RESUMO
Presentamos una paciente afecta de artropatía por pirofosfato cálcico dihidratado, con sintomatología atípica de poliartritis recurrente de más de dos años de evolución y afectación crónica de hombro con artrosis secundaria
A woman with a diagnosis of calcium pyrophosphate dihydrate crystal deposition disease is presented. The picture was atypical with more than two years of recurrent polyarthritis and chronic shoulder involvement with secondary osteoarthritis
Assuntos
Humanos , Feminino , Osteoartrite , Pirofosfato de Cálcio/efeitos adversos , Artropatias , Osteoartrite/etiologia , Artralgia/etiologiaRESUMO
No disponible
Assuntos
Masculino , Pessoa de Meia-Idade , Humanos , Tacrolimo/uso terapêutico , Distrofia Simpática Reflexa/cirurgia , Distrofia Simpática Reflexa , Distrofia Simpática Reflexa/tratamento farmacológico , Prednisona/uso terapêutico , Joelho , Joelho/patologia , Hipertensão/complicações , Causalidade , Doenças Metabólicas , Neuropatias Amiloides/complicaçõesAssuntos
Hemangioma/diagnóstico , Fraturas da Coluna Vertebral/etiologia , Neoplasias da Coluna Vertebral/diagnóstico , Doença Aguda , Idoso , Dor nas Costas/etiologia , Feminino , Hemangioma/complicações , Humanos , Fraturas da Coluna Vertebral/diagnóstico , Neoplasias da Coluna Vertebral/complicaçõesRESUMO
No disponible
Assuntos
Idoso , Feminino , Humanos , Fraturas da Coluna Vertebral , Dor nas Costas , Doença Aguda , Hemangioma , Neoplasias da Coluna VertebralRESUMO
Complete heart block (CHB) is a rare complication of systemic lupus erythematosus (SLE), mainly seen during an acute flare-up of the disease or after high-dose long-term treatment with antimalarial drugs, although anti-Ro and anti-RNP antibodies have also been implied by some authors. A 40-y-old woman developed CHB in the context of an acute flare-up of SLE, first diagnosed three years ago, having recently commenced hydroxychloroquine (HCQ) treatment. Anti-Ro and anti-RNP antibodies were also positive. No features of myocarditis were found. A temporary pacemaker was required and complete resolution was achieved on steroid therapy with withdrawal of antimalarial therapy. The characteristics of previous cases are well publicised and discussion focuses on the possible aetiology and pathogenesis of the present case.
Assuntos
Bloqueio Cardíaco/etiologia , Lúpus Eritematoso Sistêmico/complicações , Adolescente , Adulto , Antirreumáticos/efeitos adversos , Antirreumáticos/uso terapêutico , Feminino , Humanos , Hidroxicloroquina/efeitos adversos , Hidroxicloroquina/uso terapêutico , Lúpus Eritematoso Sistêmico/tratamento farmacológico , Pessoa de Meia-IdadeRESUMO
Lipoma arborescens is a rare intraarticular lesion characterized by diffuse replacement of the subsynovial tissue by mature fat cells, producing villous transformation of the synovium. The etiology of this benign condition is unknown. The most typical site of involvement is the knee, most notably at the suprapatellar pouch, although other joints can be affected. Symptoms consist of gradual joint swelling, variable pain, motion range restriction, and intermittent joint effusions or bleeding. We report a case of lipoma arborescens and discuss the clinical features, diagnosis, and treatment of this disorder based on a literature review. Although it is rare, lipoma arborescens should be included in the differential diagnosis of patients with chronic joint swelling or hemarthrosis.
