Paniculitis como manifestación de síndrome febril prolongado en pediatría. Caso clínico

Alexa Puchi Silva, Paulina López Radrigán, Montserrat Zapico Lafuente, Sergio Tapia Carrere, Sergio González Bombardiere

Resultado de la investigación: Article

1 Cita (Scopus)

Resumen

Introduction: Fever of unknown origin (FUO) is defined as fever over 7 to 10 days without a diagnosis despite a complete initial study. The most frequent causes are infections, autoimmune and tumors. Even though most cases are self-limited there is a minority that has an underlying etiology with an ominous forecast, encouraging a systematized study. Objective: To report a rare case of a boy who presented fever of unknown origin associated to panniculitis and was diagnosed of subcutaneous panniculitis-like-T cell lymphoma and to emphasis the importance of a sequential study of FUO, in order to reach a diagnosis in patients who need a timely intervention. Clinical case: A ten year old boy, previously healthy, presented subcutaneous nodular lesions of 2 month of evolution, located in abdominal region and extremities, given few symptoms, associated with prolonged fever. He was hospitalized for proper study, in first instance infectious and immune causes were discarded and through lesions biopsy the diagnose of subcutaneous panniculitis-like-T cell lymphoma was reached. Conclusion: When FUO is diagnosed, most prevalent causes must be discarded. Then, differential diagnosis, such as immune and neoplasic etiologies, have to be considered. If FUO is associated to elemental nodular lesions, biopsy must be indicated early, in order to find potential malignant cases, avoiding therapeutic delay.

Idioma originalSpanish
Páginas (desde-hasta)398-402
Número de páginas5
PublicaciónRevista Chilena de Pediatria
Volumen88
N.º3
DOI
EstadoPublished - 1 may 2017

Huella dactilar

Fever of Unknown Origin
Fever
Panniculitis
Biopsy
Differential Diagnosis
Extremities
Infection
Neoplasms

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Citar esto

Puchi Silva, Alexa ; López Radrigán, Paulina ; Zapico Lafuente, Montserrat ; Tapia Carrere, Sergio ; González Bombardiere, Sergio. / Paniculitis como manifestación de síndrome febril prolongado en pediatría. Caso clínico. En: Revista Chilena de Pediatria. 2017 ; Vol. 88, N.º 3. pp. 398-402.
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abstract = "Introduction: Fever of unknown origin (FUO) is defined as fever over 7 to 10 days without a diagnosis despite a complete initial study. The most frequent causes are infections, autoimmune and tumors. Even though most cases are self-limited there is a minority that has an underlying etiology with an ominous forecast, encouraging a systematized study. Objective: To report a rare case of a boy who presented fever of unknown origin associated to panniculitis and was diagnosed of subcutaneous panniculitis-like-T cell lymphoma and to emphasis the importance of a sequential study of FUO, in order to reach a diagnosis in patients who need a timely intervention. Clinical case: A ten year old boy, previously healthy, presented subcutaneous nodular lesions of 2 month of evolution, located in abdominal region and extremities, given few symptoms, associated with prolonged fever. He was hospitalized for proper study, in first instance infectious and immune causes were discarded and through lesions biopsy the diagnose of subcutaneous panniculitis-like-T cell lymphoma was reached. Conclusion: When FUO is diagnosed, most prevalent causes must be discarded. Then, differential diagnosis, such as immune and neoplasic etiologies, have to be considered. If FUO is associated to elemental nodular lesions, biopsy must be indicated early, in order to find potential malignant cases, avoiding therapeutic delay.",
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Puchi Silva, A, López Radrigán, P, Zapico Lafuente, M, Tapia Carrere, S & González Bombardiere, S 2017, 'Paniculitis como manifestación de síndrome febril prolongado en pediatría. Caso clínico', Revista Chilena de Pediatria, vol. 88, n.º 3, pp. 398-402. https://doi.org/10.4067/S0370-41062017000300014

Paniculitis como manifestación de síndrome febril prolongado en pediatría. Caso clínico. / Puchi Silva, Alexa; López Radrigán, Paulina; Zapico Lafuente, Montserrat; Tapia Carrere, Sergio; González Bombardiere, Sergio.

En: Revista Chilena de Pediatria, Vol. 88, N.º 3, 01.05.2017, p. 398-402.

Resultado de la investigación: Article

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AU - Tapia Carrere, Sergio

AU - González Bombardiere, Sergio

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