The Differential Algorithm between Rheumatologic and Malign Diseases
نویسندگان
چکیده
OBJECTIVE The aim of this study is to determine the differential algorithm between rheumatism and malignant diseases. For every pediatrician, to be warned when attending joint pain and child arthralgia and prevent and treat within time malignant diseases. METHODS Our case presented in Pediatric Clinic, was referred by Regional Hospital of Ferizaj with suspected diagnose of Febris Rheumatica and Arthralgia. The main complaint was joint pain. Initially the patient was admitted at Cardiology and Rheumatology department. Then after examinations was referred to Hemato-Oncology department. Hospitalized during the period from 12.12.2014 to 18.01.2015. RESULTS Bone marrow biopsy as terminal diagnostic tool reviled severe malignant hematologic disease, which was masked by clinical and lab findings as Febris Rheumatica. CONCLUSION Arthralgia as one of child's often complain, should have a special attention paid to, as it might be a warning sign for a lot of diseases. Steroid treatment should not be used before final diagnose of the disease and before rolling out hematologic etiology with peripheral blood smear.
منابع مشابه
Subclinical Atherosclerosis in Children with Rheumatologic Diseases in Minia Children University Hospital, Egypt
Background: Patients with rheumatologic diseases have higher rates of cardiovascular disease. Accelerated atherosclerosis and early coronary artery disease have become important causes of death and hospitalization in those patients which may be attributed to metabolic changes in lipids. We aimed to clarify the cardiovascular risk in children with juvenile idiopathic arthritis (JRA), and systemi...
متن کاملRoles for paraoxonase but not ceruloplasmin in peritoneal washing fluid in differential diagnosis of gynecologic pathologies.
BACKGROUND Intraperitoneal spread of gynecologic cancers is a major cause of mortality and morbidity and often presents with malignant ascites. Microscopic tumor spread can be demonstrated by a peritoneal wash cytology and help assess the prognosis of the disease. In our study, the roles of paraoxonase and ceruloplasmin, measured in peritoneal washing fluid of patients operated for gynecologic ...
متن کاملH Syndrome Masquerade as Rheumatologic Disease
Background H syndrome is an autosomal recessive genodermatosis with a low prevalence which is caused by a mutation in SLC29A3 gene. This disorder is characterized by sclerotic, hyperpigmented, hypertrichotic cutaneous plaques with systemic involvement including: hepatosplenomegaly, heart anomalies, hearing loss, hypogonadism, low height, and hyperglycemia. Case Presentation Here we have pres...
متن کاملtransformer differential protection using the fault-generated high-frequency transient components
Power transformers are the most important components of a power system, so their protection is a critical issue. This paper proposes a novel and efficient algorithm based on the high-frequency components of the differential current signal to discriminate between the magnetizing inrush currents and the internal faults. After detecting the over-current in the differential current signals, samples...
متن کاملPrimary tuberculosis of the breast.
Primary tuberculosis of the breast is a rare disease. Mammographic, sonographic, and computed tomographic features of a case of primary tuberculosis in the breast are presented. Differential diagnosis with other benign and malign diseases of the breast can be difficult with imaging methods. In endemic areas, tuberculosis should be considered in the differential diagnosis of breast tumors.
متن کامل