12 documents found, page 1 of 2
The First Reported Case of Peroral Endoscopic Myotomy in a Child in Portugal
Rodrigues,Inês Coelho; Rodrigues,Luís; Lopes,Ana I.; Correia,Luís; Moura,MiguelAbstract Introduction: Achalasia is a rare disorder, with few cases occurring during childhood. It is also part of the Allgrove syndrome phenotype and a clinical feature that has a major impact on children’s development. Timely diagnosis and effective treatment of symptoms are essential. The novel peroral endoscopic myotomy (POEM) may represent an effective alternative in children. Case Presentation: We present...
Early Antibody-Mediated Kidney Transplant Rejection: A Successful Case Without ...
Silva,Rita M.; Leal,Rita; Marques,Maria G.; Rodrigues,Luís; Santos,Lídia; Romãozinho,Catarina; Figueiredo,Arnaldo; Alves,RuiABSTRACT The diagnosis of antibody-mediated rejection has become more common and represents a major cause of kidney graft loss. The ideal treatment remains unknown, with little evidence supporting the use of a specific therapy. The definition of antibody-mediated rejection is based on serologic (presence and/or development of donor-specific antibodies) and histologic (evidence of acute tissue injury with C4d de...
Utilização de próteses auditivas nos idosos: qualidade de vida e desigualdade
Morgado,Filipa; Caetano,Gonçalo; Gaspar,Andrea; Rodrigues,Luís; Oom,Constança; Machado,Maria Pimenta; Santos,Alberto; Macor,CarlosResumo Objetivos: Avaliar o impacto da utilização de próteses auditivas (PA) na qualidade de vida dos doentes com presbiacusia e identificar as causas da sua não utilização. Desenho do estudo: Coorte retrospetivo. Material e Métodos: Foi aplicado a escala Hearing Handicap Inventory for the Elderly(HHIE) em doentes com presbiacusia, com indicação para o uso de PA, seguidos no Serviço de ORL de um hospital terciá...
Pediatric Acute Liver Failure in Sickle Cell Disease
Rodrigues,Luís; Almeida,Sofia; Salgado,Catarina; Gonçalves,CristinaAbstract Introduction: Sickle cell intrahepatic cholestasis (SCIC) is one of the rarest and the most severe acute hepatic manifestations of sickle cell disease (SCD) and it can rapidly progress to acute liver failure. It is associated with a high mortality rate, demanding prompt recognition and management. Case Presentation: We report a case of a 7-year-old boy with a history of homozygous HbS SCD who presented...
Tratamento salvage do carcinoma pavimentocelular da orofaringe
Antunes,Joselina; Alexandre,Pedro; Rodrigues,Luís; Ramalho,Sara; Montalvão,Pedro; Magalhães,MiguelResumo Objetivos: Avaliar a eficácia da cirurgia salvage no carcinoma orofaríngeo residual/recidivante após radioterapia ou quimiorradioterapia. Métodos: Estudo retrospetivo de doentes seguidos no Instituto Português de Oncologia de Lisboa Francisco Gentil, entre 2010 e 2021. O estudo incluiu 160 doentes com diagnóstico de carcinoma pavimento-celular da orofaringe, dos quais 44 foram selecionados por se ter obj...
Renal biopsy in diabetic patients: Histopathological and clinical correlations
Paixão,Joana; Pimenta,Ana Carolina; Rodrigues,Luís; Sousa,David; Santos,Sandra; Ferreira,Emanuel; Afonso,Nuno; Costa,Fátima; Sousa,Vitor; Pratas,JorgeABSTRACT Introduction: Diabetes is the leading cause of chronic kidney disease and end-stage kidney disease worldwide. A kidney biopsy in a diabetic patient must be considered when non-diabetic renal disease is suspected, such as in the presence of a rapid decline in renal function or severe unexplained proteinuria. However, the timing and criteria of a biopsy remain controversial in these patients. We aimed to...
Rescuing the nephrologists main central vein - placement of a right jugular ve...
Afonso,Nuno; Rodrigues,Luís; Ferreira,Emanuel; Pinto,Helena; Nogueira,Rui; Anacleto,Gabriel; Fonseca,Manuel; Alves,RuiIntroduction: Central venous stenosis can be the main obstacle to the creation of a vascular access. The Surfacer® device was developed to solve the problem of complete occlusions of the right internal jugular vein, right brachiocephalic vein and superior vena cava, allowing for the placement of a vascular access in this venous axis. Case Report: We present the case of a 77-year-old patient on long-term hemodia...
C3 glomerulopathy: a rare kidney histological presentation of multiple myeloma
Costa,Joana Silva; Romãozinho,Catarina; Rodrigues,Luís; Marinho,Carol; Sousa,Vitor; Pratas,Jorge; Cipriano,Maria Augusta; Alves,RuiC3 Glomerulopathy is a rare disease caused by abnormal control of the alternative complement pathway, resulting in a predominant glomerular C3 deposition. Its association with multiple myeloma has been reported in recent literature. We present a case of a 66-year-old women, referred for a nephrology consultation with a stage 4 chronic kidney disease, microhematuria, leukocyturia, sub-nephrotic range proteinuria...
Increased peritoneal dialysis utilization and improved patient survival over a ...
Aguiar,Brigite; Rodrigues,Luís; Borges,Andreia; Sá,Helena; Alves,Rui; Camp,MárioBackground: Peritoneal dialysis (PD) is an established renal replacement therapy, mainly performed at home. There is a general perception that the use of PD is declining worldwide. As countries look to develop dialysis programmes to manage the growing burden of end-stage renal disease (ESRD), it is important to place patterns of PD use in the global context. Although there has been an improvement in PD patient ...
Conversion from twice-daily tacrolimus to an extended release formulation in st...
Rodrigues,Luís; Macário,Fernando; Pego,Cátia; Neves,Marta; Romaozinho,Catarina; Santos,Lidia; Alves,Rui; Sa,Helena; Mota,Alfredo; Campos,MárioIntroduction: Calcineurin inhibitors are currently considered the cornerstone of maintenance immunosuppression in renal transplantation. The extended release formulation of tacrolimus (ER-TAC) was developed to improve drug adherence in these patients. The long-term safety and efficacy of the conversion from the twice-daily tacrolimus to the ER-TAC is still undetermined. Subjects and Methods: Retrospective regis...