Asunto(s)
Candidiasis Cutánea/diagnóstico por imagen , Dermatosis Facial/diagnóstico por imagen , Radioisótopos de Galio , Dependencia de Heroína/complicaciones , Dermatosis del Cuero Cabelludo/diagnóstico por imagen , Adulto , Candidiasis Cutánea/complicaciones , Dermatosis Facial/complicaciones , Humanos , Masculino , Cintigrafía , Dermatosis del Cuero Cabelludo/complicacionesRESUMEN
We report discordant splenic uptake of Tc-99m colloid and Tc-99m heat-denatured red blood cells (RBC) which occurred in a 21-year-old female with candidiasis-endocrinopathy syndrome. Tc-99m colloid liver-spleen imaging showed no splenic uptake, suggesting the presence of functional asplenia. A subsequent Tc-99m heat-denatured RBC study clearly revealed a small spleen with preserved sequestrating function. These results may demonstrate that the qualitative dissociation of splenic functions in processing colloid and denatured RBC in functional asplenia: the sequestration function remains while the reticuloendothelial system is impaired.
Asunto(s)
Candidiasis Cutánea/diagnóstico por imagen , Eritrocitos , Poliendocrinopatías Autoinmunes/diagnóstico por imagen , Radiofármacos , Bazo/diagnóstico por imagen , Tecnecio , Adulto , Femenino , Humanos , Hígado/diagnóstico por imagen , Radiofármacos/farmacocinética , Síndrome , Tecnecio/farmacocinética , Distribución Tisular , Tomografía Computarizada de Emisión de Fotón Único , Tomografía Computarizada por Rayos XRESUMEN
Chronic mucocutaneous candidiasis is a disorder characterized by chronic recurrent infection with Candida. The esophagus may be involved, resulting in chronic candidal esophagitis, which is clinically and radiographically distinct from acute candidal esophagitis. The clinical and radiographic features of four new and four previously reported cases are presented. Esopahgeal narrowing was found in all patients; it was focal in six and diffuse in two. Motor abnormalities were common, but mucosal changes seen characteristically in acute candidal esophagitis were unusual. Esophageal intramural pseudodiverticulosis was documented in one patient, substantiating the belief that Candida may be the etiologic agent in some patients with this condition.