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Children with Type 1 Diabetes of Early Age at Onset - Immune and Metabolic Phen...

Sales Luis, M; Alcafache, M; Ferreira, S; Fitas, AL; Simões Pereira, J; Caramalho, I; Lopes, L; Limbert, C

Objectives We aimed to evaluate children with type 1 diabetes (T1D) with early age at onset (EAO) for clinical, immune and metabolic features in order to identify age-related disease phenotypes. Methods Comparative study of two groups of T1D children: EAO (≤5 years) and later age at onset (LAO; >5 years), regarding the presence of other autoimmune (AI) diseases, diabetes ketoacidosis and immunologic profile at ...


Mental Nerve Neuropathy: A Rare Manifestation in Sickle Cell Disease

Alcafache, M; Santos, S; Sassetti, M; Batalha, S; Maia, R; Lopes da Silva, R; Kjöllerström, P

Mental nerve neuropathy is a peripheral sensory neuropathy, characterized by acute numbness of the chin area. It is a rare entity with diverse aetiology including, among others, local odontogenic causes and malignancy. In rare cases, it might be associated with sickle cell disease, due to the combined presence of hyperviscosity and the sinuous course of the mental nerve and artery through the mental foramen. Th...



Abnormal Appearance of the Umbilicus: An Indicator of Urachal Anomalies

Espírito Santo, R; Alcafache, M; Almeida, SR; Tavares, A

The urachus is an intra-abdominal fibrous remnant of the allantois. The non-involution of the allantois can result in urachal anomalies. The abnormal appearance of the umbilicus may be a sign of such anomalies. We have observed 3 cases of term neonates with atypical appearance of the umbilical stump, all of which manifested urachal anomalies, as documented by ultrasound scan. These appearances are rarely descri...


Uncommon Kingella Kingae Lytic Bone Lesions in Children

Alcafache, M; Ramos, S; Alves, P; Tavares, D; Gouveia, C


Complicated Kingella kingaeosteoarthritis

Alcafache, M; Nobre, S; Tavares, D; Gouveia, C




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