RESUMEN
We present the case of a patient under corticosteroid therapy (Deflazacort) developing a cutaneous Kaposi's Sarcoma. In a latter study performed due to the presence of digestive syndrome, a gastric Kaposi's sarcoma was detected. We review the cases published in the literature of patients with rheumatoid pathology under corticosteroid therapy.
Asunto(s)
Artritis Reumatoide/complicaciones , Sarcoma de Kaposi/complicaciones , Neoplasias Gástricas/complicaciones , Anciano , Antiinflamatorios/uso terapéutico , Artritis Reumatoide/tratamiento farmacológico , Humanos , Masculino , Pregnenodionas/uso terapéuticoRESUMEN
We present a case of mixed disease of the connective tissue in a 37-year-old woman previously healthy, whose first manifestations were ascites, facial edemas and tibiomalleolars, latter progressing with constitutional syndrome, myalgias, Raynaud's phenomenon and esophagic disorders. In the literature reviewed, we have not found any other case of this type of onset in mixed disease of the connective tissue.
Asunto(s)
Ascitis/etiología , Enfermedad Mixta del Tejido Conjuntivo/complicaciones , Enfermedad Aguda , Adulto , Femenino , Humanos , Enfermedad Mixta del Tejido Conjuntivo/diagnósticoRESUMEN
Two clinical cases of patients with rheumatoid arthritis (RA) and poor response to conventional treatment are described. Patients received immunosuppressor treatment with azathioprine (AZA) and developed hepatic hemangiomas without detectable hepatic pathology previous to the treatment with AZA. The hepatic iatrogenesis of AZA is discussed, as well as the etiopathogenic hypothesis regarding hepatic hemangioma.
Asunto(s)
Artritis Reumatoide/tratamiento farmacológico , Azatioprina/efectos adversos , Hemangioma/inducido químicamente , Neoplasias Hepáticas/inducido químicamente , Artritis Reumatoide/complicaciones , Azatioprina/uso terapéutico , Hemangioma/complicaciones , Humanos , Neoplasias Hepáticas/complicaciones , Masculino , 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.