[CIS PIDD] BEVACIZUMAB?

[Wilmer Cordova Calderon]

Dear collegues
This is a child history. Someone have experience in lymphangiomatosis and
Bevacizumab treatment?
I will thanks your suggestions

MEDICAL HISTORY
I. CURRENT REPORT and Disease:
T.E: 9 months. Home: Insidious. Course: Progressive.
Male patient, 6 years
is 9 months before admission so insidious and progressive course coughing,
feeling heat rise, hemoptysis, and "difficulty breathing"
January 2012 pericardial effusion, pleural mass is done drain and start
specific treatment for tuberculosis.
Join the operating room where the evidence "anterior mediastinal tumor
dependent Timo"
Hemangioma pathology concludes ..
June (06/29/12) hemoptysis and pleural effusion, pericardial massive
hemo-compatible Chylothorax etiology to be determined. During
hospitalization culture and smear negative, specific treatment is stopped
for TB.
She began therapy with pulses of methylprednisolone, hydroxychloroquine
with dramatic improvement of the pleural effusion, and hemoptysis.

II. BACKGROUND:
Denied, Hospitalizations: Deny, Surgeries: Deny, Transfusions: denies.
Family: healthy.

IV. CURRENT PHYSICAL EXAM:
W: 20kg, HR: 116 bpm, RR: 24 rpm, T 36.8 ° C
Slight decrease in Mv bases, few rhonchi.
Abd: globular, Rha (+), b / d, does not impress pain, liver span of 6 cm,
spleen not palpable.

V. CURRENT DIAGNOSTICS:
Diffuse pulmonary lymphangiomatosis
CHRONIC malnourished.

VI. CURRENT THERAPEUTIC:
Hydroxychloroquine.
Methylprednisolone.
Propranolol.
-- 
*Atte *
Wilmer Córdova
*Inmunología Alergología*
*Instituto Nacional de Salud del Niño - Perú*
http://www.isn.gob.pe
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