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Inicio Actas Urológicas Españolas Poliartritis secundaria a instilaciones intravesicales de BCG, a propósito de u...
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Vol. 31. Issue 4.
Pages 400-403 (January 2007)
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Vol. 31. Issue 4.
Pages 400-403 (January 2007)
Poliartritis secundaria a instilaciones intravesicales de BCG, a propósito de un caso
Polyarthritis secondary to intravesical bcg instillation, a case report
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A. Rincón Mayans1
Corresponding author
arincon@alumni.unav.es

Correspondencia autor: Dr. A. Rincón Mayans Departament de Urología. Clínica Universitaria. Universidad de Navarra. Avda. Pío XII, 36. 31080 Pamplona Tel.: 948 255 400/extensión: 4632 / Fax: 948 296 500
, J.J. Zudaire Bergera, J. Brugarolas Rosselló, A. Saiz Sansi, J. Rioja Zuazu, J.M. Regojo Balboa
Departamento de Urología, Clínica Universitaria. Universidad de Navarra
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Resumen

La inmunoterapia endovesical con bcg es el mejor tratamiento complementario para tumores t1 g2-g3 y tis. sin embargo, esta terapia se ha asociado con diversos efectos secundarios, incluidos síntomas articulares. en este artículo, describimos un caso de poliartritis secundaria a instilaciones vesicales, una rara complicación. realizamos una revisión de las manifestaciones clínicas, mecanismos de producción y tratamientos descritos con anterioridad en la literatura médica. por último, exponemos nuestra breve experiencia y nuestro resultado final.

Palabras clave:
Artritis
poliartritis
Cáncer de vejiga superficial
Bacilo Calmette-Guérin
Inmunoterapia
Abstract

Immunotherapy with intravesical instillation of Bacillus Calmette is the best complementary after TUR treatment against T1 grade 2- 3 and CIS bladder cancer. However, this therapy is associated with several side- effects, incluiding joint symptoms. In this article we describe a case of polyarthritis associated with intravesical instillation, a rare complication. We review the clinical features, the pathogenic mechanisms and treatments described previously in the medical literature. Finally, we expose our brief experience and our final result.

Key words:
Arthritis
Polyarthritis
Superficial bladder cancer
Bacillus Calmette-Guérin
Immunotherapy

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