Enea's Case
By: www.budoniambiente.org






. . . . Update: May 14, 2011 (By Achille Mauro Porcheddu and Cristina Terzi )


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CRISTINA'S CASE
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- - By: Achille Mauro Porcheddu and Cristina Terzi
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13 May, 2011
Today, May 13, 2011 :
Cristina perform an analysis of strobolaryngoscopy at : Dr. Giuseppe Bergamini .
Poliambulatorio Chirurgico Modenese s.r.l.

- Diagnosis: Laringostroboscopia-13-05-11-a.jpg
- Photo: Laringostroboscopia-13-05-11-b.jpg
- Therapy: Laringostroboscopia-13-05-11-a.jpg
- Video:
. . . . . . . .

Notes:

This is the Doctor who performed the Laryngoscopy the day : April 12 , 2011
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Today (May 13, 2011): Cristina: Improved voice .
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12 May, 2011
Tomorrow, May 13, 2011 :
Cristina perform an analysis of strobolaryngoscopy at : Dr. Giuseppe Bergamini .
Poliambulatorio Chirurgico Modenese s.r.l.

Notes:
This is the Doctor who performed the Laryngoscopy the day : April 12 , 2011
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Today (May 12, 2011): Cristina was voiceless.
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Very Short Story [ Further documentation will be available shortly ]

Cristina..... suffered from ligneous conjunctivitis of the left eyelid causing progressive sight loss in 1992.
Surgical excision and eye drops containing steroids and hyaluronidase were temporarily effective.

In 1994 she recovered from relapsing disease using cyclosporine eye drops.
Gum pseudomembranes developed while carrying an orthodontic brace and disappeared after the removal of the device.

1999- She was admitted to the Endocrinology Department of Padua University for Cushing’s disease in February 1999.
Her serum and urinary cortisol levels were high and were not suppressed by high-dose dexamethazone.
A pituitary adenoma was demonstrated by cerebral MRI.

She was cured with trans-sphenoidal hypophysectomy in March 1999.
Before surgery, a coagulation study was carried out to evaluate the prothrombotic state usually associated with Cushing’s syndrome.
Surprisingly, her PLG: Ag and PLG:act levels were low (36% and 45%, respectively), as well as VWF:Ag (63.75%)
and VWF:RCo (51.5%), suggesting a combined hypoplasminogenemia and von Willebrand’s disease.
Other clotting parameters were within normal ranges.
A progressive decrease in plasminogen (PLG:Ag = 21%, PLG:act = 29.7%) and von Willebrand factor (VWF:Ag = 52.3%, VWF:RCo = 39.5%)
levels was observed in the 20-month period following hypophysectomy (Fig. 4).

Oral contraceptives (levonorgestrel 150 µg plus ethynilestradiol 30 µg) were given from November 2000 to July 2001.
Plasminogen levels rose during the treatment, but returned to the baseline six months after its withdrawal (Fig. 4).

In addition, ligneous conjunctivitis consisting in a pseudomembrane 3 mm in diameter grew on the left lower eyelid in February 2002.

Oral contraceptives (levonorgestrel 100 µg plus ethynilestradiol 20 µg) were given again in May 2002 and associated with
a new rise in plasminogen levels (Fig. 4) and the slow disappearance of the ligneous conjunctivitis within 3 months.
During oral contraceptive therapy, a slight increase in VWF:Ag and VWF:RCo levels (65% and 60% of normal, respectively)
was also observed.

(Source: SARTORI-schattauer_15_2003_7_86.pdf )
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- In 2004, Cristina has faced a plastic surgery to change the shape of her chin:
during the surgery it was injected into her chin a drug called "Bioalcamid" [polyalkylimide] .

- In 2005, some granulomas apperad, and soon it became obvious that they were increasing in amount.
Some ultrasound-based analisys was performed in order to estabilish the origin of the granuloma:
according to the results, the cause was likely some inflammation.

On March 12, 2011, a well-known cosmetic surgeon in Milan (P. L.)
was asked to extract from the chin the most likely cause of granulomas, hence "Bioalcamid"
(such operation is allowed by "Bioalcamid" manifacturer himself, though "partially"): granulomas were as big as hazelnuts.
The surgeon removed a lot of material using some huge syringe.
Right after this last surgery, an hematoma appeared, and almost contemporaneously a partial loss of voice.
The day after, Cristina was voiceless, some serious amount of white fibrin appeared in the upper
and lower left eye and she started coughing, though no fever was noted down.

Presently, she's no coughing anymore, she's still voiceless and she's taking no drugs.
She went to some expert, and the response was basically pointless, since he wrote April 12, 2011 (see attached image)
that the formations are "consistent with pseudo-membranes".









Cristina's Clinical Documents:

  Documents Description Document Date Link
  Strobolaringoscopia

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Strobolaryngoscopy
By: Giuseppe Bergamini
Poliambulatorio Chirurgico Modenese s.r.l.
May 13, 2011 - Diagnosis: Laringostroboscopia-13-05-11-a.jpg
- Photo: Laringostroboscopia-13-05-11-b.jpg
- Therapy: Laringostroboscopia-13-05-11-a.jpg
- Video:
. . . . . . . .
  TERAPIE LOCALI E SISTEMICHE
Farmaci indicati dagli specialisti e dal medico di base
per la cura della DISFONIA.
Periodo: dal 18 Marzo 2011 ad oggi

LOCAL AND SYSTEMIC THERAPY
Drugs given by specialists and general practitioners
for the treatment of dysphonia .
Period from March 18, 2011 to present

May 11, 2011 terapielocaliesistemiche.pdf
  DISFONIA:
La cronologia degli eventi raccontata da Cristina.

DYSPHONIA
The chronology of events narrated by Cristina .

March 13, 2011
May 6, 2011
Cristina-Cronologia della Disfonia-Parte01.pdf
 
Analisi:

VES
FIBRINOGENO (met. Clauss)

Gligemia
C3 (frazione C3 del complemento)
C4 (frazione C4 del complemento)
TAS (antic.anti-strept,O)
(immunoturbidimetria)

Ra-Test (Fattore Reumatoide)

Ricerca Anticorpi Anti-Nucleo

April 21, 2011 Analisi-21-04-2011-01.pdf
  Analisi: IGE totali April 21, 2011 Analisi-21-04-2011-02.pdf
  Analisi: Esame Urine Completo April 21, 2011 Analisi-21-04-2011-03.pdf
  Analisi:
AUTOIMMUNITA'
Sierologia dell'autoimmunità
Anticorpi anti Antigeni Nucleari Estraibili (ENA) (E.I.A.)
Screening Test
(7 antigeni: SS-A/Ro, ss-B/La, RNP-Sm, Sm, Scl-70, Jo-1, CENIP-B)
April 21, 2011 Analisi-21-04-2011-04.pdf
  Analisi:
MICROBIOLOGIA
Test per la ricerca delle CRIOGLOBULINE
(Nota : l'esame ricerca anticorpi antidifterite non viene eseguito nei laboratori della Provincia di Reggio Emilia)
April 21, 2011 Analisi-21-04-2011-05.pdf
  Analisi: EmoCromoCitometrico April 15, 2011 ESAME EMOCROMOCITOMETRICO 15-04-2011.pdf
  Analisi: Microbiologico April 15, 2011 Esame Microbiologico 15-04-2011.pdf
  Analisi: Tampone Congiuntivale
Batterio identificato: Haemophilus influenzae
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Analysis : Conjunctival Swab
bacterium identified : Haemophilus influenzae
March 18, 2011 Tampone Congiuntivale 2011.jpg
  LARINGOSCOPIA

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Laryngoscopy
Diagnosis :
White lesions
in the freeboard of
vocal cord lesions compatible
with fibrinoid pseudomembrane.
We therefore refer the patient
specialists that follow
for its underlying conditions.

By: Giuseppe Bergamini

Poliambulatorio Chirurgico Modenese s.r.l.

April 12, 2011 Laryngoscopy
corde-vocali.jpg
  Blood Coagulation,Fibrinolysis and Cellular Haemostasis
Contraceptive pills induce an improvement in congenital
hypoplasminogenemia in two unrelated patients
with ligneous conjunctivitis

Maria Teresa Sartori,Graziella Saggiorato,Donatella Pellati,
Alessandra Casonato,Luca Spiezia, Elena Pontara,
Sabrina Gavasso,Antonio Girolami

Department of Medical and Surgical Sciences,2nd Chair of Internal Medicine,University of Padua Medical School,Padua,Italy


Thromb Haemost 2003;90:86–91


Notes:
in this document, the Case No. 2 is described Cristina Terzi .
© 2003 Schattauer GmbH,Stuttgart

Received
December 2,2002
Accepted after resubmission
April 25,2003
SARTORI-schattauer_15_2003_7_86.pdf
 
Immunohistologic Findings and Results of Treatmen
With Cyclosporine in Legneous Conjunctivitis

Edward J. Holland et All.
Department of Ophthalmology, University of Minnesota, Minneapolis, Minnesota (Dr. Holland);
Laboratory of Immunology (Drs. Chan, Palestine, and Nussenblatt)
and Laboratory of Ophthalmology (Dr. Kuwabara),
National Eye Institute, National Institutes of Healt, Bethesda, Maryland;
and the Department of Ophthalmology, University of Oklahoma, Oklahoma City, Oklahoma (Dr. Rowsey).
This study was supported in part by an unrestricted grant from Research to Prevent Blindness, Inc.


THE LANCET - JAN 13, 1990
Jan 13, 1990 THE LANCET-JAN13-1990.pdf
 
.
[ Further documentation will be available shortly ]

. . . .
. . . . CONTACTS:
. . . . Achille Mauro Porcheddu
. . . . achille@budoniambiente.org
. . . . porchedduachillemauro@gmail.com
. . . . Via Biella, 12 - 07026 OLBIA (Olbia Tempio) Italy
. . . . Mobile: +39 347 7865073
. . . . Telephone: +39 0789 64739

. . . . Cristina Terzi
. . . . d.chiossi@alice.it
. . . . Via Ferretti, 81 - 42042 FABBRICO (Reggio Emilia) Italy
. . . . Mobile: +39 339 6463940
. . . . Telephone (LAURA): +39 05 22660061:

 


. . . .Links ENEA'S CASE:
Enea's Case [Free Access]
Enea's Case [Restricted Area] - [ access password is required ]
Enea's Case [DATA BASE - Ligneous Conjunctivitis / Low Plasminogen activity: Cases and Documentation]
Enea's Case [La Congiuntivite Lignea]
Enea's Case [Ligneous Conjunctivitis]
Cristina's Case [Free Access]