Background. The ideal surgical strategy to multinodular goiter (MNG) is currently still matter of discussion. Thyroid auto- immunity is a well-known risk factor for hypothyroidism and could play a role in MNG’s physiopathology. Objective. Assess thyroid auto-immunity as a risk factor for MNG recurrence. Materials and Methods. Retrospective analysis of a 5-year (January 2012 – December 2016) prospective dat...
This is a work of the Public Health Unit of the Institute of Health Sciences of the Portuguese Catholic University. It is a research work in the area of public health in Portugal that seeks to offer society in general and health organizations in particular, proposals for dealing efficiently with Type 1 Diabetes.; Esta é uma obra da Unidade de Saúde Pública do Instituto de Ciências da Saúde da Universidade Catól...
Esta é uma obra da Unidade de Saúde Pública do Instituto de Ciências da Saúde da Universidade Católica Portuguesa.É um trabalho de investigação na área da saúde pública em Portugal que procura oferecer à sociedade em geral e às organizações de saúde em particular, propostas para lidar eficazmente com a Diabetes Tipo 1.
A prevalência da Diabetes Mellitus tipo 1 tem vindo a aumentar nos últimos anos. O tratamento intensivo através de Sistema de Perfusão Subcutânea Contínua de Insulina é o método mais fisiológico de administração de insulina atualmente disponível. Para que este seja eficaz é fundamental ter conhecimentos sobre a composição dos alimentos, particularmente os Hidratos de Carbono. O presente estudo teve como objetiv...
X-linked adrenal hypoplasia congenita typically manifests as primary adrenal insufficiency in the newborn age and hypogonadotropic hypogonadism in males, being caused by mutations in NR0B1 gene. We present the clinical and follow-up findings of two kindreds with NR0B1 mutations. The proband of kindred A had a diagnosis of primary adrenal insufficiency when he was a newborn. Family history was relevant for a mat...
X-linked Adrenal Hypoplasia Congenita (X-linked AHC) is a rare disorder associated with acute adrenal insufficiency in the newborn age that typically cause vomiting, feeding difficulty, dehydration, and shock due to a salt-wasting episode. Hypoglycemia, frequently presenting with seizures, may be the first symptom. If untreated, adrenal insufficiency is lethal. Affected males, despite hormonal treatment, typica...
Background: X-linked Adrenal Hypoplasia Congenita (X-linked AHC) tipically manifests as adrenal insufficiency in a bimodal clinical presentation (5–60 days and 2–13 years) and, at pubertal age, hypogonadotropic hypogonadism (HH) in males. It is caused by mutations in NR0B1 (present in Xp21.2), a gene with a critical role in the development of adrenals and hypothalamic-pituitary-gonadal (HPG) axis. It represents...
A 43-year-old woman was admitted because of nausea, vomiting, weakness and weight loss. On examination hypotension and cutaneous hyperpigmentation were detected. The sodium level was very low. Those findings suggested adrenal failure. The diagnosis of Addison disease was made because of low levels of cortisol and high levels of adrenocorticotropic hormone. Mild elevation of thyroid-stimulating hormone, normal l...