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Ana Catarina Lucas , Inês Vidal + 2 AuthorsAdriano Rodrigues1
Estimated H-index: 1
Introducao: A metastizacao ossea associa-se, geralmente, a mau prognostico, com evidencia de doenca neoplasica avancada. Este estudo caracteriza uma amostra de doentes com metastizacao ossea e neoplasia primaria conhecida, comparando com doentes sem neoplasia diagnosticada previamente. Material e metodos: Estudo observacional retrospectivo, onde foram incluidos doentes com diagnostico de “neoplasia ossea secundaria” ou “metastases osseas”, admitidos no nosso hospital, de 2009 a 2013. Analisados ...
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Ana Catarina Lucas , Joana Costa15
Estimated H-index: 15
+ 1 AuthorsAdriano Rodrigues1
Estimated H-index: 1
We present the case of an 80-year-old patient hospitalized for the study of a lower limb bone lesion. The biopsy of this lesion was suggestive of liver cancer metastasis. However, the study of the liver did not present any local lesion. In the event of an hepatoid tumor, a study of the digestive tract was performed, without detection of neoplasia. By recurrent respiratory infections, it was hypothesized a tumoral lesion at this level, which was confirmed by later thorax CT and biopsy.
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Introduction: Spider naevi are traditionally considered a sign of liver cirrhosis, particularly in patients with alcoholism. However, systematic evaluation of their diagnostic value in alcoholic patients has been scarcely performed. The aim of this study was to determine the diagnostic accuracy of the presence of spider neavi for liver disease detection in alcoholics using percutaneous liver biopsy as the reference standard. Methods: Cross-sectional study of 229 alcoholics admitted to the hospit...
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Ana L. Silva , Carolina Ourique + 1 AuthorsFernando Friões12
Estimated H-index: 12
A pneumatose intestinal e a presenca de gas na parede intestinal. Pode anunciar uma catastrofe intra-abdominal ou ser simplesmente um achado em doentes assintomaticos. Apresentamos o caso de uma mulher de 20 anos, com anorexia nervosa e quadro de desnutricao grave, com pneumatose intestinal como achado imagiologico assintomatico.
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Pedro Oliveira , Paula Ferreira , Gustavo Rocha14
Estimated H-index: 14
Ectopic adrenocorticotropic hormone (ACTH) secretion is a rare disease. A 51 years old woman, with a Cushing syndrome secondary to ectopic ACTH secretion, diagnosed in 2009, with mediastinal lymphadenopathy, whose biopsy was compatible with lung small cell carcinoma, staged as IIIB using TNM classification. No other lesions were found in patient study. The patient was submitted to chemotherapy, associated to ketoconazole 200 mg twice daily, with partial remission of both conditions. Three years ...
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Soraia Oliveira , Antonio J. Piantino Ferreira21
Estimated H-index: 21
+ 1 AuthorsAugusta Mendes da Silva3
Estimated H-index: 3
EnglishKikuchi�s disease, also called histiocytic necrotizing lymphadenitis, is a rare, self-limited disease, whose etiology remains unclear. Most cases are reported in patients of Asian origin, being very rare in black patients. Often characterized by the presence of cervical lymphadenopathy and fever. Usually presents with favorable outcome with spontaneous regression of symptoms, relapse occurring only in about 4% of patients. The authors describe a rare clinical case of recurrent Kikuchi�s d...
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Background: The global prevalence of allergic rhinitis is high. International Study of Asthma and Allergies in Childhood (ISAAC) Phase III reports a total estimated prevalence of 4.6% in Mexico. There is evidence based on allergic rhinitis Clinical Practice Guidelines (CPG), but its promotion, acceptance and application is not optimal or adequate in Mexico. Objective: To generate a guideline for the treatment of allergic rhinitis and its impact on asthma by adaptating the 2010 ARIA Guideline to ...
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Joana Sousa Neves1
Estimated H-index: 1
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Cunha I5
Estimated H-index: 5
+ 1 AuthorsA. Barcelos11
Estimated H-index: 11
Joint hypermobility syndrome (JHS) is a hereditary connective tissue disorder characterized by symptomatic generalized joint hypermobility. Other features such as luxations and subluxations, periarticular lesions and cutaneous or other organ manifestations due to collagen defects are included in JHS clinical criteria. JHS may be clinically indistinct from Ehlers-Danlos syndrome hypermobility type (EDS). We report the case of a 14 year old male patient, with chronic low back pain and generalized ...
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Joana Urbano1
Estimated H-index: 1
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Ana Catarina Fernandes + 1 AuthorsJoana Pimenta13
Estimated H-index: 13
Pernicious anemia is the leading cause of vitamin B12 deficiency and requires an early diagnose and proper treatment since it is a reversible form of acute psychosis and demyelinating nervous system disease 1. Less frequently, metformin therapy, especially on high doses and for long time treatment, can also cause vitamin B12 deficit, but the coexistence of anemia and neuropsychiatric symptoms is rarely seen. We describe a case of a 49-year-old adult patient with type 2 diabetes medicated with 85...
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S. Tannira , Eunice Oliveira3
Estimated H-index: 3
+ 1 AuthorsA. Mello Silva
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