Spondyloarthropathy with hidradenitis suppurativa

Article Abstract:

A 33-year-old black man was diagnosed with acne and hydradenitis suppurativa, or inflammation of the sweat glands, with secondary spondyloarthropathy and treated with the intravenous and oral antibiotics nafcillin sodium, tetracycline and indomethacin. Spondyloarthropathy is a rare arthritic condition that causes inflammation of the vertebrae of the spinal column. The patient was admitted to the hospital with a rash, joint inflammation and weight loss. The rash had started on his scalp and face two-and-a-half years earlier, and he developed abscesses on his groin and armpits. One year later, he began to experience pain and swelling in both hips, which spread to his knees, ankles, feet, shoulders and wrists within a short time. Severe back pain caused the patient to give up his job. A roentgenogram (X-ray) indicated that he had spondyloarthropathy. The spondyloarthropathy may have been caused by an immune reaction to the acne and hydradenitis suppurativa.

Case studies, Skin diseases, Spondyloarthropathies

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Does This Patient Have Abdominal Aortic Aneurysm?

Article Abstract:

Physical examination of the abdomen may detect an enlarged aorta but it can not rule out an aortic aneurysm if the aorta is normal size. An aortic aneurysm occurs when the wall of the aorta weakens and begins to expand. This process can take years or even decades. Normally, the abdominal aorta is less than one inch wide. If physical exam shows the aorta to be wider, an abdominal ultrasound should be ordered to determine whether it is an aneurysm. There are no reports in the literature of aneurysms rupturing from an abdominal exam. Abdominal aneurysms are rare in young people.

Aortic aneurysms, Aortic aneurysm

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Inflammatory abdominal aortic aneurysm

Article Abstract:

Inflammatory abdominal aortic aneurysm (AAA) is an unusual but important variant of atherosclerotic AAA that is uniquely characterized by the presence of extensive periaortic inflammation. A discussion on inflammatory AAA includes the wide range of symptoms patients can present, its epidemiology, pathogenesis and the management of the disease.

United States, Care and treatment, Disease/Disorder overview

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