RESUMO
The case of a 57-year-old male diagnosed as having Budd-Chiari syndrome secondary to a polycythemia vera, which produced a thrombosis of the suprahepatic veins as a first manifestation, is presented. The rarity of this clinical case and the rapidly lethal evolution of the patient, confirms the bad prognosis of this association.
Assuntos
Síndrome de Budd-Chiari/diagnóstico , Policitemia Vera/diagnóstico , Síndrome de Budd-Chiari/etiologia , Humanos , Masculino , Pessoa de Meia-Idade , Policitemia Vera/complicações , PrognósticoRESUMO
Polymyositis is an acute or chronic inflammatory myopathy, being its association with malignancy object of controversy. We report a case of a young male patient, in whom the presence of brain metastases and polymyositis were the initial manifestation of a neoplasm of unknown origin, fact rarely described in literature.
Assuntos
Neoplasias Encefálicas/secundário , Neoplasias Primárias Desconhecidas/complicações , Polimiosite/etiologia , Adulto , Neoplasias Encefálicas/patologia , Evolução Fatal , Humanos , Masculino , Neoplasias Primárias Desconhecidas/patologiaRESUMO
Two patients affected by thrombotic thrombocytopenic purpura (TTP) are treated with plasmapheresis, fresh frozen plasma infusion, steroid and inhibitors of platelet aggregation with an impaired final stage: the first patient died during a plasmapheresis session and the other had a good evolution, obtaining complete recovery, maintained a year later. We discuss the clinical features and highlight the needs for early treatment with all the latest therapies.
Assuntos
Púrpura Trombocitopênica Trombótica/terapia , Adulto , Feminino , Humanos , Pessoa de Meia-Idade , Fatores de TempoRESUMO
Medical problems related to cocaine consumption are not rare in our environment; however, to this respect, descriptions in the spanish literature are scarce. We present three cases of intracerebral hemorrhage which occurred after cocaine consumption (intranasal route in two cases and intravenous route in one case). In the three cases, another associated risk factor was observed (alcohol in one case, hypertension in other case, arteriovenous malformation in the third case). We comment on the pathophysiological theories of the cause of bleeding, high-lighting the routine search of this association.
Assuntos
Hemorragia Cerebral/etiologia , Cocaína , Transtornos Relacionados ao Uso de Substâncias/complicações , Adulto , Hemorragia Cerebral/fisiopatologia , Humanos , MasculinoRESUMO
We present 13 cases taken care at the Emergency Service, whose diagnosis was acute rhabdomyolysis related to consumption of illicit drugs. In all cases, the presence of cocaine in the urine was detected. Clinical features, other associated factors and complications are described, stressing the etiopathogenic mechanism of presentation of cocaine-related rhabdomyolysis.