RESUMEN
Pneumatosis cystoides intestinalis (PCI), characterized by presence of intramural gas cyst in the intestinal wall is associated with various medical condition. Polymyosistis, however, is rarely associated with PCI. Few cases are reported in the world, and none has not been reported previously in Korea. A 67-year-old woman with polymyositis developed mild abdominal pain and abdominal distension during treatment with steroid and azathioprine. Radiographic findings including CT scan showed intraperitoneal free gas and intramural air, compatible with PCI. The patient's symptom and clinical findings improved after the treatment with antibiotics and high-dose oxygen therapy.
Asunto(s)
Neumatosis Cistoide Intestinal/diagnóstico , Polimiositis/diagnóstico , Anciano , Antibacterianos/uso terapéutico , Antiinflamatorios/uso terapéutico , Azatioprina/uso terapéutico , Cefotaxima/uso terapéutico , Femenino , Humanos , Terapia por Inhalación de Oxígeno , Neumatosis Cistoide Intestinal/complicaciones , Neumatosis Cistoide Intestinal/tratamiento farmacológico , Polimiositis/complicaciones , Polimiositis/tratamiento farmacológico , Prednisolona/uso terapéutico , Radiografía Abdominal , Tomografía Computarizada por Rayos XRESUMEN
Takotsubo cardiomyopathy is a condition caused by intense emotional or physical stress leading to rapid and severe reversible cardiac dysfunction. The etiology and mechanism of this disease are unknown. Thyroid hormone has many effects on the heart and vascular system. There were some reports of Takotsubo cardiomyopathy with hyperthyroidism, especially Grave's disease. We report a patient who presented chest pain and cardiac arrest, and finally diagnosed as Takotsubo cardiomyopathy caused by iatrogenic thyrotoxicosis.