Associated thyreoiditis, myasthenia gravis, thymectomy, Chron's disease, and erythema nodosum: pathogenetic and clinical correlations, immune system involvement, and systemic infectious complications.
The case of a young woman suffering from multiple autoimmune-dysreactive disorders (including thyreoiditis, myasthenia gravis, thymectomy, Crohn's disease, and erythema nodosum), while undergoing steroideal therapy, was complicated by a severe infectious disorder (severe upper urinary tract infection). While the pathogenetic and clinical relationship between the different autoimmune-dysreactive complications is still unclear, and the supporting role of the frequent immunosuppressive treatment may add significantly to these risk factors, clinicians who are engaged in the management of these patients should be aware that multiple, concurrent or subsequent disorders might occur in these subjects, and also that severe infections might be of relevant concern.
Manfredi
Roberto
R
Department of Clinical and Experimental Medicine, Division of Infectious Diseases, "Alma Mater Studiorum" University of Bologna, S. Orsola-Malpighi Hospital, Bologna, Italy. Roberto.manfredi@unibo.it
Fasulo
Giovanni
G
Fulgaro
Ciro
C
Sabbatani
Sergio
S
D000305:Adrenal Cortex Hormones / Q000009:adverse effects*; D000328:Adult; D003424:Crohn Disease / Q000150:complications / Q000188:drug therapy*; D004893:Erythema Nodosum / Q000150:complications*; D005260:Female; D006801:Humans; D009157:Myasthenia Gravis / Q000150:complications*; D013934:Thymectomy / Q000009:adverse effects; D014552:Urinary Tract Infections / Q000209:etiology*
D000305:Adrenal Cortex Hormones