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

[Wilmer Cordova Calderon]

the sex: Females
there is not evidence of enterovirus infection and VIH
the inmunoglobulins no have results now and dont have B cells count
thanks Dr. Vasconcelos
I'm suspecting a peripheral neuromuscular involvement and the patient is
better than 3 weeks ago


2013/1/5 <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

>

>

> ------------------------------

>

> *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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>



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

---
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