A biópsia cirúrgica auxilia no diagnóstico da paniculite aguda

Paniculite é a inflamação do mesentério, localizado no intestino delgado

A Paniculite é uma doença considerada rara, que se caracteriza pela inflamação da gordura subcutânea do paciente. As causas podem ser diversas, e geralmente o diagnóstico é difícil, precisando de biópsia da lesão para realmente identificar a inflamação.

Essa doença afeta o tecido adiposo do mesentério, um ligamento do intestino delgado e acomete mais facilmente pacientes na faixa etária dos 50 a 70 anos, e tem uma certa prevalência em homens. Entre os principais sintomas percebidos, podemos listar a dor no lado esquerdo da barriga, náuseas, diarreia, vômito, constipação, perda de peso, febre, e em alguns casos até um quadro de anorexia.

A cirurgia completa para a doença não é aconselhada, pois muitos pacientes tiveram remissões completas, sendo o procedimento limitado à biópsia ou ainda à interposição de alças do intestino, quando há obstrução em casos agudos.

O tratamento inclui imunossupressores e corticosteroides. Apesar da doença ser considerada rara, ela deve ser levada em consideração sempre que o paciente apresentar um quadro de dor aguda e recorrente, sem aparente motivo. O acompanhamento médico é fundamental.

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