RESUMO
Kikuchi-Fujimoto disease is a mild and rare idiopathic disease, particularly in children. It is mostly characterized by painful cervical lymphadenopathy and/or prolonged fever and confirmed by histology. We report a case of Kikuchi-Fujimoto disease in a 14-year-old teenager with high procalcitonin concentration and thrombocytopenic purpura.
Assuntos
Calcitonina/sangue , Linfadenite Histiocítica Necrosante/sangue , Linfadenite Histiocítica Necrosante/complicações , Precursores de Proteínas/sangue , Púrpura Trombocitopênica/sangue , Púrpura Trombocitopênica/etiologia , Adolescente , Peptídeo Relacionado com Gene de Calcitonina , Humanos , MasculinoRESUMO
The occurence of mutism after thalamic lesions has rarely been observed before adulthood. We report a 6.5-year-old girl who presented with sudden mutism with a decreased level of alertness. Her MRI revealed a T2-fluid attenuated inversion recovery hyperintensity in both thalami, which suggested bithalamic infarction in the territory of the thalamo-perforating arteries and, more specifically, the para-median territories. Mutism was followed by a deficit of speech initiation with slow and slurred speech. Her speech returned to normal at 3 months after the onset of symptoms. Thus mutism could be the equivalent of akinetic mutism limited to the speech sphere.