RESUMEN
Granuloma annulare (GA) is a reactive process in the dermis, related to degeneration of collagen. It may occur as an idiopathic phenomenon or in conjunction with a myriad of systemic conditions, including infectious disease. We report an interesting case of GA precipitated by pulmonary coccidioidomycosis.
Asunto(s)
Coccidioidomicosis/diagnóstico , Granuloma Anular/diagnóstico , Enfermedades Pulmonares Fúngicas/diagnóstico , Antifúngicos/uso terapéutico , Coccidioidomicosis/diagnóstico por imagen , Coccidioidomicosis/tratamiento farmacológico , Coccidioidomicosis/inmunología , Coccidioidomicosis/patología , Femenino , Fluconazol/uso terapéutico , Granuloma Anular/tratamiento farmacológico , Granuloma Anular/inmunología , Granuloma Anular/patología , Humanos , Inmunoglobulina G/sangre , Inmunoglobulina G/inmunología , Inmunoglobulina M/sangre , Inmunoglobulina M/inmunología , Enfermedades Pulmonares Fúngicas/diagnóstico por imagen , Enfermedades Pulmonares Fúngicas/tratamiento farmacológico , Enfermedades Pulmonares Fúngicas/inmunología , Persona de Mediana Edad , Radiografía , Resultado del TratamientoRESUMEN
In a current publications, it has been suggested that hypoxia-triggered "good angiogenesis" involving hypoxic up-regulation of vascular endothelial growth factor (VEGF) molecules, genes, and receptors is likely responsible in a major way for the remarkable gut and patient salvage experience associated with use of the "patch, drain, and wait" (PD&W) surgical approach to perforated necrotizing enterocolitis and midgut volvulus (MGV) with extensive ischemia/necrosis. We report a case in which extensive ischemia/necrosis in a newborn with gastroschisis (likely MGV-induced) was managed successfully by PD&W with an associated marked (24-fold) elevation of VEGF in drainage fluid at 7 days post-initiation of PD&W.