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Acute Peritonitis Is Not Always a Surgical Fix: A Rare Case of Mixed Connective Tissue Disease Presenting as Polyserositis

Mixed connective tissue disease (MCTD) is a complex rheumatologic condition whose diagnosis often presents a challenge to even specialists in the field. Many cases are therefore underrecognized or misdiagnosed due to the heterogeneity of the presentation and manifestations. This report highlights th...

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Autores principales: Tagliaferri, Ariana R, Rezkalla, Abraam, Nichols, Charissa, Chennupati, Prathyusha, Bellardini, George Angelo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10123235/
https://www.ncbi.nlm.nih.gov/pubmed/37102006
http://dx.doi.org/10.7759/cureus.36652
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author Tagliaferri, Ariana R
Rezkalla, Abraam
Nichols, Charissa
Chennupati, Prathyusha
Bellardini, George Angelo
author_facet Tagliaferri, Ariana R
Rezkalla, Abraam
Nichols, Charissa
Chennupati, Prathyusha
Bellardini, George Angelo
author_sort Tagliaferri, Ariana R
collection PubMed
description Mixed connective tissue disease (MCTD) is a complex rheumatologic condition whose diagnosis often presents a challenge to even specialists in the field. Many cases are therefore underrecognized or misdiagnosed due to the heterogeneity of the presentation and manifestations. This report highlights the intricacies of diagnosing a case of MCTD when the presenting symptom is atypical. Herein, we present a case of a young girl who had severe abdominal pain, initially concerning for acute peritonitis from cholecystitis, and was found to have polyserositis affecting the pleural space, pericardium, peritoneum and pelvis secondary to mixed connective tissue disease and adrenal insufficiency.
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spelling pubmed-101232352023-04-25 Acute Peritonitis Is Not Always a Surgical Fix: A Rare Case of Mixed Connective Tissue Disease Presenting as Polyserositis Tagliaferri, Ariana R Rezkalla, Abraam Nichols, Charissa Chennupati, Prathyusha Bellardini, George Angelo Cureus Endocrinology/Diabetes/Metabolism Mixed connective tissue disease (MCTD) is a complex rheumatologic condition whose diagnosis often presents a challenge to even specialists in the field. Many cases are therefore underrecognized or misdiagnosed due to the heterogeneity of the presentation and manifestations. This report highlights the intricacies of diagnosing a case of MCTD when the presenting symptom is atypical. Herein, we present a case of a young girl who had severe abdominal pain, initially concerning for acute peritonitis from cholecystitis, and was found to have polyserositis affecting the pleural space, pericardium, peritoneum and pelvis secondary to mixed connective tissue disease and adrenal insufficiency. Cureus 2023-03-24 /pmc/articles/PMC10123235/ /pubmed/37102006 http://dx.doi.org/10.7759/cureus.36652 Text en Copyright © 2023, Tagliaferri et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Endocrinology/Diabetes/Metabolism
Tagliaferri, Ariana R
Rezkalla, Abraam
Nichols, Charissa
Chennupati, Prathyusha
Bellardini, George Angelo
Acute Peritonitis Is Not Always a Surgical Fix: A Rare Case of Mixed Connective Tissue Disease Presenting as Polyserositis
title Acute Peritonitis Is Not Always a Surgical Fix: A Rare Case of Mixed Connective Tissue Disease Presenting as Polyserositis
title_full Acute Peritonitis Is Not Always a Surgical Fix: A Rare Case of Mixed Connective Tissue Disease Presenting as Polyserositis
title_fullStr Acute Peritonitis Is Not Always a Surgical Fix: A Rare Case of Mixed Connective Tissue Disease Presenting as Polyserositis
title_full_unstemmed Acute Peritonitis Is Not Always a Surgical Fix: A Rare Case of Mixed Connective Tissue Disease Presenting as Polyserositis
title_short Acute Peritonitis Is Not Always a Surgical Fix: A Rare Case of Mixed Connective Tissue Disease Presenting as Polyserositis
title_sort acute peritonitis is not always a surgical fix: a rare case of mixed connective tissue disease presenting as polyserositis
topic Endocrinology/Diabetes/Metabolism
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10123235/
https://www.ncbi.nlm.nih.gov/pubmed/37102006
http://dx.doi.org/10.7759/cureus.36652
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