RESUMEN
Small bowel hemangioma is a rare benign tumor in the pediatric population. The usual presentation of these tumors is melena, anemia, or hematochezia. Our case demonstrates the usefulness of Meckel's/Tc-99m pertechnetate scan with single-photon emission computerized tomography/computerized tomography in diagnosing a vascular lesion in the small bowel in a child presenting with melena, unresponsive to medical management. We present a case of incidentally detected jejunal hemangioma during Tc-99m pertechnetate scintigraphy which would help the nuclear medicine physician and surgeon, to be cognizant of this atypical presentation in their clinical practice.
RESUMEN
A seven-months-old girl under treatment for pneumonia presented with generalized edema, decreased urinary output and was found to have hypertension, muco-cutaneous fungal infection and pulmonary hypertension. Investigations revealed that she had heavy proteinuria, hypertriglyceridemia, hypoalbuminemia and elevated levels of free T3 and T4 with suppression of TSH levels in the serum. A diagnosis of autoimmune thyroiditis (AT) in thyrotoxic phase was made on the basis of clinical presentation and presence of anti-TPO antibodies and reduced uptake in thyroid (technetium) scintigraphy. The child responded to carbimazole therapy and propranolol. The case is presented to remind pediatricians about the rare occurrence of auto-immune thyroiditis in infancy with rare complications such as nephrotic syndrome and pulmonary hypertension.
Asunto(s)
Síndrome Nefrótico/complicaciones , Tiroiditis Autoinmune/complicaciones , Carbimazol/uso terapéutico , Femenino , Enfermedad de Hashimoto/complicaciones , Enfermedad de Hashimoto/fisiopatología , Humanos , Hipertiroidismo/complicaciones , Hipertiroidismo/fisiopatología , Hipertrigliceridemia , Hipoalbuminemia , Lactante , Síndrome Nefrótico/fisiopatología , Neumonía/terapia , Propranolol/uso terapéutico , Tecnecio/sangre , Tiroiditis Autoinmune/tratamiento farmacológico , Tiroiditis Autoinmune/fisiopatología , Tirotropina , Triyodotironina/sangreRESUMEN
The association of hypoparathyroidism and ischemic stroke is rare in childhood. We report an interesting case of an 11-year-old girl diagnosed to have hypoparathyroidism and presented with an acute-onset right hemiparesis. Investigations revealed large artery ischemic stroke and uncontrolled hypoparathyroidism. Pediatricians and pediatric neurologists should be aware of this association in view of its potential preventive nature.