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The Asymmetrical Face of a Potential Systemic Disease: A Pattern to Recognize

Peixoto, Daniela; Costa , Mariana; Cunha, Rita; Estanqueiro, Paula; Palavra, Filipe

Parry-Romberg syndrome (PRS) is a rare disorder characterized by a progressive atrophy of the skin, subcutaneous tissue, muscle, and bone of the hemiface, being more common in females. The etiology is unknown, and symptomatology is variable, beginning in the first two decades of life and evolving over 20 years or more. There is no specific treatment, and prognosis depends on the severity of lesions. We report t...

Date: 2025   |   Origin: SINAPSE

Physical exercise and leg pain - What is the relationship?

Miranda, Patrícia; Nascimento, João; Estanqueiro, Paula; Salgado, Manuel

Shin splint, also known as tibial stress syndrome, results from an underlying stress reaction of the tibia caused by overuse. The patient typically refers a diffuse pain along the anteromedial side of the tibia, which is worse in late afternoon and associated with over-exercising days. Diagnosis is confirmed by a prototypical history and physical examination findings. Radiological evaluation assists in differen...


Recomendações Portuguesas para Utilização de Terapêuticas Biológicas em Criança...

Santos, Maria José; Conde, Marta; Mourão, Ana Filipa; Ramos, Filipa Oliveira; Cabral, Marta; Brito, Iva; Ramos, Margarida Paula

Introduction: To provide evidence-based guidance for the rati onal and safe prescripti on of biological therapies in children and adolescents with juvenile idiopathic arthriti s (JIAs), considering the latest available evidence and the new licensed biologics. Methods: Rheumatologists and Pediatricians with experti se in Pediatric Rheumatology updated the recommendati ons endorsed by the Portuguese Society of Rh...


Genetic predictors of poor prognosis in Portuguese patients with Juvenile Idiop...

Mourão, Ana; Santos, Maria; Mendonça, Sílvia; Oliveira-Ramos, Filipa; Salgado, Manuel; Estanqueiro, Paula; Melo-Gomes, José; Martins, Fernando

Introduction: This study aimed to assess the genetic determinants of poor outcome in Portuguese patients with juvenile idiopathic arthritis (JIA). Methods: Our study was conducted in Reuma.pt, the Rheumatic Diseases Portuguese Register, which includes patients with JIA. We collected prospectively patient and disease characteristics and a blood sample for DNA analysis. Poor prognosis was defined as CHAQ/HAQ >0.7...


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