Asunto(s)
Humanos , Femenino , Anciano de 80 o más Años , Enfermedades de la Piel , Aumento de la Célula , AbdomenRESUMEN
OBJECTIVE: To report two new cases of IgG4-related retroperitoneal fibrosis, a recently described pathology. METHODS: We analyze two cases diagnosed in our center and performed a literature review. RESULT: IgG4 related disease is a recently described entity that includes previously not related pathologies. The clinical manifestations are highly variable and its presentation is usually subacute. The treatment of choice is glucocorticoids. In our first case the outcome was favorable with corticosteroids and azathioprine. However, the second case required surgery on 2 occasions with radical nephrectomy. The diagnosis of the latter was made nine years after the onset of symptoms when the biopsy was reviewed; at that moment immunosuppressive therapy was not started. CONCLUSIONS: It is very important to know and diagnose this disease because of the good response to treatment that prevents complications.
Asunto(s)
Inmunoglobulina G , Fibrosis Retroperitoneal/inmunología , Adulto , Anciano , Femenino , Humanos , Masculino , Fibrosis Retroperitoneal/diagnóstico , Fibrosis Retroperitoneal/terapiaRESUMEN
Los trastornos de la conducción son un fenómeno poco frecuente de la endocarditis infecciosa y se asocia a un aumento de la mortalidad. Presentamos el caso de un paciente con bloqueo cardiaco completo como debut de una endocarditis infecciosa...
Conduction abnormalities are a rare phenomenon in Infective Endocarditis; and they are usually associated with an increase in mortality. We present the case of a patient with complete heart block as the debut of Infective Endocarditis...