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Movimentos involuntários num adolescente

Moreira, Mafalda; Alba, Diana; Paiva Ferreira, Inês; Monteiro, Cláudia

As síndromes extrapiramidais, como a distonia, a acatisia e o parkinsonismo, são doenças do movimento descritas como efeito adverso dos antipsicóticos em idade adulta. A sua utilização tem-se disseminado entre as crianças e, como tal, também este tipo de sintomas, principalmente associados aos fármacos de primeira geração. A paliperidona é um antipsicótico de segunda geração aprovado para o tratamento da esquiz...


Pruritic rash in a child – Clinical case

Alba, Diana; Pimenta, Sofia; Machado, Ângela; Abreu Ferreira, Jorge

Urticaria multiforme (UM) is an allergic hypersensitivity reaction characterized by the acute onset of polycyclic and annular wheals with ecchymotic centers. It is more common in children under 4 years of age, who typically present with a pruritic rash and nontoxic appearance. The diagnosis is clinical. The condition usually has a favorable response to antihistamines and self-limited course. UM is probably unde...


Sleep habits and screen use in an adolescent population during the COVID-19 pan...

Vieira, Paula Manuel; Cascais, Inês; Alba, Diana; Bernardo, Ana; Faria, João; Feio, Ana; Paiva Coelho, Margarida; Ribeiro, Maria do Céu; Gomes, Lúcia

Introduction: Screen use among adolescents has increased, with excessive screen time associated with poor sleep. Isolation due to the COVID-19 pandemic may have exacerbated these problems. This study aimed to characterize adolescents’ sleep and screen use behaviors during the COVID-19 pandemic lockdown. Methods: This was a multicenter, cross-sectional, descriptive study of adolescents aged 10 to 18 years evalua...


Pelizaeus-Merzbacher Disease: A Rare Cause of Nystagmus and Developmental Delay

Alba, Diana; Araújo, André; Geraldo, Ana Filipa; Rangel, Maria Adriana; Vila Real, Marta; Santos, Fátima

Pelizaeus-Merzbacher disease (PMD) is an X-linked leukodystrophy of the central nervous system characterized by a developmental arrest in myelin formation. It is classified into five phenotypes, with different severity. The most common clinical features are nystagmus, spasticity, tremor, ataxia, and hypotonia. A 11-month-old child was referred to the Neuropediatric Unit due to nystagmus, hypotonia, and developm...

Date: 2024   |   Origin: SINAPSE

Pruritic rash in a child – Clinical case

Alba, Diana; Pimenta, Sofia; Machado, Ângela; Ferreira, Jorge Abreu

Urticaria multiforme (UM) is an allergic hypersensitivity reaction characterized by the acute onset of polycyclic and annular wheals with ecchymotic centers. It is more common in children under 4 years of age, who typically present with a pruritic rash and nontoxic appearance. The diagnosis is clinical. The condition usually has a favorable response to antihistamines and self-limited course. UM is probably unde...


Involuntary movements in an adolescent

Moreira, Mafalda; Alba, Diana; Ferreira, Inês Paiva; Monteiro, Cláudia

Extrapyramidal symptoms (EPS), such as dystonia, akathisia, and parkinsonism, are movement disorders that have been described as a side effect of antipsychotic medications in adults. In children, their use has expanded, as have this type of symptoms, especially those caused by first-generation antipsychotics. Paliperidone is a second-generation drug approved for schizophrenia in adolescents. The authors describ...


Sleep habits and screen use in an adolescent population during the COVID-19 pan...

Vieira, Paula Manuel; Cascais, Inês; Alba, Diana; Bernardo, Ana; Faria, João; Feio, Ana; Coelho, Margarida Paiva; Ribeiro, Maria do Céu; Gomes, Lúcia

Introduction: Screen use among adolescents has increased, with excessive screen time associated with poor sleep. Isolation due to the COVID-19 pandemic may have exacerbated these problems. This study aimed to characterize adolescents’ sleep and screen use behaviors during the COVID-19 pandemic lockdown.Methods: This was a multicenter, cross-sectional, descriptive study of adolescents aged 10 to 18 years evaluat...


Association between COVID-19 and the incidence of type 1 diabetes in Portugal –...

Andersen, Morten Bjerregaard; Silva, Jessica Da; Diogo,. Rui; Claro, Ana Raquel; Ferro, Inês; Romana, Andreia; Rocha, Patrícia; Sá, Beatriz

Background: Viral respiratory infections may precipitate type 1 diabetes (T1D). A possible association between the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the virus responsible for COVID-19, and the incidence of T1D is being determined. This study was carried out using Portuguese registries, aiming at examining temporal trends between COVID-19 and T1D.MethodsHospital data, comparing the in...


Association Between COVID-19 and the Incidence of Type 1 Diabetes in Portugal -...

Bjerregaard-Andersen, Morten; Da Silva, Jessica; Diogo, Rui; Claro, Ana Raquel; Ferro, Inês; Romana, Andreia; Rocha, Patrícia; Sá, Beatriz

Background: Viral respiratory infections may precipitate type 1 diabetes (T1D). A possible association between the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the virus responsible for COVID-19, and the incidence of T1D is being determined. This study was carried out using Portuguese registries, aiming at examining temporal trends between COVID-19 and T1D. Methods: Hospital data, comparing the...


Chilblain-like lesions in a pediatric patient

Alba, Diana; Cascais, Inês; Moreira, Mafalda; Ribeiro, Maria Céu; Abreu Ferreira, Jorge

COVID-19 usually has a mild course in the pediatric population. Several cutaneous manifestations of the condition have been reported, being chilblain-like lesions one of the most common in younger ages. These may manifest as erythematous or violaceous macules, mostly involving the toes and feet, but less frequently also the fingers and hands. These patients usually have a favorable outcome, with complete sponta...


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