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Secondary biliary cirrhosis in a patient with histiocytosis X.

Romão, Zita; Pontes, J; Andrade, P; Leitão, M C; Donato, A; Freitas, Diniz

Histiocitose X or Histiocytosis of the Langerhans cells represents a complex spectrum of clinical alterations, resulting from infiltration by anomalous histiocytes of various organs, including the skin, bones, lungs, lymphatic ganglia and liver. Liver disease is rare and the mechanism by which lesions appear is unknown. Cholestasis results from phenomena of sclerosant colangitis, which affects the intrahepatic ...

Date: 2002   |   Origin: Acta Médica Portuguesa

Úlcera Péptica Sangrante: Que Lugar para as Colas?

Lérias, C; Rosa, A; Maçôas, F; Souto, P; Pina-Cabral, JE; Gregório, C; Sofia, C; Leitão, M; Donato, A; Freitas, D


Gastrenterite Eosinofílica

Sequeira, C; Gregório, C; Ramalheira, A; Amaro, P; Urbano, M; Maçôas, F; Portela, F; Gouveia, H; Leitão, M; Donato, A; Freitas, D


Síndrome de Mirizzi

Lérias, C; Souto, P; Pina-Cabral, JE; Saraiva, S; Gomes, D; Durão, A; Moreira, A; Sofia, C; Leitão, M; Donato, A; Freitas, D


An unusual foreign body in the rectum.

Bastos, I; Gomes, D; Gregório, C; Baranda, J; Gouveia, H; Donato, A; Freitas, D

This is the report of an unusual foreign body in the rectum which was a complication of the migration of an esophageal Celestin's prosthesis.


Severe acute liver failure as the initial manifestation of haematological malig...

Souto, P; Romãozinho, JM; Figueiredo, P; Sousa, I; Camacho, E; Donato, A; Freitas, D

Acute liver failure is rarely secondary to lymphoma or leukaemia and it is extremely uncommon as the initial presentation of malignancy. We report a case of a young adult patient with severe acute liver failure referred for liver transplant, in which a Burkitt acute lymphoblastic leukaemia was diagnosed by bone marrow examination. A complete recovery and long remission were obtained with chemotherapy.


Oesophageal lichen planus

Souto, P; Sofia, C; Pina-Cabral, JE; Castanheira, A; Saraiva, S; Tellechea, O; Donato, A; Freitas, D

Lichen planus is a common skin and mucosal disease, with very rare symptomatic oesophageal involvement. We report a case of painful dysphagia due to oesophageal lichen planus in a 60-year-old woman who also had oral, cutaneous and genital lichen planus lesions. Steroid treatment produced considerable improvement of all lesions and a rapid symptomatic remission.


Apolipoprotein A1 and biliary lithiasis in hepatic cirrhosis.

Baranda, J; Ministro, P; Amaro, P; Rosa, A; Pimenta, I; Donato, A; De Freitas, D

A prospective study was performed in 67 male patients with cirrhosis, admitted in our Department during one year. Biliary lithiasis was found in 37% of patients. The occurrence of lithiasis was not related to age, weight or severity of liver disease. Seric total bilirubin was higher in lithiasic patients (p < 0.05). Apolipoprotein A1 levels were lower in those ones with lithiasis (p < 0.005). Apolipoprotein A1 ...

Date: 1996   |   Origin: Acta Médica Portuguesa

Mesenteric arteriovenous fistula causing portal hypertension and bleeding duode...

Baranda, J; Pontes, JM; Portela, F; Silveira, L; Amaro, P; Ministro, P; Rosa, A; Pimenta, I; Andrade, P; Bernardes, A; Pereira, J; Leitão, M; Donato, A

We report a case of portal hypertension associated with a non-traumatic arteriovenous fistula, presenting with bleeding duodenal varices. The patient was admitted for melaena. Emergency endoscopy showed oesophageal varices with no signs of recent bleeding and with no blood in the upper gastrointestinal tract. Arteriography of the coeliac axis and superior mesenteric artery failed to detect any bleeding source. ...


Apolipoproteína A1 e litíase biliar na cirrose hepática

Baranda, J; Ministro, P; Amaro, P; Rosa, A; Pimenta, I; Donato, A; Freitas, D

A prospective study was performed in 67 male patients with cirrhosis, admitted in our Department during one year. Biliary lithiasis was found in 37% of patients. The occurrence of lithiasis was not related to age, weight or severity of liver disease. Seric total bilirubin was higher in lithiasic patients (p < 0.05). Apolipoprotein A1 levels were lower in those ones with lithiasis (p < 0.005). Apolipoprotein A1 ...


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