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

[Wilmer Cordova Calderon]

thank you Dr. Sorensen I will investigated this and will answer soon


2013/1/6 Sorensen, Ricardo <RSoren at lsuhsc.edu>


>  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>****

>

> 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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> -- ****

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> *Atte *****

>

> Wilmer Córdova****

>

> *Inmunología Alergología*****

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> *Instituto Nacional** de Salud del **Niño - Perú*****

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> 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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