Assuntos
Calcinose/diagnóstico , Lúpus Eritematoso Sistêmico/complicações , Administração Oral , Corticosteroides/administração & dosagem , Corticosteroides/uso terapêutico , Adulto , Calcinose/diagnóstico por imagem , Calcinose/etiologia , Fármacos Dermatológicos/administração & dosagem , Fármacos Dermatológicos/uso terapêutico , Feminino , Humanos , Hidroxicloroquina/administração & dosagem , Hidroxicloroquina/uso terapêutico , Lúpus Eritematoso Sistêmico/diagnóstico , Lúpus Eritematoso Sistêmico/tratamento farmacológico , Lúpus Eritematoso Sistêmico/fisiopatologia , Imageamento por Ressonância Magnética , Fatores de Tempo , Tomografia Computadorizada por Raios XRESUMO
Cardiac tIssue is a very rare localization for benign lipoma. Interseptal lipoma and lipomatous hypertrophy of the interatrial septum are two distinguished entities. We report the case of a 58-year-old patient who developed lipomatous hypertrophy of the interatrial septum which was revealed by arrhythmia. Diagnosis was suspected at magnetic resonance imaging and was confirmed intraoperatively and histologically.
Assuntos
Arritmias Cardíacas/etiologia , Neoplasias Cardíacas/diagnóstico , Neoplasias Cardíacas/cirurgia , Lipoma/diagnóstico , Lipoma/cirurgia , Biópsia , Evolução Fatal , Neoplasias Cardíacas/patologia , Humanos , Hipertrofia , Lipoma/patologia , Imageamento por Ressonância Magnética , Masculino , Pessoa de Meia-IdadeRESUMO
Although rare, the possibility of pituitary tuberculoma should be considered in the diagnosis of non-pituitary intrasellar masses, especially in an endemic area and if radiologic imaging shows pituitary stalk thickening. We describe the case of a 52-year-old patient who presented tuberculous meningitis complicated by a pituitary abscess. He was treated with antituberculous drugs. The follow-up MRI 16 and 48 months later showed the decreased size of the pituitary mass. Radiological features and a review of the literature of pituitary tuberculoma are briefly discussed.
Assuntos
Abscesso/complicações , Abscesso/diagnóstico , Doenças da Hipófise/complicações , Doenças da Hipófise/diagnóstico , Tuberculoma/complicações , Tuberculoma/diagnóstico , Tuberculose Meníngea/complicações , Tuberculose Meníngea/diagnóstico , Abscesso/tratamento farmacológico , Antituberculosos/uso terapêutico , Humanos , Masculino , Pessoa de Meia-Idade , Doenças da Hipófise/tratamento farmacológico , Tuberculoma/tratamento farmacológico , Tuberculose Meníngea/tratamento farmacológicoRESUMO
Gardner's syndrome is an autosomal dominant condition characterized by multiple colorectal polyposis associated with various soft and hard tissue tumors. We report a case of adrenal adenoma in a 37-year-old woman with Gardner's syndrome. Although extraintestinal neoplasms, particularly adrenal lesions, are a rare association, an increased awareness is important.
Assuntos
Adenoma/complicações , Neoplasias das Glândulas Suprarrenais/complicações , Síndrome de Gardner/complicações , Adulto , Feminino , HumanosRESUMO
OBJECTIVES: We present a case report of Rosai-Dorfman disease with multiple extranodal involvement and favorable outcome after steroid therapy. MATERIAL AND METHODS: Rosai-Dorfman disease was diagnosed in a 17-year-old man with orbital, lacrymal, and rhinopharyngeal localizations. Histopathologic examination of lymphadenopathy biopsy revealed the diagnostic of Rosai-Dorfman disease. We present the histological findings leading to diagnosis and radiological data. RESULTS: Conservative treatment with oral steroids resulted in the resolution of cervical lymphadenopathy and extranodal lesions. The patient was free of problems nine mouths after discontinuation of his treatment, demonstrating its efficacy and safety. CONCLUSION: Rosai-Dorfman disease is a benign disorder and steroid treatment must be initiated in cases with significant cosmetic deformity.
Assuntos
Histiocitose Sinusal/complicações , Doenças Nasofaríngeas/etiologia , Doenças Orbitárias/etiologia , Adolescente , Histiocitose Sinusal/diagnóstico , Humanos , Masculino , Doenças Nasofaríngeas/diagnóstico , Doenças Orbitárias/diagnósticoRESUMO
Lymphocytic hypophysitis is a rare inflammatory disease of the pituitary gland which may be related to an autoimmune process. Only twenty cases are reported in male. Patients usually present with symptoms of an expanding intrasellar mass or varying degrees of hypopituitarism. Most of the cases are misconsidered preoperatively as pituitary adenomas. We report a case of lymphocytic hypophysitis which has occurred at a 37-year-old-man.
