Miocardiopatia, insuficiência cardíaca e hanseníase tuberculóide reacional
Autor(a) principal: | |
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Data de Publicação: | 1989 |
Outros Autores: | |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Hansenologia Internationalis (Online) |
Texto Completo: | https://periodicos.saude.sp.gov.br/hansenologia/article/view/36499 |
Resumo: | 60-years-old woman was admitted with congestive hear th failure, essential hyper tension and abdominal distension. Her son repor ted that she appeared with red spots in the body and that she vas under dapsone therapy. Seven months ago there was sudden increase of the skin lesions. In the Ilth day after admission she underwent a stroke that progressed to descerebration and she expired on the four th day. Autopsy confirmed CHF due to chronic myocardi tis related to Chagas'disease. Aneurysm of the api cal region of the lef t vent r icular chamber was also observed leading to thrombosis and systemic embolism with brain and spleen hemor rhagic infarc t. In the encephalous there was edema, uncus herniat ion and hemor rhagic infarct of the brain stem. The skin lesions were due to reactional tuberculoid hanseniasis (RHT) wi th focal les ions in ax i l lary l inphonodes , nasophar ingeal mucosa and in the pos ter ior t ibial nerve. The pathogenesis of RHT is discussed as well as its differentiation with the BT group of Ridley and Jopl ing and it s probably relat ionship with the secondary tuberculoid hanseniasi s repor ted by Ridley. The focal les ions are al so di scus sed wi th END to the involvement of a peripheral nerve trunk what is said to be uncommon in this form os Hansen's disease. |
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Miocardiopatia, insuficiência cardíaca e hanseníase tuberculóide reacionalHanseníase tuberculóide reacionalMiocardiopatiaInsuficiência cardíacaReactional tuberculoid hanseniasisMyocardiopathyHeart failure60-years-old woman was admitted with congestive hear th failure, essential hyper tension and abdominal distension. Her son repor ted that she appeared with red spots in the body and that she vas under dapsone therapy. Seven months ago there was sudden increase of the skin lesions. In the Ilth day after admission she underwent a stroke that progressed to descerebration and she expired on the four th day. Autopsy confirmed CHF due to chronic myocardi tis related to Chagas'disease. Aneurysm of the api cal region of the lef t vent r icular chamber was also observed leading to thrombosis and systemic embolism with brain and spleen hemor rhagic infarc t. In the encephalous there was edema, uncus herniat ion and hemor rhagic infarct of the brain stem. The skin lesions were due to reactional tuberculoid hanseniasis (RHT) wi th focal les ions in ax i l lary l inphonodes , nasophar ingeal mucosa and in the pos ter ior t ibial nerve. The pathogenesis of RHT is discussed as well as its differentiation with the BT group of Ridley and Jopl ing and it s probably relat ionship with the secondary tuberculoid hanseniasi s repor ted by Ridley. The focal les ions are al so di scus sed wi th END to the involvement of a peripheral nerve trunk what is said to be uncommon in this form os Hansen's disease.Uma senhora de 60 anos de idade foi internada no Hospital com sinais e sintomas de insuficiência cardíaca congestiva (ICC), hiper tensão arterial e distenção abdominal. Os familiares relatam que desde cerca de 14 meses a paciente vem apresentando manchas vermelhas pelo corpo, estando em tratamento com sulfona. Há 7 meses houve aumento súbito das lesões. No 119 dia de internação desenvolveu acidente vascular cerebral, que evoluiu com piora progressiva, descerebração, tendo falecido no 49 dia após o ictus. A autópsia confirmou ICC tendo como causa principal miocardite crônica, fortemente sugestiva de miocardite chagásica. Observouse aneurisma de ponta do ventrículo esquerdo com trombose e embolização sistêmica levando á infartos esplênicos e cerebrais. No encéfalo havia intenso edema, hérnia de uncus e infarto hemorrágico do tronco cerebral. 0 diagnóstico das lesões cutâneas foi de hanseníase tuberculóide reacional (HTR), observando-se também lesões tuberculóides focais em linfonodos axilares, mucosa nasofaringea e nervo tibial posterior. Discute-se a patogenia da HTR, sua diferenciação com o subgrupo dimor fo-tuberculóide (BT da classificação de Ridley e Jopling) e sua provável identidade com a hanseníase tuberculóide secundária referida por Ridley. Também são analisadas as outras localizações contendo lesões especificas com ênfase ao comprometimento de tronco nervoso periférico, considerada uma manifestação pouco comum na HTR.Instituto Lauro de Souza Lima da Secretaria de Estado da Saúde de São Paulo1989-11-30info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionAvaliado pelos paresapplication/pdfhttps://periodicos.saude.sp.gov.br/hansenologia/article/view/3649910.47878/hi.1989.v14.36499Hansenologia Internationalis: leprosy and other infectious diseases; Vol. 14 No. 2 (1989); 120-128Hansenologia Internationalis: hanseníase e outras doenças infecciosas; v. 14 n. 2 (1989); 120-1281982-5161reponame:Hansenologia Internationalis (Online)instname:Instituto Lauro de Souza Lima (ILSL)instacron:ILSLporhttps://periodicos.saude.sp.gov.br/hansenologia/article/view/36499/34786https://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessOpromolla, Diltor Vladimir AraújoFLEURY, Raul Negrão2023-11-13T18:54:03Zoai:ojs.periodicos.saude.sp.gov.br:article/36499Revistahttps://periodicos.saude.sp.gov.br/hansenologiaPRIhttps://periodicos.saude.sp.gov.br/hansenologia/oaihansen_int@ilsl.br || hansenologia.internationalis@gmail.com || periodicossp@saude.sp.gov.br1982-51610100-3283opendoar:2023-11-13T18:54:03Hansenologia Internationalis (Online) - Instituto Lauro de Souza Lima (ILSL)false |
dc.title.none.fl_str_mv |
Miocardiopatia, insuficiência cardíaca e hanseníase tuberculóide reacional |
title |
Miocardiopatia, insuficiência cardíaca e hanseníase tuberculóide reacional |
spellingShingle |
Miocardiopatia, insuficiência cardíaca e hanseníase tuberculóide reacional Opromolla, Diltor Vladimir Araújo Hanseníase tuberculóide reacional Miocardiopatia Insuficiência cardíaca Reactional tuberculoid hanseniasis Myocardiopathy Heart failure |
title_short |
Miocardiopatia, insuficiência cardíaca e hanseníase tuberculóide reacional |
title_full |
Miocardiopatia, insuficiência cardíaca e hanseníase tuberculóide reacional |
title_fullStr |
Miocardiopatia, insuficiência cardíaca e hanseníase tuberculóide reacional |
title_full_unstemmed |
Miocardiopatia, insuficiência cardíaca e hanseníase tuberculóide reacional |
title_sort |
Miocardiopatia, insuficiência cardíaca e hanseníase tuberculóide reacional |
author |
Opromolla, Diltor Vladimir Araújo |
author_facet |
Opromolla, Diltor Vladimir Araújo FLEURY, Raul Negrão |
author_role |
author |
author2 |
FLEURY, Raul Negrão |
author2_role |
author |
dc.contributor.author.fl_str_mv |
Opromolla, Diltor Vladimir Araújo FLEURY, Raul Negrão |
dc.subject.por.fl_str_mv |
Hanseníase tuberculóide reacional Miocardiopatia Insuficiência cardíaca Reactional tuberculoid hanseniasis Myocardiopathy Heart failure |
topic |
Hanseníase tuberculóide reacional Miocardiopatia Insuficiência cardíaca Reactional tuberculoid hanseniasis Myocardiopathy Heart failure |
description |
60-years-old woman was admitted with congestive hear th failure, essential hyper tension and abdominal distension. Her son repor ted that she appeared with red spots in the body and that she vas under dapsone therapy. Seven months ago there was sudden increase of the skin lesions. In the Ilth day after admission she underwent a stroke that progressed to descerebration and she expired on the four th day. Autopsy confirmed CHF due to chronic myocardi tis related to Chagas'disease. Aneurysm of the api cal region of the lef t vent r icular chamber was also observed leading to thrombosis and systemic embolism with brain and spleen hemor rhagic infarc t. In the encephalous there was edema, uncus herniat ion and hemor rhagic infarct of the brain stem. The skin lesions were due to reactional tuberculoid hanseniasis (RHT) wi th focal les ions in ax i l lary l inphonodes , nasophar ingeal mucosa and in the pos ter ior t ibial nerve. The pathogenesis of RHT is discussed as well as its differentiation with the BT group of Ridley and Jopl ing and it s probably relat ionship with the secondary tuberculoid hanseniasi s repor ted by Ridley. The focal les ions are al so di scus sed wi th END to the involvement of a peripheral nerve trunk what is said to be uncommon in this form os Hansen's disease. |
publishDate |
1989 |
dc.date.none.fl_str_mv |
1989-11-30 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Avaliado pelos pares |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://periodicos.saude.sp.gov.br/hansenologia/article/view/36499 10.47878/hi.1989.v14.36499 |
url |
https://periodicos.saude.sp.gov.br/hansenologia/article/view/36499 |
identifier_str_mv |
10.47878/hi.1989.v14.36499 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://periodicos.saude.sp.gov.br/hansenologia/article/view/36499/34786 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Instituto Lauro de Souza Lima da Secretaria de Estado da Saúde de São Paulo |
publisher.none.fl_str_mv |
Instituto Lauro de Souza Lima da Secretaria de Estado da Saúde de São Paulo |
dc.source.none.fl_str_mv |
Hansenologia Internationalis: leprosy and other infectious diseases; Vol. 14 No. 2 (1989); 120-128 Hansenologia Internationalis: hanseníase e outras doenças infecciosas; v. 14 n. 2 (1989); 120-128 1982-5161 reponame:Hansenologia Internationalis (Online) instname:Instituto Lauro de Souza Lima (ILSL) instacron:ILSL |
instname_str |
Instituto Lauro de Souza Lima (ILSL) |
instacron_str |
ILSL |
institution |
ILSL |
reponame_str |
Hansenologia Internationalis (Online) |
collection |
Hansenologia Internationalis (Online) |
repository.name.fl_str_mv |
Hansenologia Internationalis (Online) - Instituto Lauro de Souza Lima (ILSL) |
repository.mail.fl_str_mv |
hansen_int@ilsl.br || hansenologia.internationalis@gmail.com || periodicossp@saude.sp.gov.br |
_version_ |
1796797581639024640 |