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

[Sorensen, Ricardo]

Could this fit a form of IgG4 disease? Try to check the IgG4 level. If it is high, our chief of Rheumatology in Medicine, Luis Espinosa is Peruvian and an expert in IgG disease. I could put you in touch with him.

Ricardo Sorensen

From: Wilmer Cordova Calderon [mailto:wilmer.cordova at gmail.com]
Sent: Sunday, January 06, 2013 6:08 AM
To: CIS-PIDD
Subject: Re: [cis-pidd] dermatomyositis and unexplained sensory disorder

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<mailto: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<mailto:wilmer.cordova at gmail.com>>
Para: "CIS-PIDD" <cis-pidd at lists.clinimmsoc.org<mailto: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<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<http://www.isn.gob.pe/>

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