Miocardiopatia, insuficiência cardíaca e hanseníase tuberculóide reacional

Detalhes bibliográficos
Autor(a) principal: Opromolla, Diltor Vladimir Araújo
Data de Publicação: 1989
Outros Autores: FLEURY, Raul Negrão
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.
id ILSL-1_e76c89156279251d5bc1d81a06c56606
oai_identifier_str oai:ojs.periodicos.saude.sp.gov.br:article/36499
network_acronym_str ILSL-1
network_name_str Hansenologia Internationalis (Online)
repository_id_str
spelling 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