RESUMO
An 18-year-old man with past medical history of secondary arterial hypertension diagnosed at age 15 presented with an abdominal magnetic resonance imaging (MRI) that exhibited left renal artery stenosis.
Assuntos
Obstrução da Artéria Renal , Infarto do Miocárdio com Supradesnível do Segmento ST , Arterite de Takayasu , Masculino , Humanos , Adolescente , Infarto do Miocárdio com Supradesnível do Segmento ST/diagnóstico , Infarto do Miocárdio com Supradesnível do Segmento ST/etiologia , Arterite de Takayasu/complicações , Arterite de Takayasu/diagnóstico , Constrição Patológica , Artéria Renal/diagnóstico por imagem , Obstrução da Artéria Renal/diagnóstico , Obstrução da Artéria Renal/etiologiaRESUMO
Tuberous sclerosis (TS) is a multisystem neurocutaneous disorder with an autosomal dominant pattern of inheritance. It is characterized by hamartomas that damage the skin, kidneys, lungs, heart, and central nervous system, among other organs. Rhabdomyomas, benign tumors of aberrant myocytes, are common in affected patients at birth. Depending on their size and location, these lesions might create valvopathies, which can cause heart failure or malignant arrhythmias, or they can cause obstruction of the outlet or inlet tract. Before making the diagnosis, a long time-even years-often passes. Early diagnosis can help prevent permanent irreversible complications. Differential diagnoses may include neurofibromatosis type 1, Sturge-Weber syndrome, and von Hippel-Lindau disease, among others. Diagnostic aids, such as MRI, CT scans, and genetic testing, can be useful in confirming a diagnosis of TS. Histological findings may include the presence of hamartomas, which are benign tumors composed of abnormal cells. Treatment for TS is mainly supportive and may involve medications to manage symptoms, and surgery to remove tumors. We present the case of a 23-year-old woman with TS who was admitted with macroscopic hematuria and fever, with further workup revealing tumor-like cardiac lesions associated with infective endocarditis.
RESUMO
Se realiza una revisión del tema choque hipovolémico, haciendo énfasis en los cambios fisiopatológicos que se suceden en cada sistema y las manifestaciones clínicas que se generan como consecuencia de dichos cambios. Además se presenta un esquema de tratamiento, basados principalmente en la reposición del espacio vascular mediante las diferentes soluciones de coloides y cristaloides disponibles en la actualidad.
Assuntos
Humanos , Coloides , Hipovolemia , ChoqueRESUMO
Se presenta un caso de dermatopolimiositis de 3 meses de evolucion en un paciente de sexo masculino, de 55 anos de edad. Se comenta la evolucion, resultados de los examenes paraclinicos y la respuesta al tratamiento durante la hospitalizacion
