RESUMEN
Association of pernicious anemia and systemic lupus erythematosus is rare, although both diseases are autoimmune origin. We describe the case of a 40-year old man with systemic lupus erythematosus (SLE) who developed pernicious anemia. The cobalamin deficiency was revealed by macrocytic pancytopenia. After 1 month of vitamin B12 treatment, hemoglobin and white blood cell count remain normal but thrombocytopenia persists and was considered as immunologic from SLE origin requiring corticosteroids.
Asunto(s)
Anemia Perniciosa/etiología , Lupus Eritematoso Sistémico/complicaciones , Corticoesteroides/efectos adversos , Adulto , Anemia Macrocítica , Hemoglobinas/análisis , Humanos , Recuento de Leucocitos , Lupus Eritematoso Sistémico/tratamiento farmacológico , Masculino , Trombocitopenia/etiología , Trombocitopenia/inmunologíaAsunto(s)
Enfisema/diagnóstico , Pielonefritis/diagnóstico , Aborto Espontáneo , Adulto , Antibacterianos/uso terapéutico , Enfisema/microbiología , Enfisema/terapia , Escherichia coli/aislamiento & purificación , Infecciones por Escherichia coli/diagnóstico , Infecciones por Escherichia coli/tratamiento farmacológico , Femenino , Humanos , Litotricia , Embarazo , Pielonefritis/microbiología , Pielonefritis/terapiaRESUMEN
The authors report the case of a 40 year old patient with history of cauda equina syndrome and pyramidal signs due to intramedullary rupture of a congenital dermoid cyst of the conus without associated spinal dysraphism. Diagnosis was suggested at magnetic resonance imaging (MRI) and confirmed by histological examination and percutaneous aspiration of the intramedullary cavity.
Asunto(s)
Quiste Dermoide/diagnóstico , Neoplasias de la Médula Espinal/diagnóstico , Adulto , Biopsia con Aguja Fina , Líquido Quístico/citología , Quiste Dermoide/congénito , Humanos , Vértebras Lumbares/patología , Imagen por Resonancia Magnética , Masculino , Polirradiculopatía/etiología , Rotura , Neoplasias de la Médula Espinal/congénitoRESUMEN
One case of inflammatory pseudo-tumor revealed by mictional disorders is reported. Ultrasonography and computed tomography visualised a non specific formation of bladder dome witch extend to the Retzius space and umbilicus. The diagnosis of urachal tumor had been suspected. Anatomopathologic analysis of the operative piece disclose a diagnosis of the urachal remnants with foreign body type of inflammation. Since malignant transformation of urachal remnants is possible, surgical resection is advised.