Pancreatitis and acute appendicitis as a complication in a patient with mixed connective tissue disease
DOI:
https://doi.org/10.5281/zenodo.2579296Keywords:
acute abdomen, acute appendicitis, quality of life, autoimmune disease, mixed connective tissue disease, acute pancreatitisAbstract
Introduction: mixed connective tissue disease is a condition that includes clinical manifestations of various rheumatic diseases. It is characterized above all by the presence of affectation in all organs and organ systems of the human body. Complications related to the digestive system have been identified as one of the most frequent. Pancreatitis and appendicitis usually occur in isolation, but when presented in unison, they complicate the evolution of the patient even more.Objective: to present the clinical, laboratory and imaging elements that make it possible to reach the diagnosis of appendicitis and pancreatitis in a patient with mixed connective tissue disease.
Clinical case: the case of a 29-year-old patient with a diagnosis of mixed connective tissue disease of 3 years of evolution is presented, which is referred to the emergency service with clinical, laboratory and imaging elements that allow to reach the diagnosis of a appendicitis and pancreatitis of joint presentation.
Conclusions: Mixed connective tissue disease is a systemic disease that presents with a wide variety of clinical manifestations and complications. Acute processes such as appendicitis and pancreatitis pose an added danger and a triggering factor in the activity of the disease.
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References
Petti Marcos, Malamud Patricia, Morandi Valeria, Gutiérrez Gabriela, Rivas Juan, Angiono Lucas et al. Aplicación de un algoritmo para la detección de hipertensión arterial pulmonar en pacientes con enfermedad del tejido conectivo. Rev. am. med. respir. [Internet]. 2016 [citado 2018 Dic 21];16(3): 221-8. Disponible en: http://www.scielo.org.ar/scielo.php?script=sci_arttext&pid=S1852-236X2016000300003&lng=es
Saldarriaga Rivera LM, Delgado Quiroz LA, Ríos Gomes Bica BE. Enfermedad Indiferenciada del Tejido Conectivo asociada a deficiencia de IgG2 e IgG4. Rev Cuba Reumatol [Internet]. 2014 [citado 2018 Dic 26];16(1). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1817-59962014000100008&lng=es
Martínez-Bario J, Lara V, López Longo FJ. Hechos y controversias en la enfermedad mixta del tejido conectivo. Medicina Clínica [Internet]. 2018 [citado 2018 Dic 26];150(1):26-32. Disponible en: https://www.sciencedirect.com/science/article/pii/S0025775317305882
Lescoat A, Jégo P, Perdriger A. Enfermedad mixta del tejido conjuntivo o síndrome de Sharp. EMC-Aparato locomotor [Internet]. 2016 [citado 2018 Dic 21];49(2):1-13. Disponible en: https://www.sciencedirect.com/science/article/pii/S1286935X16782402
Solis-Cartas U, De-Armas-Hernández A, Amador-García D. Queratitis Herpética y Dermatopolimiositis, una asociación peligrosa. Revista Cubana de Reumatología [revista en Internet]. 2014 [citado 2018 Dic 16];16(1):[aprox. 0 p.]. Disponible en: http://www.revreumatologia.sld.cu/index.php/reumatologia/article/view/300
García González J, Olivas Vergara O, Pablos Álvarez JL. Enfermedad mixta del tejido conectivo y síndromes de solapamiento. Medicine-Programa de Formación Médica Continuado Acreditado [Internet]. 2017 [citado 2018 Dic 20];49(2):1-13. Disponible en: https://www.sciencedirect.com/science/article/pii/S0304541217300045
Guerra Montero L, Ortega Alvarez F, Marquez Teves M, Asato Higa C, Sumire Umeres J. Síndrome de superposición: hepatitis autoinmune y colangitis autoinmune. Rev. gastroenterol. Perú [Internet]. 2016 [citado 2018 Dic 23];36(1):77-80. Disponible en: http://www.scielo.org.pe/scielo.php?script=sci_arttext&pid=S1022-51292016000100011&lng=es
Bunchorntavakul C, Reddy KR. Diagnosis and management of overlap syndromes. Clin Liver Dis. 2015:19(1);81-97.
Alberti ML, Paulin F, MateosToledo H, Fernández ME, Matías Caro F, Rojas-Serrano J, et al. Enfermedad indiferenciada del tejido conectivo y enfermedad pulmonar intersticial: intentando definir patrones. Reumatología Clínica [Internet]. 2018 [citado 2018 Dic 22];14(2):75-80. Disponible en: https://www.sciencedirect.com/science/article/pii/S1699258X16301516
Garra V, Danese N, Rebella M, Cairoli E. Capilaroscopía en el diagnóstico de las enfermedades autoinmunes sistémicas. Revista Médica del Uruguay. 2012;28(2):89-99.
Prada-Hernández D, Hernández-Torres C, Gómez-Morejón J, Gil-Armenteros R, Reyes-Pineda Y, Solis-Carta U, Molinero-Rodríguez C. Evaluación de la calidad de vida relacionada con la salud en pacientes con artritis reumatoide en el Centro de Reumatología. Rev Cubana de Reumatol [Internet]. 2014 [citado 2018 Dic 7];17(1):[aprox. 12 p.]. Disponible en: http://www.revreumatologia.sld.cu/index.php/reumatologia/article/view/385
Solis Cartas U, Muñoz Balbín M, Choca Alcocer E. Enfermedad de Behçet y embarazo. A propósito de un caso. Rev haban cienc méd [Internet]. 2016 [citado 2018 Dic 26];15(6):927-33. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1729-519X2016000600008&lng=es
Petti M, Malamud P, Morandi V, Gutiérrez G, Rivas J, Angiono L et al. Aplicación de un algoritmo para la detección de hipertensión arterial pulmonar en pacientes con enfermedad del tejido conectivo. Rev. am. med. respir. [Internet]. 2016 [citado 2018 Dic 19];16(3):221-8. Disponible en: http://www.scielo.org.ar/scielo.php?script=sci_arttext&pid=S1852-236X2016000300003&lng=es
Tani Ch, Carli L, Vagnania S, Talarico R, Baldini Ch, Mosca M, et al. The diagnosis and classification of mixed connective tissue disease. Reumatología Clínica. 2017;13(1):23-32.
Quadrelli S, Otaola M, Tabaj G, Aguirre R, Bosio M, Chertcoff J. Supervivencia en pacientes con neumonía intersticial usual en contexto de fibrosis pulmonar idiopática y enfermedad del tejido conectivo. Rev. am. med. respir. [Internet]. 2015 [citado 2018 Dic 21];15(1):36-50. Disponible en: http://www.scielo.org.ar/scielo.php?script=sci_arttext&pid=S1852-236X2015000100007&lng=es
Abumohor P. Enfermedades del tejido conectivo: Importancia del diagnóstico precoz. Rev. Médica Clínica Los Condos. [Internet]. 2012 [citado 2018 Dic 21];23(4):391-400. Disponible en: https://www.sciencedirect.com/science/article/pii/S0716864012703309
Quadrelli S, Dubinsky D, Alvarez S. ¿Hay un rol para los agentes biológicos en el tratamiento de la patología pulmonar intersticial asociada a enfermedades del tejido conectivo?. Rev. am. med. respir. [Internet]. 2016 [citado 2018 Dic 30];16(1):56-63. Disponible en: http://www.scielo.org.ar/scielo.php?script=sci_arttext&pid=S1852-236X2016000100007&lng=es
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