RESUMO
Tc99m scanning because of hypothyroidism revealed a lingual thyroid in two natural brothers who had no family history of thyroid disease. No thyroid tissue was found in the neck. Further development under substitution therapy with levothyroxine was normal. The diagnosis of this rare disease in two natural brothers suggests that lingual thyroid may be inherited.
Assuntos
Doenças da Glândula Tireoide/congênito , Humanos , Hipotireoidismo/diagnóstico , Hipotireoidismo/etiologia , Lactente , Masculino , Doenças da Glândula Tireoide/complicações , Doenças da Glândula Tireoide/diagnóstico , Doenças da Glândula Tireoide/genética , Testes de Função Tireóidea , Tireotropina/sangueRESUMO
The authors report seven patients with fractures of the sella turcica. Four of them developed Diabetes Insipidus as a consequence of their traumata. The importance of computed tomography as a diagnostic procedure is paramount in order to make early diagnosis of this potential life-threatening condition possible.
Assuntos
Diabetes Insípido/etiologia , Sela Túrcica/lesões , Fraturas Cranianas/complicações , Osso Esfenoide/lesões , Adolescente , Adulto , Criança , Osso Etmoide/lesões , Humanos , Masculino , Pessoa de Meia-Idade , Fraturas Cranianas/diagnóstico por imagem , Tomografia Computadorizada por Raios XRESUMO
Tricuspid valve insufficiency following acute myocardial infarction is uncommon. It may be explained by right ventricular papillary muscle dysfunction. We report the case of a patient with acute tricuspid valve incompetence during the acute phase of a left ventricular inferior infarction with right ventricular myocardial involvement. The treatment during the acute phase consisted of volume loading and positive inotropic agents. Seven days later the clinical signs of tricuspid valve insufficiency and concomitant right heart failure had disappeared. To our knowledge transient tricuspid valve insufficiency following acute inferior myocardial infarction has not been reported previously.