Asunto(s)
Neoplasias de la Mama/radioterapia , Carcinoma Ductal/radioterapia , Radiodermatitis/diagnóstico , Radioterapia/efectos adversos , Anciano , Anciano de 80 o más Años , Axila , Carcinoma Ductal/secundario , Eosinofilia/diagnóstico , Eosinofilia/etiología , Femenino , Humanos , Cuello , Prurito/etiología , Dosis de Radiación , Radiodermatitis/etiología , TóraxRESUMEN
Among the causes of the nephrotic syndrome in renal allografts, minimal change disease is a rarity with only few cases described in the medical literature. Most cases described have occurred early in the post-transplant course. There is no established treatment for the condition but prognosis is favorable. We describe a case of minimal change disease that developed 8 years after a successful transplantation of a renal allograft in a middle-aged woman. The nephrotic syndrome was accompanied by deterioration of allograft function. Treatment with mycophenolate mofetil was successful in inducing remission and stabilizing allograft function.
Asunto(s)
Fallo Renal Crónico/cirugía , Trasplante de Riñón/patología , Nefrosis Lipoidea/patología , Biopsia , Diagnóstico Diferencial , Femenino , Estudios de Seguimiento , Humanos , Inmunosupresores/uso terapéutico , Glomérulos Renales/patología , Persona de Mediana Edad , Ácido Micofenólico/análogos & derivados , Ácido Micofenólico/uso terapéutico , Nefrosis Lipoidea/sangre , Nefrosis Lipoidea/tratamiento farmacológico , Profármacos , Inducción de Remisión/métodos , Factores de Tiempo , Trasplante HomólogoRESUMEN
We report the use of immunohistochemical staining for analysis of forensic evidence from a double homicide. A 38-year-old woman and her 7-year-old daughter were murdered by multiple blows to the head and face with a tomahawk, resulting in multiple fragments of brain tissue scattered about the murder scene. The victims' husband and father was the main suspect, who maintained that he was out of town on business during the evening of the murders. However, a shirt taken from the suspect's car on the morning after the murders (secured by the police before the suspect visited the murder scene) was found to have two small stains. DNA analysis on the stains showed the presence of the deceased wife's DNA, and immunohistochemical stains on shirt fragments conclusively documented the presence of deep central nervous system tissue, providing the critical piece of evidence needed to arrest and prosecute the suspect. This report demonstrates that shirt or similar cloth fragments can be processed into paraffin blocks and subsequently immunostained to search for and classify types of tissue fragments that may be present on the fabric.