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Vol. 16. Issue 1.
Pages 18-22 (January - March 1980)
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Vol. 16. Issue 1.
Pages 18-22 (January - March 1980)
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Granuloma eosinofilo multifocal. Diferente evolucion en dos casos con afectacion pulmonar
Multifocal eosinophilic granuloma: Different evolution in two cases with pulmonary affection
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J.M. Rivera Guzmán, M.S. Moya Mir, R. Barbadillo, G.a d De Velasco, F. Martín Martín, J.M. Mosquera González, T. Martín Jiménez
Servido de Medicina Interna de Urgencia. Centro Nacional de Investigación médico-quirúrgicas de la Seguridad Social. «Clínica Puerta de Hierro». Universidad Autónoma de Madrid
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Resumen

Se presentan dos casos de granuloma eosinófilo multifocal que únicamente tenían en común la afectación pulmonar y cuya evolución fue muy diferente. Se discuten las dificultades para definir, clasificar y delimitar las tres entidades antes englobadas en el término de histiocitosis-X. Se destacan tres aspectos de los dos casos: 1J La diferente evolución de la afectación pulmonar. 2) El comienzo con diabetes insípida asociada a hipogonadismo hipogonadotrófico, en el primer caso. 3) La ausencia de afectación ósea en el primer caso y las múltiples lesiones en el segundo (incluyendo la afectación maxilar que condujo a la caída precoz de las piezas dentarias).

Summary

The authors present two cases of multifocal eosinophilic granuloma with the only point in common being pulmonary affection and with very different evolution. They discuss the difficulties for defining, classifying and delimiting the three entities previously grouped within the term histiocytosis-X. They emphasize three aspects of the two cases: 1) different evolution of the pulmonary affection; 2) onset with diabetes insipidus associated with hypogonadotropic hypogonadism, in the first case; and 3) absence of osseous affection in the first case and multiple lesions in the second (including maxillary affection which lead to precocious loss of dental pieces)

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Copyright © 1980. Sociedad Española de Neumología y Cirugía Torácica
Archivos de Bronconeumología
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