Caso Clínico/Case Report
Serosite tuberculosa em portadora de lúpus eritematoso sistémico – Relato de caso e revisão de literatura
Tuberculous serositis in patient with systemic lupus erythematosus – Case report and literature review
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Fragoso, I. Correia, P. Campos, M.J. Palhano, R. Sotto-Mayor, A. Bugalho de Almeida" "autores" => array:6 [ 0 => array:2 [ "nombre" => "E." "apellidos" => "Fragoso" ] 1 => array:2 [ "nombre" => "I." "apellidos" => "Correia" ] 2 => array:2 [ "nombre" => "P." "apellidos" => "Campos" ] 3 => array:2 [ "nombre" => "M.J." "apellidos" => "Palhano" ] 4 => array:2 [ "nombre" => "R." "apellidos" => "Sotto-Mayor" ] 5 => array:2 [ "nombre" => "A." "apellidos" => "Bugalho de Almeida" ] ] ] ] ] "idiomaDefecto" => "pt" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0873215915301677?idApp=UINPBA00004E" "url" => "/08732159/0000001500000004/v1_201509151451/S0873215915301677/v1_201509151451/pt/main.assets" ] "pt" => array:15 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Caso Clínico/Case Report</span>" "titulo" => "Serosite tuberculosa em portadora de lúpus eritematoso sistémico – Relato de caso e revisão de literatura" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "721" "paginaFinal" => "727" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "João Cláudio Barroso Pereira" "autores" => array:1 [ 0 => array:3 [ "nombre" => "João Cláudio Barroso" "apellidos" => "Pereira" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "af0005" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:3 [ "entidad" => "Médico Tisiologista do Serviço de Atendimento Especializado da SMS-Belford Roxo, Médico do CRA-DIP do Hospital Municipal Nelson de SÁ Earp e do Programa de Controle da Tuberculose da SMS-Petrópolis – Rio de Janeiro Brasil" "etiqueta" => "1" "identificador" => "af0005" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Tuberculous serositis in patient with systemic lupus erythematosus – Case report and literature review" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2008-06-12" "fechaAceptado" => "2009-02-18" "PalabrasClave" => array:2 [ "pt" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palavras-chaves" "identificador" => "xpalclavsec570227" "palabras" => array:3 [ 0 => "Serosite" 1 => "lúpus eritematoso sistémico" 2 => "tuberculose extrapulmonar" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key-words" "identificador" => "xpalclavsec570226" "palabras" => array:3 [ 0 => "Serositis" 1 => "systemic lupus erythematosus" 2 => "extra-pulmonary tuberculosis" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "pt" => array:2 [ "titulo" => "Resumo" "resumen" => "<span id="as0005" class="elsevierStyleSection elsevierViewall"><p id="sp0005" class="elsevierStyleSimplePara elsevierViewall">Trata-se de um relato de caso de uma doente jovem que preencheu critérios para diagnóstico de LES, segundo a Associação Americana de Reumatologia. A doente apresentava febre, anemia, artrite, cilindrúria, positividade para células LE e presença de anticorpos antinuclear. Ela evoluiu com derrame pleural bilateral e derrame pericárdico que ambos, inicialmente, foram atribuídos ao lúpus. Visto que manteve febre baixa, sudorese, emagrecimento e persistência da serosite, foi submetida a toracocentese que revelou pleurite crónica granulomatosa, diagnosticando tuberculose. Uma pericardiocentese foi realizada. Após início da terapia com fármacos antituberculosos, houve regressão do quadro de serosite. São discutidos alguns conceitos relacionados com ambas as doenças, como os sintomas, os diagnósticos e as situações pertinentes tanto ao lúpus como à tuberculose. É ressaltada a necessidade de um diagnóstico e tratamento da tuberculose doença nos portadores de lúpus, o mais precoce possível, principalmente em áreas endémicas para a tuberculose.</p><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2009; XV (4): 721-727</span></p></span>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span id="as0010" class="elsevierStyleSection elsevierViewall"><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall">It is a case report of young female that had diagnostic criteria of Systemic Lupus Erithematosus in activity, according American Rheumatology Association. The patient had fever, anemia, arthritis, cellular casts, positive LE cells, positive antinuclear antibody. She has evolved to bilateral pleural effusion and pericardic effusion that both have been initially attributed to lupus. Due to she has also maintained low fever, sudoresis, loss of weight and a persistent serositis, a thoracocenthesis with pleural biopsy has been done and the result of it has revealed granulomatous chronic pleuritis, diagnosticing pleural tuberculosis. A pericardiocenthesis has also been done. After six months of anti-tuberculosis therapy, there was a regression of radiologic imaging. Some concepts referring to tuberculosis and systemic lupus erythematosus are discussed, including symptons, diagnosis and specific situations. It is emphasized the necessity of early diagnosis and appropriate management of tuberculosis disease in lupic patients, in areas where tuberculosis is endemic.</p><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2009; XV (4): 721-727</span></p></span>" ] ] "lecturaRecomendada" => array:1 [ 0 => array:3 [ "vista" => "all" "titulo" => "<span class="elsevierStyleSectionTitle" id="st0025">Bibliografia</span>" "seccion" => array:1 [ 0 => array:2 [ "vista" => "all" "bibliografiaReferencia" => array:18 [ 0 => array:3 [ "identificador" => "bb0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Pesquisa de hemoglobinopatias e talassemias em doentes portadores de lúpus eritematoso sistémico" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "F.S. Castro" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:1 [ "fecha" => "2005" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bb0010" "etiqueta" => "2." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Tuberculosis in patients with systemic lupus erythematosus" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "P.H. Feng" 1 => "T.H. Tan" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Annals of the Rheumatic Diseases" "fecha" => "1982" "volumen" => "41" "paginaInicial" => "11" "paginaFinal" => "14" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7065724" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bb0015" "etiqueta" => "3." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Tuberculosis in patients with systemic lupus erythematosus" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "C. Balakrishnan" 1 => "G. Mangat" 2 => "G. Mittal" 3 => "V.R. Joshi" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "Journal of the Association of Physians of India" "fecha" => "1988" "volumen" => "46" "numero" => "8" "paginaInicial" => "682" "paginaFinal" => "683" "itemHostRev" => array:3 [ "pii" => "S0190962211008097" "estado" => "S300" "issn" => "01909622" ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bb0020" "etiqueta" => "4." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The 1982 revised criteria for the classification of systemic lupus erythematosus" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "A. 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Bonfá" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Rev Bras Reumatol" "fecha" => "2002" "volumen" => "42" "numero" => "6" "paginaInicial" => "362" "paginaFinal" => "370" ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bb0035" "etiqueta" => "7." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Critères de classification: mode d`emploi pour lê diagnostic de lupus systémique" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "O. Meyer" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Revue du Rheumatism" "fecha" => "2005" "volumen" => "72" "paginaInicial" => "142" "paginaFinal" => "149" "itemHostRev" => array:3 [ "pii" => "S0022202X15361170" "estado" => "S300" "issn" => "0022202X" ] ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bb0040" "etiqueta" => "8." 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Yoo" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Clin Exper Rheumatol" "fecha" => "2002" "volumen" => "20" "numero" => "2" "paginaInicial" => "127" "paginaFinal" => "132" ] ] ] ] ] ] 10 => array:3 [ "identificador" => "bb0055" "etiqueta" => "11." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Tuberculosis among filipino patients with systemic lupus erithematosus" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "S.T. Victorio-Navarra" 1 => "E.E. Dy" 2 => "C.G. Arroyo" 3 => "T.P. Torralba" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "Seminars in Arthritis and Rheumatism" "fecha" => "1996" "volumen" => "26" "numero" => "3" "paginaInicial" => "628" "paginaFinal" => "634" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8989807" "web" => "Medline" ] ] ] ] ] ] ] ] 11 => array:3 [ "identificador" => "bb0060" "etiqueta" => "12." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Associação entre lúpus eritematoso sistémico e tuberculose – Revisão crítica" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "J.C.B. Pereira" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "Rev Port Pneumol" "fecha" => "2008" "volumen" => "14" "numero" => "6" "paginaInicial" => "843" "paginaFinal" => "855" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19023498" "web" => "Medline" ] ] ] ] ] ] ] ] 12 => array:3 [ "identificador" => "bb0065" "etiqueta" => "13." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Tuberculose: Do ambulatório à enfermaria" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "A.L. Kritisk" 1 => "M.B. Conde" 2 => "G.R.M. Souza" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Terceira edição" "fecha" => "2005" "volumen" => "11" "paginaInicial" => "107" "paginaFinal" => "143" ] ] ] ] ] ] 13 => array:3 [ "identificador" => "bb0070" "etiqueta" => "14." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Lupus érythémateux disséminé: nouvelle approuches physiopathologiques, noveaux traitments?" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "E. Haddad" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.arcped.2004.03.071" "Revista" => array:6 [ "tituloSerie" => "Archives de Pédiatrie" "fecha" => "2004" "volumen" => "11" "paginaInicial" => "512" "paginaFinal" => "514" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15158814" "web" => "Medline" ] ] ] ] ] ] ] ] 14 => array:3 [ "identificador" => "bb0075" "etiqueta" => "15." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Tuberculosis in systemic lupus erythematosus in an endemic area and the role of isoniazid prophylaxis during corticosteroid therapy" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "M.M. Yin" 1 => "L. Yi" 2 => "C.T. Mao" 3 => "W.W. Sing" 4 => "L.C. Sing" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "J Rheumatol" "fecha" => "2005" "volumen" => "32" "numero" => "4" "paginaInicial" => "609" "paginaFinal" => "615" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15801014" "web" => "Medline" ] ] ] ] ] ] ] ] 15 => array:3 [ "identificador" => "bb0080" "etiqueta" => "16." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Pulmonary tuberculosis in patients with systemic lupus erythematosus" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "H.Y. Kim" 1 => "J.G. Im" 2 => "J.M. Goo" 3 => "J.K. Lee" 4 => "J.W. Song" 5 => "S.K. Kim" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.2214/ajr.173.6.10584813" "Revista" => array:7 [ "tituloSerie" => "American Journal of Roentgenology" "fecha" => "1999" "volumen" => "173" "numero" => "6" "paginaInicial" => "1639" "paginaFinal" => "1642" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10584813" "web" => "Medline" ] ] ] ] ] ] ] ] 16 => array:3 [ "identificador" => "bb0085" "etiqueta" => "17." 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Article information
ISSN: 08732159Original language: Portuguese
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