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Lymphadenopathy, weight loss, and anal lesion in a teenager
Sousa, Jessica; Meira Nisa, Madalena; Coelho, Sónia; Antunes, JoaquinaSyphilis is a systemic disease with an increasing incidence in adolescents and young adults. Clinical manifestations can be variable and diagnosis requires a high index of suspicion, as syphilis can mimic other systemic diseases. Condylomata lata is a highly infectious manifestation of secondary syphilis, reported in 9-44% of cases. Here is reported the case of an adolescent girl who presented with inguinal lym...
Large brown macula in a newborn
Santos Oliveira, Ana Gisela; Marques, João; Antunes, Joaquina; Maneira Sousa, Pedro; Cabral, Rita; Andrade, IsabelThe authors report the case of a male term newborn born after an uneventful monitored pregnancy. On physical examination, he presented with a light brown hyperpigmented homogeneous macule >15 cm in size compatible with a giant congenital melanocytic nevus (CMN). The boy was discharged with indication for Neonatology and Dermatology follow-up. Since then, he has shown adequate psychomotor growth and development ...
Nutritional Risk and Malnutrition in Paediatrics: From Anthropometric Assessmen...
Vieira Gonçalves, Luís; Oliveira, Ana Gisela; Barracosa, Mariana; Antunes, Joaquina; Pimenta, JoanaIntroduction: The prevalence of malnutrition in hospitalized children is high and is associated with negative health impact. The aim of this study was to characterize the nutritional status of hospitalized children as well as comparing nutritional risk stratification using the STRONGkids® tool and anthropometric assessment.Material and Methods: A prospective study was conducted between March and June 2019 in a ...
Espondilodiscite em idade pediátrica – uma doença rara, um diagnóstico difícil
Nisa, Madalena Meira; Sousa, Jessica; Pimenta, Joana; Antunes, Joaquina; Gomes, Dora; Faria, CristinaIntrodução e objetivo: a espondilodiscite é a infeção que atinge o disco intervertebral e as vértebras contíguas e representa dois a quatro % do total das infeções osteoarticulares em idade pediátrica. O agente patogénico é identificado em cerca de metade dos casos, sendo o Staphylococcus aureus o mais frequentemente isolado. Estudos recentes demonstram que entre os seis meses e os quatro anos a Kingella kingae...
Fenitoína – fronteiras do tratamento
Antunes, Joaquina; Araújo, Luísa Neiva; Carrilho, Inês; Soares, Paula; Proença, ElisaIntrodução: As crises convulsivas são manifestações clínicas frequentes no período neonatal. Continua pouco claro qual a melhor abordagem terapêutica, não existindo ainda consenso entre os diversos protocolos. A terapêutica antiepilética usada tradicionalmente é, muitas vezes, pouco eficaz e pode originar efeitos secundários importantes. Caso Clínico: Apresenta-se o caso clínico de um recém-nascido que iniciou ...