12 documents found, page 1 of 2
Acute hyperammonemic encephalopathy - an indication for an extracorporeal depur...
Silva,Filipa; Tavares,Joana; Castro,Ana; Guimas,Arlindo; Freitas,Cristina; Pimentel,João Pedro; Cabrita,AntónioABSTRACT Introduction: Ammonia is a resultant molecule from the protein metabolism that can be neurotoxic when present in high concentrations, causing brain edema and encephalopathy. Extracorporeal blood purification technique (EBPT) can play a role in reducing both ammonia and urea blood levels. However, there are no specific guidelines for its use in hyperammonemia, due to its low incidence and scarce literat...
Does Cystatin C have a role as metabolic surrogate in peritoneal dialysis beyon...
Moreira,Carla Leal; Cunha,Liliana; Correia,Sofia; Silva,Filipa; Castro,Ana; Tavares,Joana; Carvalho,Maria João; Oliveira,José Carlos; Santos,OlíviaABSTRACT Introduction: It has been suggested that cystatin C levels are modified by obesity and inflammation. Furthermore, cystatin C has been associated with cardiovascular events and mortality outcomes. Aim: To study the association of cystatin C with the metabolic profile and cardiovascular disease of peritoneal dialysis patients. Methods: Data collected included clinical, laboratorial, and multifrequency bi...
SARS-CoV-2 infection in hemodialysis patients: Preliminary data from a Portugue...
Tavares,Joana; Dias,Bruno Fraga; Oliveira,João Pedro; Sala,Inês; Silva,Filipa; Castro,Ana; Freitas,Cristina; Fonseca,Tomás; Pimentel,João PedroBackground: In December 2019, a new form of coronavirus was identified (COVID-19) and quickly became a worldwide pandemic. Previous data reported a more severe disease in older patients, with high comorbidities, which are common features in hemodialysis patients. Scarce data is available about the clinical presentation and outcomes in this population. For this reason, we aim to report the characteristics of COV...
Demographic, clinical characteristics and cardiovascular disease burden in a Po...
Lascasas,Josefina Maria Sousa Santos; Fonseca,Isabel; Malheiro,Jorge; Santos,Sofia; Campos,Andreia; Castro,Ana; Moreira,Carla; Correia,SofiaABSTRACT Introduction: Chronic kidney disease (CKD) is an independent risk factor for several unfavorable outcomes including cardiovascular disease (CVD), particularly in the elderly, who represent the most rapidly growing segment of the end-stage kidney disease (ESKD) population. Portugal has the highest European unadjusted incidence and prevalence rates of ESKD. In 2012, we started to follow a cohort of elder...
Acute tubulointersticial nephritis with uveitis: A report of two cases
Silva,Filipa; Correia,Sofia O; Castro,Ana; Moreira,Carla; Santos,Sofia; Malheiro,Jorge; Santos,Josefina; Martins,La Salete; Cabrita,AntónioTubulointersticial nephritis and uveitis syndrome is an idiopathic and rare cause of acute kidney injury that should not overlooked, because it usually requires specific therapeutic interventions. We report two distinct cases: a young and an elder female. Both cases presented with unspecific constitutional symptoms but had different onset of renal and ocular involvement. Both were treated with topical and syste...
Arterio-arterial graft - an option for hemodialysis patients with exhaustion of...
Castro,Ana; Almeida,Paulo; Silva,Filipa; Rego,Duarte; Tavares,Joana; Santos,Josefina; Silva,Fernanda; Queirós,José Alexandre; Cabrita,AntónioIntroduction: Vascular access (VA) for hemodialysis (HD) is the lifeline for End Stage Renal Disease (ESRD) patients. Long-term HD patients often have exhaustion of their venous patrimony for an autologous VA construction and, sometimes, even for a central venous catheter (CVC) placement. Case report: We describe the case of a 43-year-old woman with ESRD due to lupus nephritis, on maintenance HD since 2009. She...
Kidney transplantation in patients with preformed and exclusively anti-HLA-Cw d...
Santos,Sofia; Castro,Ana; Campos,Andreia; Pedroso,Sofia; Dias,Leonídio; Henriques,CastroWe report a patient who had received a first kidney transplant and had preformed DSA anti-HLA-Cw, developing AMR C4d+ soon after transplant. Classically anti-HLA-Cw are considered less immunogenic and are not considered in many organ allocation systems or immunologic risk stratification algorithms, including in Portugal. However, data from literature confirms that their presence is as deleterious as DSA anti-HL...
Pelvic Intravenous Leiomyomatosis - Case Report
Correia,Patricia; Castro,Ana; Rocha,Anabela; Freitas,Daniela; Carnide,Cátia; Moutinho,OsvaldoAbstract Introduction Intravenous leiomyomatosis is a benign and rare condition that can result in cardiac events with fatal outcomes when left untreated. Intravenous leiomyomatosis is probably underestimated because the diagnosis is easily missed. We present a case of an intravenous leiomyomatosis without extra-pelvic involvement, with a brief review of this pathology. Case Report 46-year-old woman submitted t...
Lesões no recinto escolar em adolescentes do norte de Portugal
Alves,Carla; Azevedo,Maria João; Ramalho,Frederic; Guimarães,Filipe; Castro,AnaIntrodução: O potencial de lesões em desportos organizados e nas aulas de educação física (EF) é elevado e constitui, a par com as lesões nos intervalos letivos, um dos principais motivos de afluência à urgência de Ortopedia. Objetivos: Caracterizar as lesões no recinto escolar comparando as aulas de EF e os intervalos letivos, em adolescentes de escolas portuguesas, entre o 7º e o 12º ano de escolaridade e com...
Polirradiculite por Herpes Zoster: Uma invulgar causa de monoparésia
Azevedo,Maria; Castro,Ana; Ruvina,MariaO Herpes Zoster ou Zona é causado pelo Vírus Varicela Zoster e caracteriza-se por uma erupção cutânea vesicular, unilateral, dolorosa e geralmente restrita a um dermátomo. Resulta da reativação do vírus após latência no gânglio da raiz dorsal da medula que em escassos casos pode provocar simultaneamente défice motor e atrofia muscular no miótomo correspondente ao dermátomo atingido. Os autores apresentam o caso...