Assuntos
Idoso , Humanos , Masculino , Abdome , Pneumatose Cistoide Intestinal , Radiografia Abdominal , Pneumatose Cistoide IntestinalRESUMO
We report a case of a non functioning cystic adrenal mass. It was incidentally found in an abdominal ultrasound carried out for unrelated symptoms. According to the classification of adrenal cysts it is a multilocular pseudocyst with wall fibrosis and calcification. The pseudocyst lining expresses Factor VIII suggesting a vascular origin.
Assuntos
Doenças das Glândulas Suprarrenais/diagnóstico , Cistos/diagnóstico , Doenças das Glândulas Suprarrenais/etiologia , Glândulas Suprarrenais/diagnóstico por imagem , Adrenalectomia , Adulto , Cistos/etiologia , Feminino , Humanos , Radiografia , TromboplastinaRESUMO
We report a case of a non functioning cystic adrenal mass. It was incidentally found in an abdominal ultrasound carried out for unrelated symptoms. According to the classification of adrenal cysts it is a multilocular pseudocyst with wall fibrosis and calcification. The pseudocyst lining expresses Factor VIII suggesting a vascular origin.
RESUMO
Antiphospholipid syndrome is characterized by recurrent fetal loss, arterial and venous thromboses, thrombocytopenia and circulating antiphospholipid antibodies. Few patients have a rapidly progressive, fatal outcome. We report two young patients with systemic lupus erythematosus and antiphospholipid antibodies who died after a short course of disease. Although clinical and laboratory findings differed in both patients--small vessel thromboses and microangiopathic hemolytic anemia mimicking thrombotic thrombocytopenic purpura predominated in one of the patients while small and medium size vessel thromboses without hemolysis were present in the other case--autopsy revealed widespread visceral thromboses in both of them, features consistent with a diagnosis of catastrophic antiphospholipid syndrome. This syndrome has not been reported to occur in association with Pneumocistis carinii pneumonia as we describe in one of our patients.
Assuntos
Síndrome Antifosfolipídica/complicações , Lúpus Eritematoso Sistêmico/complicações , Adulto , Anticorpos Antifosfolipídeos/imunologia , Síndrome Antifosfolipídica/patologia , Endocardite Bacteriana/complicações , Evolução Fatal , Feminino , Humanos , Lúpus Eritematoso Sistêmico/patologia , Pneumonia por Pneumocystis/diagnóstico , Trombose/complicaçõesRESUMO
Antiphospholipid syndrome is characterized by recurrent fetal loss, arterial and venous thromboses, thrombocytopenia and circulating antiphospholipid antibodies. Few patients have a rapidly progressive, fatal outcome. We report two young patients with systemic lupus erythematosus and antiphospholipid antibodies who died after a short course of disease. Although clinical and laboratory findings differed in both patients--small vessel thromboses and microangiopathic hemolytic anemia mimicking thrombotic thrombocytopenic purpura predominated in one of the patients while small and medium size vessel thromboses without hemolysis were present in the other case--autopsy revealed widespread visceral thromboses in both of them, features consistent with a diagnosis of catastrophic antiphospholipid syndrome. This syndrome has not been reported to occur in association with Pneumocistis carinii pneumonia as we describe in one of our patients.