Rare Diseases Symptoms Automatic Extraction
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[Erdhei-Chester disease: report of one case].
[erdheim-chester disease]
We
report
a
76
-
year
-old
male
who
was
admitted
due
to
progressive
congestive
heart
failure
lasting
several
months
.
An
echocardiogram
showed
a
large
pericardial
effusion
with
early
signs
of
pericardial
tamponade
and
an
irregular
surface
suggestive
of
cancer
infiltration
.
The
patient
was
operated
,
creating
a
pericardial
window
and
draining
1
,
200
ml
of
a
brownish
yellow
fluid
with
abundant
cellularity
.
Pericardial
biopsy
showed
infiltration
by
CD
68
(
+
)
,
CD
1
a
(
-
)
and
S
100
(
-
)
cells
.
Twenty
-
eight
months
earlier
,
due
to
fatigue
,
dyspnea
,
and
a
non-
specific
inflammatory
process
,
an
enhanced-contrast-scan
showed
that
aorta
was
coated
with
a
hypodense
tissue
that
began
near
the
aortic
valve
and
extended
until
the
inferior
mesenteric
artery
,
with
stenosis
of
the
left
subclavian
,
celiac
axis
,
renal
and
upper
mesenteric
arteries
.
An
angioplasty
and
stent
placing
was
carried
out
in
the
last
two
arteries
.
Both
kidneys
had
the
appearance
of
"
hairy
kidneys
"
.
A
bone
scan
showed
increased
uptake
in
femurs
and
tibiae
and
X-
ray
examination
showed
osteosclerosis
in
metaphysis
and
diaphysis
.
The
diagnosis
of
Erdheim-
Chester
disease
(
non-
Langerhans-cell
histiocytosis
)
was
made
and
the
patient
was
treated
with
steroids
and
methotrexate
.
Diseases
Validation
Diseases presenting
"dyspnea"
symptom
acute rheumatic fever
allergic bronchopulmonary aspergillosis
carcinoma of the gallbladder
congenital diaphragmatic hernia
cushing syndrome
cutaneous mastocytosis
dedifferentiated liposarcoma
erdheim-chester disease
esophageal carcinoma
fabry disease
familial mediterranean fever
inclusion body myositis
liposarcoma
lymphangioleiomyomatosis
neuralgic amyotrophy
pleomorphic liposarcoma
primary effusion lymphoma
scrub typhus
systemic capillary leak syndrome
thoracic outlet syndrome
well-differentiated liposarcoma
This symptom has already been validated