Assuntos
Tomada de Decisão Clínica , Fármacos Dermatológicos/uso terapêutico , Metotrexato/uso terapêutico , Psoríase/tratamento farmacológico , Talidomida/análogos & derivados , Adulto , Idoso , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Talidomida/uso terapêuticoRESUMO
A case of Sweet syndrome in a patient with an acute myelomonocytic leukemia is reported. It is an unusual case simulating a facial erysipela. This case illustrates the difficulty in differentiating infection from Sweet syndrome in an immunocompromised patient. The negative cultures, ineffective antibiotics, and histopathologic examination results allowed the onset of corticosteroid therapy. The phagocytic function of the neutrophils studied by chemoluminescence was normal in the patient. The physiopathology of Sweet syndrome is discussed, in particular the role of cytokines in the accumulation of granulocytes.
Assuntos
Erisipela/diagnóstico , Dermatoses Faciais/diagnóstico , Leucemia Mieloide Aguda/complicações , Dermatopatias Infecciosas/diagnóstico , Síndrome de Sweet/complicações , Adulto , Diagnóstico Diferencial , Feminino , Humanos , Leucemia Mieloide Aguda/patologia , Síndrome de Sweet/patologiaRESUMO
In Carney's syndrome, the association of cardiac myxomas, spotty pigmentation and endocrine over activity, the myxomas are usually multiple and have atypical locations. The authors report a case in which an accurate diagnosis of these multiple myxomas was made by transoesophageal echocardiography, although transthoracic echocardiography had missed the diagnosis.
Assuntos
Neoplasias Cardíacas/diagnóstico por imagem , Mixoma/diagnóstico por imagem , Adulto , Ecocardiografia/métodos , Esôfago , Átrios do Coração , Neoplasias Cardíacas/complicações , Humanos , Masculino , Mixoma/complicações , Linhagem , Transtornos da Pigmentação/complicações , SíndromeAssuntos
Ciclosporinas/uso terapêutico , Transplante de Rim , Infecções por Mycobacterium não Tuberculosas/complicações , Infecções Oportunistas/etiologia , Dermatopatias Infecciosas/etiologia , Braço , Feminino , Rejeição de Enxerto , Dermatoses da Mão/etiologia , Humanos , Pessoa de Meia-Idade , Infecções Oportunistas/microbiologiaRESUMO
The maternal mortality rate is approximately 3 per 10,000 in France. This figure is not insignificant and merits further consideration. Mortality has decreased at intervals over the course of history, depending upon certain factors such as maternal age, ethnic origin, the country in which the delivery takes place, economic conditions, the delivery setting, etc. The statistic of 1 death per 10,000 live births has been obtained by several countries and is difficult to ameliorate. Certain sudden, unexpected deaths will continue to occur despite adequate care and irrespective of whether or not they are due to a prior disease process. By studying the frequency and etiologies of these deaths, a recurring set of circumstances can often be identified, the caesarian section being of foremost importance. The mortality rate, then, appears to be a good indication of the quality of care delivered by a country or by an obstetrical department.