Asunto(s)
Lesiones del Hombro , Artrografía , Humanos , Inestabilidad de la Articulación/diagnóstico , Imagen por Resonancia Magnética , Osteoartritis/diagnóstico , Cintigrafía , Manguito de los Rotadores/diagnóstico por imagen , Lesiones del Manguito de los Rotadores , Hombro/diagnóstico por imagen , Tendinopatía/diagnóstico , Tomografía Computarizada por Rayos X , UltrasonografíaAsunto(s)
Amiloidosis/complicaciones , Hipergammaglobulinemia/complicaciones , Enfermedades del Mediastino/complicaciones , Anciano , Amiloidosis/patología , Diagnóstico Diferencial , Femenino , Humanos , Inmunoglobulina G/análisis , Cadenas kappa de Inmunoglobulina/análisis , Ganglios Linfáticos/patología , Enfermedades del Mediastino/patologíaAsunto(s)
Hepatitis Crónica/etiología , Lupus Eritematoso Sistémico/complicaciones , Corticoesteroides/uso terapéutico , Adulto , Antitrombinas/aislamiento & purificación , Ciclofosfamida/uso terapéutico , Femenino , Estudios de Seguimiento , Hepatitis Crónica/patología , Humanos , Hígado/patología , Lupus Eritematoso Sistémico/tratamiento farmacológico , Persona de Mediana Edad , Vasculitis/etiología , Trastornos de la Visión/etiologíaRESUMEN
The authors report their experience of Horton's disease in 47 histologically confirmed cases treated between 1966 and 1979. The symptomatology is recalled with the incidence of the various clinical and biochemical signs. The actuarial survival curve shows a 71.2 p. cent three year and a 61 p. cent five year survival rate. There was no statistically significant difference at three years with a control population. The duration of maintenance therapy was, on average, of 24.8 months, never less than 15 months and sometimes reaching 60 months. The average maintenance dose was 12 mg. Specific and non-specific complications are discussed. The incidence of refractory and cortico-dependent forms shows that the optimal treatment for this disease has yet to be found; the often brilliant initial results of corticotherapy do not reflect its long-term efficacy.
Asunto(s)
Arteritis de Células Gigantes/diagnóstico , Adulto , Anciano , Femenino , Arteritis de Células Gigantes/complicaciones , Humanos , Masculino , Persona de Mediana Edad , Pronóstico , Estudios Retrospectivos , Factores de TiempoRESUMEN
The superior vena cava syndrome is an exceptionally rare complication of endocavitary cardiac pacing, asymptomatic venous thrombosis being much more common. Two cases wee observed as late complications of pacemaker implantation. In the first case the clinical signs regressed with the development of a collateral circulation under heparin therapy after failure of fibrinolytic drugs. In the second one, the severity of the superior vena cava syndrome and the poor quality of the collateral circulation led to the implantation of a Gore-Tex prosthesis. This surgical bypass led to a rapid and complete regression of the clinical signs. It would seem to be a valuable alternative when anticoagulant therapy fails.
Asunto(s)
Estimulación Cardíaca Artificial/efectos adversos , Trombosis/etiología , Vena Cava Superior , Humanos , Masculino , Persona de Mediana Edad , SíndromeAsunto(s)
Adenocarcinoma/complicaciones , Endocarditis/complicaciones , Neoplasias Pancreáticas/complicaciones , Adenocarcinoma/secundario , Infarto Cerebral/etiología , Humanos , Neoplasias Hepáticas/secundario , Masculino , Persona de Mediana Edad , Infarto del Miocardio/etiología , Infarto del Bazo/etiologíaRESUMEN
Two cases are reported of popliteal cysts simulating sural phlebitis, one in a patient with lupus, the other during the course of rheumatoid arthritis. Diagnosis is based upon the following signs: sudden onset of pain, sometimes after effort, and in the knee rather than in the calf, and more especially ecchymosis occurring in the internal supramalleolar region. The decision as to whether anticoagulant treatment should be instituted must be based on the certitude of the diagnosis, and this can be obtained in an atraumatic manner by ultrasonography of the popliteal fossa as shown by iconography.
Asunto(s)
Articulación de la Rodilla , Flebitis/diagnóstico , Quiste Sinovial/diagnóstico , Ultrasonografía , Adulto , Bursitis/diagnóstico , Diagnóstico Diferencial , Femenino , Humanos , Persona de Mediana EdadRESUMEN
PIP: The authors report on a case of hip osteonecrosis caused by lupus which necessitated a complete hip prosthesis. 3 years after the intervention, on the occasion of an induced abortion done without preventive antibiotic therapy, a severe infection of the prosthesis was noted, complicated by streptococcal bacteriosis. Being that lupus is very sensitive to all forms of infection, it is important to take all possible precautions to avoid secondary infections, which are common among people who wear prostheses, and which usually develop years after initial surgery.^ieng