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3.
BMJ Case Rep ; 15(4)2022 Apr 25.
Artigo em Inglês | MEDLINE | ID: mdl-35470164

RESUMO

A young girl in her teens presented with fever, rashes and various mucocutaneous symptoms. Flat erythematous macules were seen mainly on the limbs, without blisters or skin detachments. The lips were swollen with crusts and haemorrhage. The oral cavity and pharynx showed ulcerative lesions with exudate. Severe bilateral ocular lesions with pseudomembrane formation and corneal epithelial defects were present. Also, urogenital lesion and gastrointestinal symptoms with frequent haematochezia were observed. Her symptoms and pathological findings were consistent with Stevens-Johnson syndrome. She was treated with prednisolone and methylprednisolone pulse therapy. Her ocular and cutaneous symptoms improved without severe chronic complications. However, 1 month later, she developed dyspnoea, and a pulmonary function test revealed severe obstructive ventilation disorder. After discharge, she was regularly followed up for respiratory complications. High-resolution chest CT performed 9 months after onset revealed mosaic perfusions and bronchiectasis, consistent with bronchiolitis obliterans.


Assuntos
Bronquiolite Obliterante , Doença Enxerto-Hospedeiro , Síndrome de Stevens-Johnson , Adolescente , Bronquiolite Obliterante/diagnóstico , Bronquiolite Obliterante/tratamento farmacológico , Bronquiolite Obliterante/etiologia , Dispneia/complicações , Feminino , Doença Enxerto-Hospedeiro/complicações , Humanos , Prednisolona/uso terapêutico , Testes de Função Respiratória , Síndrome de Stevens-Johnson/complicações , Síndrome de Stevens-Johnson/diagnóstico
4.
BMJ Case Rep ; 14(5)2021 May 19.
Artigo em Inglês | MEDLINE | ID: mdl-34011651

RESUMO

A 9-month-old girl presented with progressive abdominal distension. Imaging revealed a huge cystic mass in the left retroperitoneum with solid components. The right kidney was absent and hydrometrocolpos was found. Tumour drainage and complete surgical excision were performed. A bulge in the right side of the uterus, suggestive of a uterine anomaly, was seen on laparoscopic observation. Pathology was consistent with teratoma with a small portion of immature neural tissue. The patient was discharged in good condition and was advised regular follow-up.


Assuntos
Nefropatias , Teratoma , Anormalidades Urogenitais , Feminino , Humanos , Lactente , Rim/diagnóstico por imagem , Rim/cirurgia , Teratoma/complicações , Teratoma/diagnóstico por imagem , Teratoma/cirurgia , Útero , Vagina
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