on its rarity of solitary splenic abscess in the course of gynecologic infection, and complete response to antibiotic treatment.
Asunto(s)
Absceso/tratamiento farmacológico , Antibacterianos/uso terapéutico , Enfermedades del Bazo/tratamiento farmacológico , Absceso/etiología , Adulto , Endometritis/complicaciones , Femenino , Humanos , Enfermedades del Bazo/etiologíaRESUMEN
Suprarenal insufficiency is the systemic disease more frequent associated to auricular cartilage calcification. Physiopathologic mechanism of this phenomenon remain without elucidate, several hypothesis have been postulated. We introduce one patient male attached of Addison's disease with external ear bilateral calcification. We review 20 case related in literature, postulating that low levels of cortisone, established in acute or chronic form, can cause a maintained or transitory hypercalcemia, calcium deposit in predisposed physically-chemically tissue: deficient peripheral vascularization and susceptibility to external aggression like traumatisms or cold.
Asunto(s)
Enfermedad de Addison/complicaciones , Calcinosis/etiología , Cartílago Auricular , Enfermedades del Oído/etiología , Enfermedades de los Cartílagos/diagnóstico por imagen , Enfermedades de los Cartílagos/etiología , Cartílago Auricular/diagnóstico por imagen , Enfermedades del Oído/diagnóstico por imagen , Humanos , Masculino , Persona de Mediana Edad , RadiografíaAsunto(s)
Colitis , Colágeno , Biopsia , Colitis/patología , Colon/patología , Femenino , Humanos , Persona de Mediana EdadRESUMEN
We report a case of rheumatic polymyalgia associated with temporal arteritis, in which clinical-biological symptoms and evolution with steroid or immunosuppressive therapy were analyzed. We confirm the lack of effectiveness of the treatment with AINES, the low response to steroids and the high response to immunosuppressive therapy.