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Hypoxemia in an adolescent: when the cause is between the lines

Pereira, Tatiana; Loureiro, Graça; Pereira, Sandra; Rocha, Cristina; Guimarães, Paulo; Oliveira, Sara

Spontaneous pneumomediastinum is a rare entity in pediatric age, with multifactorial etiology. A 16-year-old male with multiple allergies (mites, dogs, cats, and grasses), daily smoker (one pack/day for one year), and regular cannabis, cocaine, and amphetamine consumer went to the Emergency Department of the local hospital with cough, dyspnea, chest pain, and fever with 12 hours of evolution. On physical examin...


Hypoxemia in an adolescent: when the cause is between the lines

Pereira, Tatiana; Loureiro, Graça; Pereira, Sandra; Rocha, Cristina; Guimarães, Paulo; Oliveira, Sara

Spontaneous pneumomediastinum is a rare entity in pediatric age, with multifactorial etiology. A 16-year-old male with multiple allergies (mites, dogs, cats, and grasses), daily smoker (one pack/day for one year), and regular cannabis, cocaine, and amphetamine consumer went to the Emergency Department of the local hospital with cough, dyspnea, chest pain, and fever with 12 hours of evolution. On physical examin...


Imaging Case

Rangel, Maria Adriana; Loureiro, Graça; Pinto, Mariana

Introduction: Cephalohematoma is a collection of serosanguineous fluid below the periosteum and is the most frequent cranial injury in the newborn, occurring in 0.2-2.5% live births. The majority of cephalohematomas spontaneously resolve within three to four weeks, however, some persist beyond four weeks and begin to calcify. Case report: A seven-week-old boy, was referred to the emergency department because of...


Subcutaneous immunotherapy induces alterations in monocytes and dendritic cells...

Sousa, Letícia; Martín-Sierra, Carmen; Pereira, Celso; Loureiro, Graça; Tavares, Beatriz; Pedreiro, Susana; Martinho, António; Paiva, Artur

Background: Specific subcutaneous immunotherapy (SCIT) can achieve long-term remission in patients with allergic rhinitis (AR) through complex and still unknown mechanisms. The aim of this study is to evaluate the effect of SCIT over CD16+ and CD16− monocytes, myeloid (mDCs) and plasmacytoid dendritic cells (pDCs) in patients with AR, comparatively to pharmacological standard treatment (non-SIT). Methods: The r...


UMA MARCHA MUITO PECULIAR...

Pereira, Tatiana; Loureiro, Graça; Pinheiro, Teresa; Ribeiro, Paula; Guimarães, Paulo


PERTURBAÇÕES DO COMPORTAMENTO ALIMENTAR: A REALIDADE DE UM HOSPITAL DISTRITAL

Silva, Joana Vanessa; Loureiro, Graça; de Aguiar, Benedita Bianchi; Costa, Miguel; Barroso, Cláudia; Tavares, Sílvia; Gomes, Lúcia


HEMORRAGIA SUPRARRENAL EM RECÉM-NASCIDA: IMPORTÂNCIA DO DIAGNÓSTICO PRECOCE

Loureiro, Graça; Silva, Joana; Andrade, Teresa; Fonseca, Fátima; Caldeira, Teresa


Symptoms score, nasal peak flow and acoustic rhinomanometry in allergic rhinitis

Calado, Gisela; Loureiro, Graça; Ribeiro, Carmelita; Machado, Daniel; Gapo, Carla; Segorbe Luís, António; Paiva, António Diogo

Objective: To compare symptoms score, nasal inspiratory peak flow (NIPF) and acoustic rhinometry (RAC) in monitoring treatment of allergic rhinitis (AR) and to evaluate the existence of a correlation between them.Material and methods: 11 patients with AR were evaluated by symptoms score, NIPF and RAC before and after 1 month of treatment with intranasal steroids. Both evaluations were performed before and after...


Evaluation of the immune allergic status of children that underwent adenotonsil...

Silvestre, Natércia; Loureiro, Graça; Silva, Clara; Amorim, Ana Margarida; Paiva, Sofia; Paiva, António

Objectives: Evaluate the immune allergic status of children proposed for adenotonsillectomy due to recurrent infections and/or obstructive hypertrophy of the upper airway. To assess the relationship between the allergic status and indication for placement of transtympanic ventilation tubes (TTVT) in children with otitis media with effusion (OME).Methods: Preoperative assessment of the immune allergic status of ...


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