12 documents found, page 1 of 2
When vitamin supplementation would make all the difference
Carvalho, Clara; Carmo, Filipa; Martins, Rosa; Matos, Eugénia; Torres, Erica; Rebelo, MónicaIntroduction: Dietary intake is insufficient to provide adequate levels of vitamin D during the first year of life and supplementation is required. The main function of calcitriol is to regulate calcium-phosphorus metabolism. Its deficiency can lead to hypocalcemia with severe clinical manifestations. Case Report: A six-month-old melanodermic female infant, exclusively breastfed until five months of age without...
Dual challenge inside the womb: a case report of concomitant fetal atrio-ventri...
Chícharo, Ana Teodósio; Rebelo, Mónica; Lopes, Ana Rita; Saavedra, Maria João; Paramés, Maria Filipa; Araújo, Ana Rita; Machado, Ana Rita CruzFetal autoimmune atrioventricular block (AVB) is a rare but potentially life-threatening condition. It results from the passage of maternal anti-SSA/Ro or Anti SSB/La auto-antibodies into the fetal circulation, leading to inflammation and fibrosis of the AV node and often to irreversible damage. Besides AVB, these antibodies can also cause cardiomyopathies, but there is no evidence linking them to tachyarrhythm...
When vitamin supplementation would make all the difference
Picão de Carvalho, Clara; Carmo, Filipa; Martins, Rosa; Matos, Eugénia; Torres, Erica; Rebelo, MónicaIntroduction: Dietary intake is insufficient to provide adequate levels of vitamin D during the first year of life and supplementation is required. The main function of calcitriol is to regulate calcium-phosphorus metabolism. Its deficiency can lead to hypocalcemia with severe clinical manifestations. Case Report: A six-month-old melanodermic female infant, exclusively breastfed until five months of age without...
NEONATAL RENOVASCULAR HYPERTENSION AND TARGET-ORGAN DAMAGE
Cristóvão Ferreira, Ana; Rebelo, Mónica; Lobo, Luísa; Simão, CarlaIntroduction: Arterial hypertension in the neonatal period is defined by blood pressure values above the 95th percentile, taking into account post-menstrual age. At this age group, it is usually due to renal disease (parenchymal or renovascular diseases). The target-organ lesion may be present at these ages; however, it can be potentially reversible, if the diagnosis and the therapeutic intervention are made in...
Pediatric use of anthracyclines and cardiotoxicity: Review of new screening met...
Rato, João; Rebelo, Mónica; Gomes, AgostinhoNowadays, the progressive increase in the life expectancy of children with cancer also leads to an increase in the incidence of chemotherapy potential side effects. Among these substances, anthracyclines are some of the most commonly used and have myocardial toxicity. Despite its improvement with the use of liposomal compounds, there is still a need for better screening methods and early treatment of this cardi...
Cardiovascular Compromise in Children with Neuromuscular Disease with Respirato...
Rato, João; Rebelo, Mónica; Anjos, Rui; Moreno, Teresa; Bandeira, Teresa; Saianda, Ana; Ferreira, RosárioAbstract Introduction: Neuromuscular diseases can be followed by cardiomyopathy and/or arrhythmias that have prognostic consequences. Although respiratory failure is the most frequent cause of death in this group of patients, heart disease is independent of ventilatory compromise and should be investigated. We aimed to investigate the cardiovascular follow-up and diagnosis of a population of patients with neuro...
Sinus node disfunction in an adolescent with systemic lupus erythematosus
Fogaça Da Mata, Miguel; Rebelo, Mónica; Sousa, Helena Sofia; Rocha, Alexandra; Miguel, Pedro; Oliveira Ramos, Filipa; Costa Reis, PatriciaCardiac involvement in systemic lupus erythematosus (SLE) is well documented. The pericardium, myocardium and endocardium, as well as the coronary arteries, the valves and the conduction system can all be affected. While pericarditis is common, arrythmias are less frequently described.We present a 13-year-old male, who had fatigue, anorexia, weight loss, myalgias and arthralgias for four months. On physical exa...
Infantile Hemangioma and Updated Recommended Treatment
Silva, Maria João; Palácios, Jorge; Rebelo, Mónica; Torres, EricaInfantile hemangioma is a benign vascular tumor that frequently occurs at pediatric age, normally at a rate of 2% to 12% in Caucasian newborn babies, particularly in females. The International Society for The Study of Vascular Anomalies has divided these anomalies into two categories: vascular tumors and vascular malformations, including infantile hemangioma among benign vascular tumors. Clinical evolution is c...
Aneurisma da Veia de Galeno: Descrição de Quatro Casos Clínicos
Pereira, Cátia; Gouveia, Raquel; Rebelo, Mónica; Abrantes, Margarida; Costa, JoãoO aneurisma da veia de Galeno é uma malformação artério-venosa cerebral rara, com elevada mortalidade. A manifestação clínica mais frequente é a insuficiência cardíaca de alto débito. O diagnóstico pode ser feito no período pré-natal, no período neonatal ou mais tarde na infância. A gravidade e o prognóstico dependem da idade de apresentação. O tratamento inclui controlo da insuficiência cardíaca com terapêutic...
Disfunção Miocárdica por Défice de Vitamina D
Moniz, Marta; Rebelo, Mónica; Mascarenhas, Maria Inês; Nunes, Pedro; Abadesso, Clara; Loureiro, Helena; Almeida, HelenaO défice de vitamina D manifesta-se geralmente por alterações na mineralização óssea. No entanto, este défice pode associar-se a outras alterações, como a insuficiência cardíaca. É apresentado o caso clínico de uma lactente com 3 meses de vida admitida na unidade de cuidados intensivos pediátricos com sinais de instabilidade hemodinâmica e necessidade de suporte ventilatório e inotrópico. A avaliação laboratori...