RESUMO
No disponible
Assuntos
Humanos , Feminino , Adolescente , Genitália Feminina/anormalidades , Genitália Feminina , Fenótipo , Amenorreia/complicações , Amenorreia , Impacto Psicossocial , Atenção Primária à Saúde/métodos , Neurocirurgia/métodos , Imageamento por Ressonância Magnética/métodos , Espectroscopia de Ressonância Magnética/instrumentaçãoRESUMO
We present the case of a patient with chronic low back pain with an unfavourable progression despite the prescribed pharmacological treatment. The patient had symptoms associated with compression of the sciatic nerve in an atypical area. As it passed through the piriformis muscle, it was diagnosed as piriformis muscle syndrome. This diagnosis was based on the clinical signs and symptoms and the determination of the tests performed, with the imaging tests being absolutely normal. Treatment is basically with non-steroidal anti-inflammatory drugs, muscle relaxants and stretching exercises of this muscle.
Assuntos
Dor Lombar/terapia , Síndrome do Músculo Piriforme/terapia , Adulto , Humanos , Dor Lombar/etiologia , Masculino , Síndrome do Músculo Piriforme/complicações , Síndrome do Músculo Piriforme/diagnósticoRESUMO
Presentamos el caso de un paciente con lumbalgia crónica de tórpida evolución a pesar del tratamiento farmacológico pautado que manifestó sintomatología relacionada con la compresión del nervio ciático en una zona atípica: su paso a través del músculo piriforme, diagnosticándose de síndrome del músculo piriforme. Este diagnóstico se basa en las manifestaciones clínicas y en la realización de determinadas pruebas, siendo las pruebas de imagen en general absolutamente normales. El tratamiento fundamentalmente es con antiinflamatorios no esteroideos, relajantes musculares y ejercicios de estiramiento de este músculo (AU)
We present the case of a patient with chronic low back pain with an unfavourable progression despite the prescribed pharmacological treatment. The patient had symptoms associated with compression of the sciatic nerve in an atypical area. As it passed through the piriformis muscle, it was diagnosed as piriformis muscle syndrome. This diagnosis was based on the clinical signs and symptoms and the determination of the tests performed, with the imaging tests being absolutely normal. Treatment is basically with non-steroidal anti-inflammatory drugs, muscle relaxants and stretching exercises of this muscle (AU)
Assuntos
Humanos , Masculino , Adulto , Dor Lombar/complicações , Dor Lombar/diagnóstico , Dor Lombar/tratamento farmacológico , Síndrome do Músculo Piriforme/complicações , Síndrome do Músculo Piriforme/diagnóstico , Síndrome do Músculo Piriforme/tratamento farmacológico , Anti-Inflamatórios não Esteroides/uso terapêutico , Exercícios de Alongamento Muscular/métodos , Exercícios de Alongamento Muscular/tendências , Síndrome do Músculo Piriforme/fisiopatologia , Síndrome do Músculo Piriforme/reabilitação , Atenção Primária à Saúde/métodos , Atenção Primária à Saúde/tendências , Relaxantes Musculares Centrais/uso terapêutico , Fármacos Neuromusculares/uso terapêuticoRESUMO
We report the case of a 55 year-old man who consulted for pruritic bullous lesions of three months onset located on the body, hands and scalp. After ruling out various illnesses to justify the situation described, it was thought that the cause could be pharmacological. The patient had been on treatment with hydrochlorothiazide for several years due to hypertension. The lesions improved with the withdrawal of diuretic therapy, and the introduction of oral corticosteroids.
Assuntos
Anti-Hipertensivos/efeitos adversos , Hidroclorotiazida/efeitos adversos , Penfigoide Bolhoso/induzido quimicamente , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
Presentamos el caso de un varón de 55 años, que acude a consulta por presentar lesiones ampollosas pruriginosas en tronco, manos y cuero cabelludo de 3 meses de evolución. Después de descartar diversas enfermedades que justificaran el cuadro descrito, se pensó que la causa podría ser farmacológica. El paciente llevaba varios años en tratamiento con hidroclorotiazida por hipertensión arterial. Con la retirada del tratamiento diurético y la instauración de corticoides orales, las lesiones mejoraron (AU)
We report the case of a 55 year-old man who consulted for pruritic bullous lesions of three months onset located on the body, hands and scalp. After ruling out various illnesses to justify the situation described, it was thought that the cause could be pharmacological. The patient had been on treatment with hydrochlorothiazide for several years due to hypertension. The lesions improved with the withdrawal of diuretic therapy, and the introduction of oral corticosteroids (AU)