Systemic lupus erythematosus and Hashimoto's thyroiditis in a female patient.Case presentation
Introduction: Autoimmune diseases are chronic, rare conditions based on immunocomplex deposition, which cause a progressive inflammatory process. The association between two or more of these diseases constitutes rare cases. Hashimoto's thyroiditis is an endocrine disease of autoimmune origin th...
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| Format: | Article |
| Language: | English |
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Universidad de Ciencias Médicas de Granma
2022-02-01
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| Series: | Revista Científica Estudiantil 2 de Diciembre |
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| Online Access: | http://revdosdic.sld.cu/index.php/revdosdic/article/view/234 |
| _version_ | 1819048193539702784 |
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| author | Diana Esperanza Monet Alvarez Angel Miguel Aguiar Gonzalez Julia Tamara Álvarez Cortes Virgen Yaneisi Gross Ochoa |
| author_facet | Diana Esperanza Monet Alvarez Angel Miguel Aguiar Gonzalez Julia Tamara Álvarez Cortes Virgen Yaneisi Gross Ochoa |
| author_sort | Diana Esperanza Monet Alvarez |
| collection | DOAJ |
| description | Introduction: Autoimmune diseases are chronic, rare conditions based on immunocomplex deposition, which cause a progressive inflammatory process. The association between two or more of these diseases constitutes rare cases. Hashimoto's thyroiditis is an endocrine disease of autoimmune origin that can sometimes coexist with rheumatic autoimmune diseases, including rheumatoid arthritis and systemic lupus erythematosus.
Case Presentation: we present the case of a female patient with a history of bronchial asthma since birth and Hashimoto's thyroiditis (TSH: 100 IU/ml and A-TPO: 478.8 IU/ml) since January 2019, who presents with amenorrhea and one month after treatment with levothyroxine (125 mg daily) is diagnosed with mitral prolapse without organic repercussions so far. She presents joint disorders (pain, calcifications, hypertrophy, synovial fluid effusion), renal disorders (hematuria, proteinuria and leukocyte casts), malar erythema and arterial hypertension due to renal damage. She was diagnosed with systemic lupus erythematosus and treatment with prednisone 10 mg daily (2 tablets of 5mg) and chloroquine 1 tablet daily was decided.
Conclusions: this case is interesting because it demonstrates the need for knowledge of autoimmune diseases, their symptomatology and adequate treatment, in order not to confuse the disease with other nosological entities and to be able to make an adequate diagnosis at an early stage, since autoimmune processes can cause severe symptoms if they are not diagnosed and treated in a timely manner, so the clinical method, based on an adequate interrogation and an exhaustive physical examination, is of vital importance. |
| first_indexed | 2024-12-21T11:12:22Z |
| format | Article |
| id | doaj.art-cbc3118e788e420ba8fd9a78e3df6ff9 |
| institution | Directory Open Access Journal |
| issn | 2788-6786 |
| language | English |
| last_indexed | 2024-12-21T11:12:22Z |
| publishDate | 2022-02-01 |
| publisher | Universidad de Ciencias Médicas de Granma |
| record_format | Article |
| series | Revista Científica Estudiantil 2 de Diciembre |
| spelling | doaj.art-cbc3118e788e420ba8fd9a78e3df6ff92022-12-21T19:06:02ZengUniversidad de Ciencias Médicas de GranmaRevista Científica Estudiantil 2 de Diciembre2788-67862022-02-0151e234e23498Systemic lupus erythematosus and Hashimoto's thyroiditis in a female patient.Case presentationDiana Esperanza Monet Alvarez0Angel Miguel Aguiar Gonzalez1Julia Tamara Álvarez Cortes2Virgen Yaneisi Gross Ochoa3Universidad de Ciencias Médicas de Santiago de Cuba. Facultad de Medicina No. 1Universidad de Ciencias Médicas de Villa Clara, Facultad de Ciencias Médicas de Sagua la Grande, Villa Clara.Universidad de Ciencias Médicas de Santiago de Cuba, Facultad de Medicina No. 2, Policlínico docente Ramón López Peña, Santiago de CubaUniversidad de Ciencias Médicas de Santiago de Cuba, Facultad de Medicina No. 1, Santiago de CubaIntroduction: Autoimmune diseases are chronic, rare conditions based on immunocomplex deposition, which cause a progressive inflammatory process. The association between two or more of these diseases constitutes rare cases. Hashimoto's thyroiditis is an endocrine disease of autoimmune origin that can sometimes coexist with rheumatic autoimmune diseases, including rheumatoid arthritis and systemic lupus erythematosus. Case Presentation: we present the case of a female patient with a history of bronchial asthma since birth and Hashimoto's thyroiditis (TSH: 100 IU/ml and A-TPO: 478.8 IU/ml) since January 2019, who presents with amenorrhea and one month after treatment with levothyroxine (125 mg daily) is diagnosed with mitral prolapse without organic repercussions so far. She presents joint disorders (pain, calcifications, hypertrophy, synovial fluid effusion), renal disorders (hematuria, proteinuria and leukocyte casts), malar erythema and arterial hypertension due to renal damage. She was diagnosed with systemic lupus erythematosus and treatment with prednisone 10 mg daily (2 tablets of 5mg) and chloroquine 1 tablet daily was decided. Conclusions: this case is interesting because it demonstrates the need for knowledge of autoimmune diseases, their symptomatology and adequate treatment, in order not to confuse the disease with other nosological entities and to be able to make an adequate diagnosis at an early stage, since autoimmune processes can cause severe symptoms if they are not diagnosed and treated in a timely manner, so the clinical method, based on an adequate interrogation and an exhaustive physical examination, is of vital importance.http://revdosdic.sld.cu/index.php/revdosdic/article/view/234enfermedades autoinmunesautoinmunidadlupus eritematoso sistémicotiroiditis de hashimototiroiditis autoinmune. |
| spellingShingle | Diana Esperanza Monet Alvarez Angel Miguel Aguiar Gonzalez Julia Tamara Álvarez Cortes Virgen Yaneisi Gross Ochoa Systemic lupus erythematosus and Hashimoto's thyroiditis in a female patient.Case presentation Revista Científica Estudiantil 2 de Diciembre enfermedades autoinmunes autoinmunidad lupus eritematoso sistémico tiroiditis de hashimoto tiroiditis autoinmune. |
| title | Systemic lupus erythematosus and Hashimoto's thyroiditis in a female patient.Case presentation |
| title_full | Systemic lupus erythematosus and Hashimoto's thyroiditis in a female patient.Case presentation |
| title_fullStr | Systemic lupus erythematosus and Hashimoto's thyroiditis in a female patient.Case presentation |
| title_full_unstemmed | Systemic lupus erythematosus and Hashimoto's thyroiditis in a female patient.Case presentation |
| title_short | Systemic lupus erythematosus and Hashimoto's thyroiditis in a female patient.Case presentation |
| title_sort | systemic lupus erythematosus and hashimoto s thyroiditis in a female patient case presentation |
| topic | enfermedades autoinmunes autoinmunidad lupus eritematoso sistémico tiroiditis de hashimoto tiroiditis autoinmune. |
| url | http://revdosdic.sld.cu/index.php/revdosdic/article/view/234 |
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