Coexistencia entre polimiositis y enfermedad de Castleman; presentación de un caso.

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Published: Nov 18, 2015
DOI: https://doi.org/10.23878/medicina.v19i1.632
Keywords:
hiperplasia de ganglio linfático gigante, ganglios linfáticos, miositis. giant lymph node hyperplasia, lymph nodes, myositis.

Main Article Content

Antonio Wong
Hospital Juarez de México
http://orcid.org/0000-0003-3752-2307
Rosa Barbosa Cobos
Hospital Juarez de México
Cristina Cuesta Mejias
Karla Campozano Vásquez
Universidad Católica de Santiago de Guayaquil

Abstract

La coexistencia entre la enfermedad de Castleman y polimiopatia inflamatoria idiopática es poco conocida por cuanto existe pocos casos referentes a estas dos patologías juntas. Las características histopatológicas de los nódulos linfáticos asociados en estas dos entidades son similares, haciendo su diferenciación más difícil. La resolución quirúrgica del tumor conlleva, en la mayoría de casos a la mejoría de las manifestaciones autoinmunes, aunque en ciertos casos, el uso de glucocorticoides, radioterapia, quimioterapia y tratamiento biológicos pueden ser usados cuando la opción quirúrgica no es suficiente. Se propone como parte de la fisiopatología de la enfermedad de Castleman, compartida en ciertas enfermedades autoinmunes, la inmunoactivación celular asociada con niveles altos de interleukina 6 y otros reactantes de fase aguda, así como ciertos procesos infecciosos como el virus de inmunodeficiencia adquirida y el virus del Epstein-Barr. Se presenta el caso de una mujer de 17 años con diagnóstico de enfermedad de Castleman variante hialino vascular y polimiositis.

Article Details

How to Cite
1.
Wong A, Barbosa Cobos R, Cuesta Mejias C, Campozano Vásquez K. Coexistencia entre polimiositis y enfermedad de Castleman; presentación de un caso. Rev. Med. UCSG [Internet]. 2015 Nov. 18 [cited 2024 Nov. 22];19(1):39-44. Available from: https://editorial.ucsg.edu.ec/ojs-medicina/index.php/ucsg-medicina/article/view/632
Issue
Vol. 19 No. 1 (2015)
Section
Reporte de Casos
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This work is licensed under a Creative Commons Attribution 4.0 International License.

Author Biographies

Antonio Wong, Hospital Juarez de México

Departamento de reumatología, médico tratante

Rosa Barbosa Cobos, Hospital Juarez de México

Jefa departamento reumatología

 

Cristina Cuesta Mejias

Médica adscrita departamento de anatomia patológica

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