Asunto(s)
Síndrome de Alagille/diagnóstico , Adolescente , Síndrome de Alagille/tratamiento farmacológico , Colagogos y Coleréticos/uso terapéutico , Várices Esofágicas y Gástricas/etiología , Hematemesis/etiología , Humanos , Cirrosis Hepática/etiología , Masculino , Ácido Ursodesoxicólico/uso terapéuticoAsunto(s)
Trastornos de la Motilidad Esofágica/complicaciones , Reflujo Gastroesofágico/complicaciones , Anciano , Antiulcerosos/uso terapéutico , Trastornos de Deglución/tratamiento farmacológico , Trastornos de Deglución/etiología , Trastornos de la Motilidad Esofágica/diagnóstico , Trastornos de la Motilidad Esofágica/tratamiento farmacológico , Reflujo Gastroesofágico/diagnóstico , Reflujo Gastroesofágico/tratamiento farmacológico , Humanos , Masculino , Omeprazol/uso terapéutico , Vómitos/tratamiento farmacológico , Vómitos/etiologíaAsunto(s)
Carcinoma de Células Escamosas/complicaciones , Enfermedad Celíaca/complicaciones , Neoplasias Esofágicas/complicaciones , Adulto , Carcinoma de Células Escamosas/diagnóstico , Carcinoma de Células Escamosas/terapia , Enfermedad Celíaca/dietoterapia , Neoplasias Esofágicas/diagnóstico , Neoplasias Esofágicas/terapia , Estenosis Esofágica/etiología , Esofagoscopía , Resultado Fatal , Femenino , Humanos , Cooperación del PacienteRESUMEN
Erosive polyarthritis in Crohn's disease is rare and raises diagnostic and pathophysiological problems. A case with destructive lesions of the shoulders and hips is reported in a 43-year-old woman with a 26-year history of Crohn's disease. Ankylosis of the spine and hips, motion range limitation of the shoulders and wrists, and boutonnière deformity of the third finger of the right hand were present. Tests were negative for rheumatoid factor and the HLA-B27 antigen. Plain radiographs showed a triple rail pattern at the spine; synostosis of the hips; and destructive lesions of the shoulders, wrists, tarsal bones, and third proximal interphalangeal joint of the right hand. Glucocorticoid therapy was effective in suppressing the bowel symptom flares but only partially improved the joint symptoms, whose treatment relied mainly on nonsteroidal antiinflammatory agents and rehabilitation therapy. Erosive arthritis in Crohn's disease is frequently monoarticular, with the hip being the most common target. It can complicate a spondylarthropathy or reveal granulomatous synovitis. Polyarticular forms pose difficult diagnostic and therapeutic challenges and add to the disability caused by the bowel disease. The potential role of genetic factors remains to be studied.
Asunto(s)
Artritis/etiología , Enfermedad de Crohn/complicaciones , Articulación de la Cadera , Articulación del Hombro , Adulto , Femenino , HumanosRESUMEN
The authors report two cases of primary intestinal involvement in Hodgkin's disease, the first concerning the duodenum and the second the ileum. Both patients had a stenotic syndrome. The diagnosis was made by tumor histology in the first case and of a regional lymph node in the second. Treatment involved a course of chemotherapy and radiotherapy in the first case and surgical excision and chemotherapy in the second.
Asunto(s)
Neoplasias Duodenales/patología , Enfermedad de Hodgkin/patología , Neoplasias del Íleon/patología , Adulto , Terapia Combinada , Constricción Patológica/patología , Femenino , Humanos , Ganglios Linfáticos/patología , Masculino , Persona de Mediana Edad , Estadificación de NeoplasiasRESUMEN
Esophageal tuberculosis is a rare etiology of dysphagia. Such a location is also rare in comparison with other digestive tract sites of the disease (3.2%). Esophageal involvement may be secondary or primary. Diagnosis is particularly difficult in the latter situation. At any event, the diagnosis can only be histological by examination of endoscopic biopsy material. Treatment is essentially medical and leads to recovery in most patients.
