Functional tics are a rare manifestation of the spectrum of functional neurological disorders. The phenomenological similarity with organic and simulated pathology poses important diagnostic challenges, but they should not be considered a diagnosis of exclusion. Recently there have been sudden outbreaks of bizarre tics in adolescent girls during the confinement imposed by the COVID-19 pandemic, whose appearance...
Background: Rheumatic diseases are associated with an increase in overall risks of tuberculosis (TB). The aim of this study was to evaluate the frequency of TB and the frequency of latent TB infection (LTBI), in clinical practice, for juvenile idiopathic arthritis (JIA) patients from high and low risk of TB incidence endemic countries. Methods: This is an international, multicenter, cross-sectional, observation...
Acute muscle weakness is a major neurological emergency with a vast differential diagnosis. Even though inflammatory myopathies and myasthenia gravis are rare causes of acute muscle weakness, especially in children, there have been descriptions of coexistence of both diseases in adults, especially in association with thymoma. We report a case of a pediatric patient with concurrent MG and IM and comment on relev...
Systemic juvenile idiopathic arthritis (SJIA) is a disease challenging to diagnose. Its onset can be quite nonspecific, suggesting other entities. The authors present the case of a 17-year-old adolescent, with a clinical picture lasting for 5 months characterized by intermittent polyarthritis and myalgia, associated with fever and exanthema some months later. During clinical investigation, elevation of inflamm...
A paniculite lúpica é uma forma rara de lúpus eritematoso cutâneo crónico. Deve diferenciar-se de outras entidades inflamatórias crónicas, infeciosas e neoplásicas. Descreve-se o caso de uma criança do sexo feminino, 7 anos, com placas pétreas, eritemato-violáceas e indolores na face, com três anos de evolução. Sem sintomas sistémicos. Sem leucocitose ou citopénias, proteína C reativa 0,06 mg/dL, velocidade de ...
A síndrome anti fosfolipídica é uma entidade autoimune rara em idade pediátrica, sendo a trombose venosa a sua manifestação mais comum. Apresenta-se o caso de uma adolescente de 14 anos de idade com antecedentes pessoais e familiares irrelevantes, sob contracetivo oral iniciado quatro meses antes do internamento, com dor abdominal com 10 dias de evolução. No exame objetivo apresentava dor à palpação da região e...
Introduction: To provide evidence-based guidance for the rati onal and safe prescripti on of biological therapies in children and adolescents with juvenile idiopathic arthriti s (JIAs), considering the latest available evidence and the new licensed biologics. Methods: Rheumatologists and Pediatricians with experti se in Pediatric Rheumatology updated the recommendati ons endorsed by the Portuguese Society of Rh...
Introdução: A obesidade infantil está associada a grave morbilidade, a motivação para o tratamento geralmente é baixa e os resultados são habitualmente desanimadores. Objetivos: Caraterizar uma população com excesso de peso e obesidade inscrita na consulta de endocrinologia pediátrica e avaliar a existência de comorbilidades associadas. Material e Métodos: Estudo descritivo dos casos de peso excessivo (pré-obes...
Spent Ni-MH batteries are not considered too dangerous for the environment, but they have a considerable economical value due to the chemical composition of electrodes which are highly concentrated in metals. The present work aimed at the physical and chemical characterisation of spent cylindrical and thin prismatic Ni-MH batteries, contributing for a better definition of the recycling process of these spent pr...
Zinc is a base metal present in several products of general use, and therefore found in numerous residues and end-of-life products. The two main sources of zinc containing wastes are spent Zn-MnO2 portable batteries and electric arc furnace (EAF) dusts from steelmaking plants. The recovery of metals from these residues by appropriate recycling processes is mandatory due to environmental, economic and resource c...