RESUMO
A 19-year-old woman is presented with high-spiking fever, pericardial tamponade and respiratory failure. A diagnosis of adult onset Still's disease was made. This is a rare inflammatory disease with an unknown aetiology. The diagnosis is made by exclusion and with the help of diagnostic criteria. Treatment with corticosteroids met with a good response.
Assuntos
Febre/diagnóstico , Derrame Pericárdico/diagnóstico , Corticosteroides/uso terapêutico , Adulto , Diagnóstico Diferencial , Feminino , Febre/tratamento farmacológico , Humanos , Derrame Pericárdico/tratamento farmacológico , Insuficiência Respiratória/diagnóstico , Insuficiência Respiratória/tratamento farmacológico , Doença de Still de Início Tardio/diagnóstico , Doença de Still de Início Tardio/tratamento farmacológicoRESUMO
A female patient aged 45 years is described with a rare form of chondrocalcinosis caused by hypomagnesaemia due to excessive renal loss of magnesium. The patient also had impaired renal conservation of potassium leading to a hypokalemia. She most probably had an idiopathic renal tubular dysfunction. Magnesium supplementation prevented further symptoms. Therefore in young patients with chondrocalcinosis it can be of therapeutic importance to search for an underlying treatable metabolic disorder.