RESUMEN
We report a 66 year-old woman with a history of pulmonary sarcoidosis, diagnosed with a lung biopsy in 1993 and treated with prednisone for 2 years. She presented at our institution in 1999 with a stage IV disease and important functional and clinical impairment. A bronchial biopsy disclosed non caseating granulomas. Tuberculosis was intensively studied and persistently negative. Due to frequent nausea and vomiting an endoscopic gastric biopsy was performed which revealed non caseating granulomas involving the gastric mucosa. There was no evidence of Helicobacter pylori and stains for fungi and acid-fast bacilli were negative. Treatment with prednisone relieved digestive symptoms, although a control biopsy of the gastric mucosa revealed persistence of non caseating granulomas. Both lung stage IV and gastric sarcoidosis are uncommon forms of the disease.
Asunto(s)
Sarcoidosis Pulmonar/patología , Sarcoidosis/patología , Gastropatías/patología , Anciano , Femenino , HumanosRESUMEN
We report a 66 year-old woman with a history of pulmonary sarcoidosis, diagnosed with a lung biopsy in 1993 and treated with prednisone for 2 years. She presented at our institution in 1999 with a stage IV disease and important functional and clinical impairment. A bronchial biopsy disclosed non caseating granulomas. Tuberculosis was intensively studied and persistently negative. Due to frequent nausea and vomiting an endoscopic gastric biopsy was performed which revealed non caseating granulomas involving the gastric mucosa. There was no evidence of Helicobacter pylori and stains for fungi and acid-fast bacilli were negative. Treatment with prednisone relieved digestive symptoms, although a control biopsy of the gastric mucosa revealed persistence of non caseating granulomas. Both lung stage IV and gastric sarcoidosis are uncommon forms of the disease.
Asunto(s)
Anciano , Femenino , Humanos , Sarcoidosis Pulmonar/patología , Sarcoidosis/patología , Gastropatías/patologíaRESUMEN
En este estudio se evalúa la bioactividad de las fracciones obtenidas de los extractos etanólicos de las hojas, de la corteza del tronco y de la corteza de la raíz de Rollinia rufinervis (Annonaceae), las cuales presentan actividad citotóxica y se detecta la presencia de las acetogeninas, que pueden causar la actividad antiparasitaria. Las fracciones son probadas a concentraciones entre 0.095µg/mL y 100 µg/mL contra promastigotes de Leishmania chagasi, evaluando la movilidad de los parásitos a las 72 horas. El efecto de las fracciones es contrastado con el medio Schneider-Drosófila sin extracto y con Glucantime, utilizados como control. Las fracciones de Rollinia rufinervis de: acetato de etilo de raíz, éter de petróleo de corteza, acetato de etilo de corteza y acetato de etilo de hojas, presentan actividad leishmanicida. La última fracción es la de mayor actividad causando inmovilidad apreciable o total de los parásitos a lo largo del experimento. De ella se aisló posiblemente el ß-sitosteroL