RESUMO
BACKGROUND: Rosacea fulminans (RF) is a severe form of facial dermatosis presenting with a sudden onset of numerous facial pustules, papules, and erythema. During pregnancy its treatment may be difficult and can have an impact on obstetrical outcomes. CASE: A 37-year-old woman during the 37th week of her fourth pregnancy presented RF that was associated with ocular manifestations. The usual treatment with isotretinoin was contraindicated during pregnancy and the patient started an alternative treatment with prednisone and azithromycin. After delivery at 38 weeks of gestational age, there was a significant improvement. CONCLUSION: RE is a severe dermatological disease with unknown etiology and with a rapid improvement in the immediate postpartum period.
Assuntos
Dermatoses Faciais/tratamento farmacológico , Complicações na Gravidez/tratamento farmacológico , Rosácea/tratamento farmacológico , Adulto , Antibacterianos/uso terapêutico , Anti-Inflamatórios/uso terapêutico , Azitromicina/uso terapêutico , Conjuntivite/tratamento farmacológico , Conjuntivite/etiologia , Feminino , Humanos , Ceratite/tratamento farmacológico , Ceratite/etiologia , Prednisona/uso terapêutico , GravidezRESUMO
INTRODUCTION: Superior mesenteric artery syndrome (SMAS) or Wilkie syndrome is a rare disease in the pediatric population. Although their causes are generally well known, the clinic is often subtle, so reaching a diagnosis can be difficult. There are medical and surgical treatment options, which depend on each patient. CLINICAL CASE: Our study shows an atypical case of SAMS, which debuted in a 13-year-old boy without previous diseases, and without a history of risk factors for this pathology. Its symptomatology, the diagnostic process and the treatment are described. COMMENTS: The clinical presentation and age of the patient make an interesting case, so we make a review about the pathology, its current diagnostic methods and available therapeutic alternatives.
INTRODUCCION: El síndrome de la arteria mesentérica superior (SAMS) o síndrome de Wilkie es una patología poco frecuente en la población pediátrica. A pesar de que sus causas son en general bien conocidas, la clínica muchas veces es poco sugerente, por lo que llegar al diagnóstico puede ser difícil. Existen opciones médicas y quirúrgicas de tratamiento, que dependen de cada paciente. CASO CLINICO: Nuestro trabajo muestra un caso atípico de SAMS, que debutó en un adolescente de 13 años sin enfermedades previas, y sin antecedentes de factores de riesgo descritos para esta patología. Se describen su sintomatología, el proceso diagnóstico y el tratamiento realizado. COMENTARIOS: La presentación clínica y la edad del paciente hacen a este caso particularmente interesante, por lo que hicimos una revisión teórica acerca de la patología, sus métodos diagnósticos actuales, y las alternativas terapéuticas disponibles.