[CIS PIDD] Fwd:

[Wilmer Cordova Calderon]

Best regards Dear Dr. Colleagues
I have a patient 15 year old
with  diagnostic:

   1. Dermatomyositis and fast evolution
   2. Pancreatitis complicated cyst (post surgery)
   3. Central Cateter Venous infected (fever)
   4. Unexplained sensory disorder

without biopsy

Treatment

   1. Dexamethazone 25mg/dia
   2. Nutrition by nasogastric sonda
   3. Paracethamol

Problema unresolved is about

   1. unexplained sensory disorder


   -
   - Pan angiography without evidence of impaired cerebral
   - CT and MR with mild cerebral atrophy of white matter no signs of
   vasculitis
   - Electromyography with signs of peripheral denervation

What would be your suggestions and review of the case?
Thanking in advance for your attention--

-- 
*Atte *
Wilmer Córdova
*Inmunología Alergología*
*Instituto Nacional de Salud del Niño - Perú*
http://www.isn.gob.pe



-- 
*Atte *
Wilmer Córdova
*Inmunología Alergología*
*Instituto Nacional de Salud del Niño - Perú*
http://www.isn.gob.pe
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