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Titolo:
McDuffie hypocomplementemic urticarial vasculitis. Two cases and review ofthe literature
Autore:
El Maghraoui, A; Abouzahir, A; Mahassine, F; Tabache, F; Bezza, A; Ghafir, D; Ohayon, V; Archane, MI;
Indirizzi:
Hop Mil Instruct Mohamed V, Serv Med B, Rabat, Morocco Hop Mil Instruct Mohamed V Rabat Morocco V, Serv Med B, Rabat, Morocco
Titolo Testata:
REVUE DE MEDECINE INTERNE
fascicolo: 1, volume: 22, anno: 2001,
pagine: 70 - 74
SICI:
0248-8663(200101)22:1<70:MHUVTC>2.0.ZU;2-W
Fonte:
ISI
Lingua:
FRE
Soggetto:
SYSTEMIC-LUPUS-ERYTHEMATOSUS; COLLAGEN-LIKE REGION; JACCOUDS-SYNDROME; DISEASE; THERAPY;
Keywords:
McDuffle syndrome; systemic urticaria; urticarial vasculitis;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
29
Recensione:
Indirizzi per estratti:
Indirizzo: El Maghraoui, A Hop Mil Instruct Mohamed V, Serv Med B, Rabat, Morocco HopMil Instruct Mohamed V Rabat Morocco Rabat, Morocco
Citazione:
A. El Maghraoui et al., "McDuffie hypocomplementemic urticarial vasculitis. Two cases and review ofthe literature", REV MED IN, 22(1), 2001, pp. 70-74

Abstract

Introduction. - Hypocomplementemic urticarial vasculitis (HUV) described by McDuffie is a rare entity recently individualized among vasculitis. We report two new cases. Exegesis. - Case 1: a 41-year-old woman presented in 1994 with inflammatory polyarthralgia, diffuse urticaria, fever, and weight loss. Biology showedproteinuria, positive rheumatoid factor with hypocomplementemia and negative immunological tests. Skin and renal biopsies showed leukocytoclastic vasculitis and extramembranous glomerulopathy, respectively Outcome within steroid therapy was marked by alternating clinical improvement and relapses. Case 2: a 39-year-old woman presented in 1994 with inflammatory polyarthritis, diffuse urticaria, Raynaud phenomenon, cough and dyspnea. Chest x-rays and CT scan showed interstitial fibrosis and echocardiography revealed pericarditis. Biology showed positive rheumatoid factor with hypocomplementemia and negative antinuclear antibodies. Skin biopsy showed leukocytoclastic vasculitis. Corticosteroids and cyclophosphamide improved the patient's condition. McDuffie HUV is a disease with varied systemic manifestations Its existence is still contested by some authors. Treatment is still empirical anddepends on the clinical features. It is based primarily on corticosteroids. Conclusion. - McDuffie HUV is a defensible entity among urticarial vasculitis because of ifs particular clinical and biological features. (C) 2001 Editions scientifiques et medicales Elsevier SAS.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 04/12/20 alle ore 19:18:52