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Ectopic Cushing's Syndrome Unveiling a Metastatic Parotid Carcinoma

Oliveira, SC; Neves, JS; Souteiro, P; Belo, S; Oliveira, AI; Moreira, H; Gomes, PM; Coelho, L; Sarmento, C; Fonseca, E; Neves, C; Freitas, P

Introduction. Adrenocorticotropic hormone (ACTH) ectopic production is a rare cause of Cushing syndrome (CS). The most commonly associated tumours are small-cell lung carcinoma along with bronchial and thymic carcinoids. To date, only 5 cases have been published in the literature featuring ectopic ACTH secretion from metastatic acinic cell carcinoma (ACC) of the parotid gland. We hereby describe a very uncommon...


MÓDULO 3 - Neonatologia e Cuidados Intensivos Pediátricos

Brito, C; Rodrigues, F; Oliveira, G; Lopes, MF; Brito, MJ; Farela-Neves, J; Ramos, C; Mesquita, J; Lemos, C; Pinto, C; Dionísio, T; Fonseca, M


Miocardiopatia de etiologia isquémica versus não-isquémica: haverá diferenças n...

Lourenço, C; Saraiva, F; Martins, H; Baptista, R; Costa, S; Coelho, L; Vieira, H; Monteiro, P; Franco, F; Gonçalves, L; Providência, LA

INTRODUCTION: Previous studies have associated heart failure (HF) of ischemic etiology with worse prognosis compared to HF from non-ischemic cardiomyopathy. HF treatment has evolved significantly in recent years. Has this evolution had an impact on this prognostic gap? OBJECTIVE: The aim of our study was to compare patients with advanced HF--nonischemic versus ischemic etiology--in terms of baseline characteris...


Anatomic variants, congenital anomalies and pathology of the extrahepatic bile ...

Santiago, I; Maciel, J; Coelho, L; Costa, J; de la Fuente, G; Loureiro, R; Marques, C; Reis, D; Alves, F; Tardáguila, F


Cardiac resynchronization therapy is effective even in elderly patients with co...

António, N; Lourenço, C; Teixeira, R; Saraiva, F; Coelho, L; Ventura, M; Cristovão, J; Elvas, L; Gonçalves, L; Providência, LA

PURPOSE: The purpose of this study was to compare the effects of cardiac resynchronization therapy (CRT) in elderly patients (> or =65 years) with younger patients and to assess the impact of comorbidities in CRT remodeling response. METHODS: This is a prospective study of 87 consecutive patients scheduled for CRT who underwent clinical and echocardiographic evaluation before and 6 months after CRT. A reduction...


Complexo de Carney a propósito de um caso clínico

Teixeira, R; Lourenço, C; Coelho, L; Vieira, H; Ramos, D; Castro, G; Monteiro, P; Donato, P; Ferreira, MJ; Providência, LA


Identification of 'super-responders' to cardiac resynchronization therapy: the ...

António, N; Teixeira, R; Coelho, L; Lourenço, C; Monteiro, P; Ventura, M; Cristovão, J; Elvas, L; Gonçalves, L; Providência, LA

AIMS: Some patients show such an important clinical improvement and reverse remodelling after cardiac resynchronization therapy (CRT) that anatomy and function approach normal. These patients have been called 'super-responders'. The aim of our study was to identify predictors of becoming a super-responder after CRT. METHODS AND RESULTS: Eighty-seven consecutive patients who underwent CRT were prospectively stud...


Prognostic value of CA125 in advanced heart failure patients

Monteiro, S; Franco, F; Costa, S; Monteiro, P; Vieira, H; Coelho, L; Oliveira, L; Providência, LA

INTRODUCTION: Serum levels of CA125 are often high in advanced heart failure (AHF) patients. AIM: To determine the predictive value of CA125 in forecasting the occurrence of death or cardiac transplantation in an AHF population. METHODS: 88 AHF patients referred for heart transplantation were divided into 2 groups based on CA125 levels: normal (CA125<38 U/mL) and elevated (>/=38 U/mL). Events (death or heart tr...


Haemodynamics during liver transplantation in familial amyloidotic polyneuropat...

Viana, JS; Bento, C; Vieira, H; Neves, S; Seco, C; Elvas, L; Coelho, L; Ferrão, J; Tomé, L; Perdigoto, R; Craveiro, AL; Providência, LA; Furtado, AL

BACKGROUND: Circulatory instability frequently complicates liver transplantation for familial amyloidotic polyneuropathy (FAP) and may be a source of surgical morbidity and mortality. OBJECTIVE: To evaluate FAP intraoperative haemodynamic data and their relation to the duration of surgery, and need for anaesthetic drugs. RBC and sympathomimetic amines. SETTING: Clinical study during a four year period. PATIENTS...


Congenital afibrinogenemia.

Pastilha, P; Coelho, L; Costa, T D; Deus, G; Santos, H; Rosa, A; Barrocas, F; Braga, L

The authors present a case of congenital afibrinogenemia. A review of the literature is made, and some aspects of this rare inherited coagulation disorder are suggested and commented on.; The authors present a case of congenital afibrinogenemia. A review of the literature is made, and some aspects of this rare inherited coagulation disorder are suggested and commented on.

Date: 1998   |   Origin: Acta Médica Portuguesa

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