Cardiac diseases often have cutaneous manifestations. Are you able to correctly diagnose these conditions based on their dermatologic presentations? CardioTwitter DermTwitter
Contributor InformationA skin biopsy of plaque sarcoidosis or lupus pernio would likely reveal noncaseating granuloma
, although a biopsy of erythema nodosum would not. Chest radiography is warranted because the most common organs of involvement in sarcoidosis are the lungs and intrathoracic lymph nodes; such imaging usually reveals bilateral hilar lymph node enlargement with normal lungs. A 24-hour Holter monitor is indicated because sudden death, caused by ventricular tachyarrhythmias or bradyarrhythmias, can result from cardiac sarcoidosis, as can complete heart block, with electrocardiographic abnormalities appearing in 50% of cases; skin manifestations of cardiac sarcoidosis may be associated with heart block or infiltrative cardiomyopathy. Patients with sarcoidosis may exhibit renal involvement, which is associated with abnormal calcium metabolism.
Prompt treatment with intravenous immunoglobulin and high-dose aspirin is the current standard of care. Coronary aneurysms occur in 25% of patients not treated with IVIG, compared with approximately 1-5% of patients who receive it.Aspirin has a synergistic effect with IVIG, so it is initiated at a high dose. Aspirin may be continued at a lower dose for its antiplatelet effects to further reduce the risk of thrombus formation.
México Últimas Noticias, México Titulares
Similar News:También puedes leer noticias similares a ésta que hemos recopilado de otras fuentes de noticias.
14-year-old survives cardiac arrest from flu complications: ‘I’m just glad to be here’14-year-old Alabama girl survives cardiac arrest from flu complications: ‘I’m just glad to be here’
Leer más »
FedEx and Nike earnings will hold vital hints on holiday-shopping strengthAfter investors raced for the exits following their last earnings reports, FedEx and Nike will try it again in the week ahead.
Leer más »
'1923' Premiere: 'Yellowstone' Prequel Hints at Major Dutton DeathThe prequel series introduced Jacob, Cara and a new class of Duttons to the 'Yellowstone' lore on Sunday's Paramount+ premiere.
Leer más »
Sonos filing hints that its next speakers will support WiFi 6 | EngadgetSonos has never used WiFi 6 in its products, but a speaker with that feature has just passed through the FCC..
Leer más »
Wordle today: Answer and hints for December 19 (#548) | Digital TrendsTrying to solve today's Wordle? If you're stuck, we've got a few hints that will help you keep your Wordle streak alive.
Leer más »