[CIS PIDD] [cis-pidd] dermatomyositis and unexplained sensory disorder

[dmvascon at usp.br]

Dear Wilmer, good evening 

Which is the gender of the patient? 
What about his/her Ig levels and B cell counts? 
Is there any evidence of a CNS viral disease, such as enterovirus? 
Is there any evidence of a secondary immunodeficiency, such as HIV infection? 

Best regards, 

Dewton Vasconcelos 
University of São Paulo School of Medicine 

----- Mensagem original -----


> De: "Wilmer Cordova Calderon" <wilmer.cordova at gmail.com>

> Para: "CIS-PIDD" <cis-pidd at lists.clinimmsoc.org>

> Enviadas: Sábado, 5 de Janeiro de 2013 21:59:13

> Assunto: [cis-pidd] dermatomyositis and unexplained sensory disorder



> 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

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