RESUMO
INTRODUCTION: False positive beta-human Chorionic Gonadotropin (hCG) results can lead to unnecessary life-threatening interventions. This article describes two clinical cases of false positive beta-hCG results that lead to unnecessary treatments. In one case the erroneous and unnecessary treatment caused a life-threatening complication. In cases where there is no correlation between the clinical manifestations, imaging and laboratory tests, and there is a suspicion of false positive beta-hCG result, there is a need to repeat the urine and blood beta-hCG analysis, if possible using a different assay method. These tests will raise the possibility of a correct indication for a false positive beta-hCG, thus avoiding unnecessary treatments and their complications.
Assuntos
Gonadotropina Coriônica Humana Subunidade beta/análise , Reações Falso-Positivas , Gonadotropina Coriônica , Humanos , Procedimentos DesnecessáriosRESUMO
Pustular psoriasis of pregnancy is a rare entity. Clinically, it is characterized by an acute eruption of erythematous plaques studded with pustules during the third trimester. It may be localized or may spread to become generalized. The rash may be accompanied by constitutional symptoms and followed by complications such as sepsis, tetany secondary to hypocalcemia, placental insufficiency, and fetal morbidity and mortality. Therefore, early diagnosis and treatment are important. We present a case report of a patient who responded to corticosteroids and a review of the literature.