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Bilateral Shoulder Arthritis in COVID-19 Patient After Prolonged Mechanical Ven...

Resende Neves, T; Lourenço, AL; Alves, P; Teiga, C; Caetano, A

Prolonged immobilization and, in particular, mechanical ventilation, have been linked to muscle atrophy. Anecdotal reports in the literature describe rhabdomyolysis as a potential late complication of COVID-19 infection which, in severe cases, may coexist with fluid collections. We report a case of a 28-year-old patient that had been recently hospitalized with SARS-CoV-2 pneumonia, with need for invasive ventil...


Axial Spondyloarthritis: Mimics and Pitfalls of Imaging Assessment

Caetano, A; Mascarenhas, V; Machado, P

Axial spondyloarthritis (axSpA) is a chronic inflammatory disorder that predominantly involves the axial skeleton. Imaging findings of axSpA can be divided into active changes, which include bone marrow edema, synovitis, enthesitis, capsulitis, and intra-articular effusion, and structural changes, which include erosions, sclerosis, bone fatty infiltration, fat deposition in an erosion cavity, and bone bridging ...


Advances in FAI Imaging: a Focused Review

Mascarenhas, V; Caetano, A; Dantas, P; Rego, P

Purpose of review: Femoroacetabular impingement (FAI) is one of the main causes of hip pain in young adults and poses clinical challenges which have placed it at the forefront of imaging and orthopedics. Diagnostic hip imaging has dramatically changed in the past years, with the arrival of new imaging techniques and the development of magnetic resonance imaging (MRI). This article reviews the current state-of-t...


SAPHO: Has the Time Come for Tailored Therapy?

Figueiredo, AS; Oliveira, AL; Caetano, A; Moraes-Fontes, MF

SAPHO (synovitis, acne, pustulosis, hyperostosis and osteitis) syndrome is a heterogeneous condition combining osteoarticular and cutaneous manifestations. Conventional treatments are mostly ineffective. We hereby report two patients, the first with an aggressive form of disease and the second with an incomplete response to two different anti-TNF-α agents. Both were successfully treated with tocilizumab and ust...


Mandibular Resorption and Vocal Cord Paralysis: a Catastrophic Form of Systemic...

Mendonça, P; Taulaigo, AV; Caetano, A; Moraes-Fontes, MF

Sudden respiratory distress in association with severe weight loss are unusual features of systemic sclerosis (SSc). We report the case of a 56-year-old Caucasian woman with a 9-year history of a diffuse form of SSc who presented with acute stridor due to vocal cord paralysis and required an emergency tracheostomy. She had sought medical attention only after 4 years of disease onset, presenting with a mask-like...


Vascular White Matter Lesions in Young Adults: A Neurology Outpatient Clinic Re...

Viana-Baptista, M; Cruz-e-Silva, V; Caetano, A; Marto, JP; Azevedo, E; Ferreira, C; Pinto, AA, et al.

Introduction: Although frequently assumed to be age-related changes, vascular white matter lesions (WML) are sometimes found in young adults. Etiology is usually attributed to sporadic small vessel disease; nevertheless, genetic disorders may also be implicated. We aimed to characterize the population of young adults with vascular WML in Neurology outpatient clinics. Methods: Neurologists from 12 Portuguese hos...


Gastric Polyps: where do we stand?

Ferreira, A; Soares, J; Caetano, A; Rolanda, C; Machado, A; Gonçalves, R


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