RESUMO
BACKGROUND: Buerger's disease is an inflammatory non atheromatous distal arteriopathy affecting mainly young male smokers. There is some controversy about the existence of visceral localisations of the disease. AIM: Report a new case. OBSERVATION: We report the case of a 40-years-old man who developed a Budd Chiari syndrome with thromboses of the right hepatic venous. Later, he presented with rheumatic and distal occlusive arterial manifestations diagnosed as Buerger's disease. CONCLUSION: We underline the fact that digestive manifestations and hepatic involvement are less known and sometimes misdiagnosed.
Assuntos
Síndrome de Budd-Chiari/complicações , Tromboangiite Obliterante/complicações , Adulto , Síndrome de Budd-Chiari/diagnóstico , Artéria Femoral , Veias Hepáticas , Humanos , Masculino , Fumar/efeitos adversos , Tromboangiite Obliterante/diagnósticoRESUMO
The clinical rheumatoid arthritis articular damage (RAAD) score is easy to perform and showed good intraobserver reliability. It correlates well with the Larsen score and disease duration and can be recommended for rheumatoid arthritis patients' follow-up in developing countries.
Assuntos
Artrite Reumatoide/diagnóstico , Artrite Reumatoide/fisiopatologia , Articulações/fisiopatologia , Estudos de Viabilidade , Nível de Saúde , Humanos , Variações Dependentes do Observador , Reprodutibilidade dos Testes , Índice de Gravidade de Doença , Inquéritos e Questionários , Fatores de Tempo , TunísiaRESUMO
Primary liposarcoma of the lung is extremely rare. We report a 28-year-old pregnant woman who complained of dyspnoea during the third trimester. Chest radiography, thoracic ultrasound, CT and MRI showed a huge heterogeneous tumour involving all the left lung and the mediastinum. The tumour was composed of soft tissue, and fatty and cystic components with calcifications. Diagnosis was made on core biopsy under CT guidance. Surgical excision was performed but unfortunately the patient died during the operation.
