RESUMEN
INTRODUCTION: We report an observation of Kimura's disease (angiolymphoid hyperplasia with eosinophilia) in a Black patient from West Indies, in a rare localisation on hard palate. EXEGESIS: A 46-year-old male patient from French West Indies (Martinique) presented with a tumor of hard palate evolving from 2 years with locoregional lymph nodes. He had a history of chronic urticaria, prurigo, rhinitis and alopecia areata. Pathological examination of the tumor was consistent with the diagnosis of Kimura's disease. Blood tests showed hypereosinophilia, elevation of IgG and IgE. The serology of Toxocara canis with Western blott was positive. Corticosteroid therapy (0.7 mg/kg/d) and albendazole (800 mg/d) allowed regression of the tumor, lymph nodes, and urticaria. The remaining tumor was surgically excised. CONCLUSION: Kimura's disease was first described in Japanese young men, between 20 and 40 years old, with subcutaneous nodules on head and neck area. Involvement of oral mucosa is rare, and the occurence in West Indian patients has been rarely reported.
Asunto(s)
Hiperplasia Angiolinfoide con Eosinofilia/diagnóstico , Hiperplasia Angiolinfoide con Eosinofilia/parasitología , Paladar Duro , Toxocara canis , Toxocariasis/complicaciones , Albendazol/uso terapéutico , Hiperplasia Angiolinfoide con Eosinofilia/sangre , Hiperplasia Angiolinfoide con Eosinofilia/terapia , Animales , Antihelmínticos/uso terapéutico , Antiinflamatorios/uso terapéutico , Biopsia , Población Negra , Terapia Combinada , Diagnóstico Diferencial , Eosinófilos , Humanos , Inmunoglobulina E/sangre , Inmunoglobulina G/sangre , Recuento de Leucocitos , Masculino , Martinica , Persona de Mediana Edad , Esteroides , Toxocariasis/tratamiento farmacológicoRESUMEN
The Thiersch technique for treatment of rectal prolapsus has been largely abandoned because the metallic or non-resorbable wire is poorly tolerated and non-extensible. Silastic can fulfil these requirements and was used in 11 patients, including two who underwent reoperations. Good results were obtained in 9. This technique is simple and can be proposed when the general status of the patient does not allow surgical cure of the prolapsus.
Asunto(s)
Canal Anal/cirugía , Prolapso Rectal/cirugía , Procedimientos Quirúrgicos Operativos/métodos , Anciano , Anciano de 80 o más Años , Animales , Cricetinae , Femenino , Estudios de Seguimiento , Humanos , Masculino , Persona de Mediana Edad , Elastómeros de Silicona , Procedimientos Quirúrgicos Operativos/efectos adversosRESUMEN
Spontaneous rupture of the oesophagus is uncommon and is difficult to diagnose in the early stage. Clinical signs are lacking or incomplete, causing a delay in diagnosis and therapy which requires both intensive medical care and surgery. The surgical procedure depends on the time lapse to diagnosis. We report a case diagnosed 16 days after rupture in which directed fistulization led to complete healing.