RESUMEN
Familial Mediterranean fever (FMF) chiefly affects patients of Arabic, Jewish, Armenian or Turkish origin and takes the form of recurrent episodes of peritonitis, arthritis or pleurisy. Periarteritis nodosa (PAN) is a vasculitis affecting elderly people and manifested by a general deterioration, unexplained fever and peripheral neuropathy or muscular weakness. We describe a patient presenting both diseases. Ours is the seventh reported case associating these two affections. This association was suspected by SACHS and co-workers who discovered an increased frequency of PAN in patients with FMF compared to the expected rate for the whole population (7). These observations warrant a search for PAN in young patients affected by FMF and showing signs of vasculitis.
Asunto(s)
Fiebre Mediterránea Familiar/complicaciones , Poliarteritis Nudosa/complicaciones , Adulto , Azatioprina/administración & dosificación , Colchicina/administración & dosificación , Ciclofosfamida/administración & dosificación , Quimioterapia Combinada , Fiebre Mediterránea Familiar/tratamiento farmacológico , Humanos , Masculino , Poliarteritis Nudosa/tratamiento farmacológico , Prednisona/administración & dosificaciónRESUMEN
Since the duration of precordial pain plays a key role in the indication for thrombolytic treatment in acute myocardial infarction, a retrospective study was made of the last 200 infarctions at Monthey Hospital with particular reference to the factors influencing this duration (distance, type of transport, prior intervention by a physician, loss of time in hospital). These factors were compared with other studies, and ways of influencing the time factor are proposed.
Asunto(s)
Hospitalización , Infarto del Miocardio/tratamiento farmacológico , Terapia Trombolítica , Anciano , Demografía , Humanos , Persona de Mediana Edad , Estudios Retrospectivos , Factores de Tiempo , Transporte de PacientesRESUMEN
We present the case of a 56-year-old woman with proven dermatomyositis associated with an adenocarcinoma of the gallbladder. The association of dermatomyositis-polymyositis and cancer has been known for many years but is still controverted. The search for a malignancy in a patient with DM-PM should not be systematic but guided by abnormal history, physical examination and laboratory results.