RESUMO
Lymphoedema of the upper limbs is a rare extraarticular manifestation of rheumatoid arthritis (RA). Herein we report a patient with RA who presented two episodes of lymphoedema in the hands and forearms coinciding with flares of polyarthritis. Lymphoscintigraphy showed lymphatic-ectasia. The oedema improved with slow-acting drug treatment.
Assuntos
Artrite Reumatoide/diagnóstico por imagem , Linfedema/diagnóstico por imagem , Artrite Reumatoide/complicações , Feminino , Antebraço , Mãos , Humanos , Linfedema/tratamento farmacológico , Linfedema/etiologia , Pessoa de Meia-Idade , Penicilamina/uso terapêutico , CintilografiaRESUMO
A leg bone pain syndrome of unclear etiology has been recently described in renal transplant patients receiving cyclosporine A. Herein we report a 54-year-old woman treated with cyclosporine A (CsA), corticosteroids and azathioprine who developed two months after renal transplantation severe symmetric pain with periarticular soft tissue swelling in the knees and metatarsophalangeal joints. Scintigraphy showed periarticular radionuclide activity. Clinical onset was associated with both the high dosage and with the plasma levels of CsA. Symptoms improved when the dosage of CsA was reduced and the plasma levels declined to less than 150 ng/ml.
Assuntos
Ciclosporina/efeitos adversos , Transplante de Rim , Dor/etiologia , Distrofia Simpática Reflexa/induzido quimicamente , Feminino , Humanos , Joelho/diagnóstico por imagem , Ossos do Metatarso/diagnóstico por imagem , Pessoa de Meia-Idade , Cintilografia , EspanhaRESUMO
Relapsing polychondritis is a rare disease characterized by recurrent inflammatory lesions involving cartilaginous structures, the eyes, the ears and the cardiovascular system. Valvar insufficiency represents the most common of the cardiac abnormalities and appears in 8 percent of patients. We describe two patients having relapsing polychondritis with cardiac involvement. One of them required valvar substitution and died 6 months after surgery.
Assuntos
Insuficiência da Valva Aórtica/etiologia , Estenose da Valva Aórtica/etiologia , Policondrite Recidivante/complicações , Humanos , MasculinoAssuntos
Infecções por HIV/complicações , Doenças Reumáticas/etiologia , Síndrome da Imunodeficiência Adquirida/complicações , Artrite Infecciosa/etiologia , Artrite Psoriásica/etiologia , Artrite Reativa/etiologia , Artrite Reumatoide/etiologia , Autoanticorpos/análise , Feminino , Infecções por HIV/imunologia , Humanos , Inibidor de Coagulação do Lúpus/análise , Masculino , Doenças Musculares/etiologia , Síndrome de Sjogren/etiologiaAssuntos
Artrite/diagnóstico , Neoplasias da Mama/complicações , Carcinoma/complicações , Fasciite/diagnóstico , Recidiva Local de Neoplasia/complicações , Síndromes Paraneoplásicas/diagnóstico , Artrite/etiologia , Fasciite/etiologia , Feminino , Mãos , Humanos , Pessoa de Meia-Idade , Síndromes Paraneoplásicas/etiologiaRESUMO
BACKGROUND: Psychiatric disorders are commonly associated with systemic lupus erythematosus (SLE). Some authors consider that these disorders can be associated with cognitive impairment. OBJECTIVES: The objectives of this study were to establish the particular prevalence of psychiatric disorders in these patients and to investigate the relationship between psychiatric disorders, cognitive impairment, life quality, psychological status and adjustment to illness. MATERIAL AND METHODS: A cross-sectional study is reported of 46 spanish patients with systemic lupus erythematosus (SLE) attending the outpatients clinics of the Internal Medicine and Rheumatology Departments at a University Hospital. The following instruments were used: a Structured Clinical Interview for DSM-III-R, the Nottingham Health Profile, the Symptom Check-List 90-Revised, the Psychological Adjustment to Illness Scale and the Integrated Program of Neuropsychological Assessment Test-Barcelona. RESULTS: The prevalence of psychiatric disorders at interview was 33%. The most common diagnoses were affective disorders and psycho-organic syndrome. Affective disorders were associated with a poorer life quality, number of hospitalizations and psychiatric background. Adjustment to illness accounted for the psychologic status of the patients.