Beruflich Dokumente
Kultur Dokumente
Casos Clnicos
Introduccin
Caso clnico
Reportamos el caso de una mujer de 39 aos con antecedentes de psoriasis vulgar leve (menos del 10% de compromiso cutneo) diagnosticada a los 24 aos, sin otras
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Casos Clnicos
Figura 1. Reactivacin
de la psoriasis. Las placas reaparecieron poco
despus de la ciruga.
Placas eritematosas con
finas escamas blanquecinas caractersticas de
la psoriasis.
Discusin
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Casos Clnicos
Agradecimientos
Agradecemos a la Dra. Claudia Campusano, acadmica
del Departamento de Endocrinologa y la Dra. Claudia de
la Cruz, integrante del Departamento de Dermatologa de la
Referencias
1. Lindholm J, Juul S, Jrgensen JO, Astrup J, Bjerre P, FeldtRasmussen U, et al. 2001. Incidence and late prognosis of
Cushings syndrome: a population-based study. J Clin Endocrinol
Metab 86: 117-123.
2. Newell-Price J, Trainer P, Besser M, Grossman A. 1998. The
diagnosis and differential diagnosis of Cushings syndrome and
pseudo-Cushings states. Endocr Rev 19: 647-672.
3. Griffiths CE, Barker JN. 2007. Pathogenesis and clinical features
of psoriasis. Lancet 370: 263-271.
4. Naldi L. 2004. Epidemiology of psoriasis. Curr Drug Targets
Inflamm Allergy.3: 121-128.
5. Schn MP, Boehncke WH. 2005. Psoriasis. N Engl J Med 352:
1899-1912.
6. Gelfand JM, Neimann AL, Shin DB, Wang X, Margolis DJ,
Troxel AB. 2006. Risk of myocardial infarction in patients with
psoriasis. JAMA 296: 1735-1741.
7. Pivonello R, De Martino MC, De Leo M, Tauchmanov L,
Faggiano A, Lombardi G, et al. 2007. Cushings syndrome:
aftermath of the cure. Arq Bras Endocrinol Metabol 51:
1381-1391.
8. Sahli R, Diem P, Christ ER. 2005. Endogenous hypercortisolism
and immunologically-mediated disease: three cases. Dtsch Med
Wochenschr 130: 2316-2318.
9. Walmsey D, Bevan J. 1995. Supression of medical conditions by
Cushings syndrome. BMJ 310: 1537.
10. Arikan E, Guldiken S, Altun BU, Kara M, Tugrul A. 2004.
Exacerbations of Graves disease after unilateral adrenalectomy
for Cushings syndrome. J Endocrinol Invest 27: 574-576.
11. Boscaro M, Arnaldi G. 2009. Approach to the patient with possible
Cushings syndrome. J Clin Endocrinol Metab 94: 3121-3131.
12. Mazzaglia PJ, Vezeridis MP. 2010. Laparoscopic adrenalectomy:
balancing the operative indications with the technical advances. J
Surg Oncol 101: 739-744.
13. Tempark T, Phatarakijnirund V, Chatproedprai S, Watcharasindhu
S, Supornsilchai V, Wananukul S. 2010. Exogenous Cushings
syndrome due to topical corticosteroid application: case report and
review literature. Endocrine 38: 328-334.
14. Colao A, Pivonello R, Faggiano A, Filippella M, Ferone D,
Di Somma C, et al. 2000. Increased prevalence of thyroid
autoimmunity in patients successfully treated for Cushings
disease. Clin Endocrinol (Oxf) 53: 13-19.
15. Brenner M, Molin S, Ruebsam K, Weisenseel P, Ruzicka T,
Prinz JC. 2009. Generalized pustular psoriasis induced by systemic
glucocorticosteroids: four cases and recommendations
for treatment. Br J Dermatol 161: 964-966.
16. Monteleone G, Pallone F, MacDonald TT, Chimenti S,
Costanzo A. 2011. Psoriasis: from pathogenesis to novel
therapeutic approaches. Clin Sci (Lond) 120: 1-11.
17. Murphy G, Reich K. 2011. In touch with psoriasis: topical
treatments and current guidelines. J Eur Acad Dermatol Venereol
25: 3-8.
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