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Primary Anti-Phospholipid Antibody Syndrome: Real-World Defining Features of Re...

Moraes-Fontes, MF; Pedro, F; Campos, MM; Fernandes, M; Yavuz, S; Oliveira, F; Panarra, A

Objective: We aimed to identify features that allow differentiation of primary antiphospholipid syndrome (PAPS) patients that suffer recurrent thrombotic events (RTE) despite anticoagulation, from the other diagnosed PAPS patients. Methods: This was an exploratory study of anticoagulated PAPS patients attending an Autoimmune Diseases Unit (1998-2018). From 2016, anti-phospholipid antibodies and lupus anticoagul...


Absolute Hyperglycemia versus Stress Hyperglycemia Ratio for the Prognosis of H...

Matias, AA; Manique, I; Sabino, T; Rego, T; Mihon, C; Panarra, A; Rizzo, M; Silva-Nunes, J

Diabetes is a risk factor for greater severity of coronavirus disease 2019 (COVID-19). The stress hyperglycemia ratio (SHR) is an independent predictor of critical illness, and it is reported to have a stronger association than absolute hyperglycemia. The aim of this study was to assess the relationship of absolute hyperglycemia and SHR with the severity of COVID-19, since there are no studies investigating SHR...


Implementing an Influenza Vaccine Effectiveness Study in a Hospital Context in ...

Machado, A; Gomez, V; Panarra, A; Poças, J; Corte-Real, R; Peres, MJ; Nunes, B

Introduction: The project ‘Integrated Monitoring of Vaccines in Europe’ aimed to measure seasonal influenza vaccine effectiveness against hospitalised adults, aged 65 years and over, with influenza. We describe the protocol implementation in Portugal. Material and Methods: We implemented a test-negative design, targeting community-dwelling patients aged 65 years old and over hospitalised with severe acute respi...


Tuberculosis Infection in HIV Vs Non‐HIV Patients

Rego de Figueiredo, I; Branco Ferrão, J; Dias, S; Vieira Alves, R; Drummond Borges, D; Torres, M; Guerreiro Castro, S; Lourenço, F; Antunes, AM

Objectives: Tuberculosis (TB) is the most common opportunistic infection and cause of mortality among people living with HIV, and it is possible that it may also influence the evolution of the HIV infection. We assessed the differences between HIV-positive and -negative people infected with TB. Methods: The present study is a cross-sectional retrospective study by electronic record revision. We included patient...


Nailfold Capillaroscopy and Autoimmune Connective Tissue Diseases in Patients F...

Bernardino, V; Rodrigues, A; Lladó, A; Panarra, A

Raynaud's phenomenon (RP) is frequent in autoimmune connective tissue diseases (AICTD) and its approach includes nailfold capillaroscopy (NFC), as it is a non-invasive technique that permits direct visualization of the microcirculation. The aim of this study is to analyze and establish clinical correlations between NFC findings and particular aspects of autoimmune disorders. This is a retrospective study. Clini...


Pneumocystosis Pneumonia: A Comparison Study Between HIV and Non-HIV Immunocomp...

Rego de Figueiredo, I; Vieira Alves, R; Drummond Borges, D; Torres, M; Lourenço, F; Antunes, AM; Gruner, H; Panarra, A

Pneumocystis pneumonia (PCP) is caused by the fungus Pneumocystis jirovecii, and its incidence has been on the rise in immunosuppressed patients without HIV. We performed a cross sectional study in patients with PCP and assessed demographic, clinical presentation and outcome measures such as mechanical ventilation and mortality differences between HIV and non-HIV patients. The two groups were statistically sign...



Clinical Presentation and Long-Term Outcomes of Systemic Sclerosis Portuguese P...

Vidal, C; Ruano, C; Bernardino, V; Lavado Carreira, P; Lladó, A; Santos, MC; Gruner, H; Panarra, A; Riso, N; Moraes-Fontes, MF

INTRODUCTION: Systemic sclerosis is a complex disorder that requires systematic screening. Our objective is to report the European Scleroderma Trials and Research group centre affiliation and its impact in our clinical practice. MATERIAL AND METHODS: The European Scleroderma Trials and Research group affiliation process, database update and current patient evaluation, with respect to demographic and clinical fe...



Antiphospholipid Syndrome and Recurrent Thrombosis--Limitations of Current Trea...

Coelho Henriques, C; Lourenço, F; Lopéz, B; Panarra, A; Riso, N

Antiphospholipid syndrome (APS) is a systemic autoimmune disorder that is characterised by the presence of antiphospholipid antibodies and a common cause of vascular thromboembolic phenomena. The management of patients with APS is currently directed to antithrombotic medications. The international therapeutic guidelines recommend oral anticoagulation with warfarin indefinitely after the first thrombotic episode...


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