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Diagnosis of carpal tunnel syndrome with ultrasound

Fontes, Tomás; Sepriano, Alexandre; Ramiro, Sofia; Moniz, Paula; Furtado, Carolina; Figueiredo, Guilherme; Falcão, Sandra

Publisher Copyright: © Author(s) (or their employer(s)) 2025. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ Group.; OBJECTIVES: To assess the value of adding the ultradistal level to other more thoroughly studied levels of the carpal tunnel when measuring the cross-sectional area (CSA) of the median nerve (MN) by ultrasound (US) in diagnosing patients with p...


Direct tissue-sensing reprograms TLR4+ Tfh-like cells inflammatory profile in t...

Amaral-Silva, Daniela; Gonçalves, Rute; Torrão, Rita C.; Torres, Rita; Falcão, Sandra; Gonçalves, Maria João; Araújo, Maria Paula; Martins, Maria José

Funding Information: We thank Cláudia Andrade for technical support and Juliana Gonçalves for testing samples for SARS-CoV-2 exposure. We are extremely grateful to all the participants of the study and to the whole rheumatology department at Hospital Egas Moniz that made this study possible. This work was supported by Fundação para a Ciência e Tecnologia (FCT) PTDC/MEC-REU/29520/2017, by iNOVA4Health UID/Multi/...


Musculoskeletal ultrasound among rheumatologists in Portugal

Neto, Agna; Figueiredo, Guilherme; Saraiva, Fernando; Falcão, Sandra

Over the last years, musculoskeletal ultrasound (MSUS) has been increasingly integrated by rheumatologists into clinical practice. Nowadays, it is considered an important imaging modality for the diagnosis, monitoring, and prognosis of various rheumatic diseases, along with its role in the guidance of interventional procedures. Formal training is needed to ensure a skilled and safe MSUS practice. Data regarding...


Portuguese recommendations for the use of ultrasound in rheumatology

Polido-Pereira, Joaquim; Serra, Sara; Teixeira, Filipa; Ponte, Cristina; Cerqueira, Marcos; Cruz, Margarida; Araújo, Filipe; Barros, Rita

INTRODUCTION: Ultrasound (US) is a relatively cheap, easily available and reliable method to improve the care of rheumatic patients. However, its use in rheumatology practice is very heterogeneous and needs to be standardized. OBJECTIVES: To develop recommendations for the use of US in rheumatic diseases endorsed by the Portuguese Society of Rheumatology. METHODS: A systematic literature review of the available...


Ozonoterapia na Osteoartrose do Joelho

Costa, Tiago; Rodrigues-Manica, Santiago; Lopes, Carina; Gomes, João; Marona, José; Falcão, Sandra; Branco, Jaime

INTRODUCTION: The aim of this study was to conduct a systematic review in order to examine the effectiveness of ozone therapy on knee osteoarthritis. The objectives were to evaluate the effect over time of ozone therapy in terms of knee pain, functional improvement and radiographic progression. MATERIAL AND METHODS: A search was carried out on PubMed, Embase, Cochrane Library, Scopus and Web of Science database...


Portuguese recommendations for the use of methotrexate in rheumatic diseases - ...

Duarte, Ana Catarina; Santos-Faria, Daniela; Gonçalves, Maria João; Sepriano, Alexandre; Mourão, Ana Filipa; Duarte, Cátia; Neves, Joana Sousa

BACKGROUND: Methotrexate (MTX) is the first-line drug in the treatment of rheumatoid arthritis (RA) and the most commonly prescribed disease modifying anti-rheumatic drug. Moreover, it is also used as an adjuvant drug in patients under biologic therapies, enhancing the efficacy of biologic agents. OBJECTIVES: To review the literature and update the Portuguese recommendations for the use of MTX in rheumatic dise...


Doença intersticial pulmonar grave e mania induzida por corticosteróides em doe...

Silvério Serra, Sofia; Pedrosa, Teresa; Falcão, Sandra; Branco, Jaime

Interstitial lung disease occurs in up to 25% of patients with Sjögren’s syndrome and 2% -8 % of patients with systemic lupus erythematosus. Corticosteroid therapy remains the main treatment for systemic lupus erythematosus. However, it can be associated with several neuropsychiatric disorders especially with prednisolone at a dose of more than 40 mg/day. We present the case of a 51-year-old patient with system...


Doppler ultrasound - a valid and reliable tool to assess spondyloarthritis

Falcão, Sandra; De Miguel, Eugenio; Castillo,  Concepcion; Branco, Jaime; Martin-Mola,  Emilio

Enthesitis is the hallmark of spondyloarthritis and is observed in all subtypes. Namely, a wide information on spondyloarthritis abnormalities, including synovitis, bursitis, tendinitis, enthesitis and cortical bone abnormalities (erosions and enthesophytes), can be efficiently perceived by ultrasound power Doppler. Furthermore, several studies on imaging of enthesis showed that imaging techniques are better th...


Recomendações portuguesas «como diagnosticar, monitorizar e tratar a artrite pe...

Ribeiro, Ana; Machado, Pedro; Ramiro, Sofia; Duarte, Cátia; Mourão, Ana Filipa; Bogas, Mónica; Costa, Maria Lúcia; Bernardes, Miguel; Santos, Maria José

Objective: The 3E (Evidence, Expertise, Exchange) Initiative is a multinational effort of rheumatologists aimed at developing evidence-based recommendations addressing specific questions relevant to clinical practice. The objective of the Portuguese contribution for the 3E Initiative was to develop evidence-based recommendations on how to investigate, follow-up and treat undifferentiated peripheral inflammatory...


Recomendações portuguesas para utilização de metotrexato no tratamento de doenç...

Canhão, Helena; Santos, Maria José; Costa, Maria Lúcia; Bogas, Mónica; Mourão, Ana Filipa; Machado, Pedro; Fonseca, João Eurico

Objectives:To develop Portuguese evidence-based recommendations for the use of methotrexate (MTX) in daily clinical practice in rheumatic disorders. Methods:The Portuguese project was integrated in the multinational 3E Initiative (Evidence, Expertise, Exchange) 2007-2008 where a total of 751 rheumatologists from 17 countries have participated. Ten clinical questions concerning the use of MTX in rheumatic diseas...


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