15 documents found, page 1 of 2
Usefulness of Nailfold capillary microscopy in the diagnosis of Raynaud’s pheno...
Santos, Lélita; Fonseca, Isabel; Saldanha, Maria HelenaNailfold capillary microscopy (NCM) is an easy and non-invasive exam that allows the observation of capillaries.Raynaud’s Phenomenon (RP) can be the manifestation of an underlying systemic illness so, it would be useful to have an easy exam making it simpler to distinguish primary from secondary.The aims of this study were: to evaluate which capillaroscopic changes are more frequent in RP; to analyse the inform...
Pressure ulcers: the reality of an Internal Medicine ward
Andrade, Pedro; Seabra Pereira, Filipa; Santos, Lèlita; Saldanha, Maria HelenaPressure ulcers (PU) are a major medical condition with significant prognostic relevance within the elderly. In order to characterize PU bearing patients in an Internal Medicine ward, a retrospective and descriptive analysis of the clinical records of all patients admitted in Coimbra University Hospital - Medicine 1 ward during a 6 months period (between January and June 2006) was done, regarding several indivi...
Intramedullary Ependymoma: a revision of the literature following diagnosis of ...
Batista, Manuel; Pina, Rui; Fonseca, Isabel; Saldanha, Maria HelenaLow back pain is a common complaint in clinical practice. The authors’ presents a 33 year-old man, with a long history of low back pain, with an eventual diagnosis of Intramedular Ependymoma at D9-L1. Ependymoma is a glial tumor and it is the most frequent intramedullary tumour in the adult patient. We must bear in mind that this tumor is one of the possible differential diagnoses when we investigate a complain...
Inflammatory pseudotumor involving sternoclavicular articulation
Costa, Teresa Catarina; Freitas, Ricardo; António, Natália; Pina, Rui; Bernardes, José; Veríssimo, Teixeira; Santos, Fernando; Saldanha, Maria HelenaInflammatory pseudotumor is a rare condition with unknown etiology that most commonly involves the lung and the orbit, but it has been reported to occur in nearly every site in the body. Because inflammatory pseudotumors mimic malignant tumours, both clinically and radiologically, they represent a diagnostic dilemma.We report the case of a patient with inflammatory pseudotumor involving the left sternoclavicula...
Acute monocytic leukaemia presenting as a febrile rash
Marques, Nuno; Deus, Adelaide; Ballesta, Laura; Cortesão, Emília; Almeida, Sérgio; Espadana, Ana Isabel; Aragão, António; Santos, LèlitaCutaneous involvement has been described in all forms of acute myeloid leukaemia as well as in other forms of myeloproliferative disease.We describe a clinical case of a 70 year-old female, whose first manifestation of leukaemia was a 5 day history of diffuse cutaneous rash, fever and muscle pain. Epidemiologically, she was a street vendor and had contact with dogs and cats.On clinical examination she was febri...
Chylothorax in the context of alcoholic cirrhosis of the liver
Freitas, Ricardo; Ceymelin Jones, Jessica; Aragão, António; Ferrão, José; Saldanha, Maria HelenaThe authors present the case of a 70 year-old patient, with a story of chronic alcohol abuse and pulmonary tuberculosis in the past, admitted to hospital for pleural effusion. Physical examination showed jaundiced, decrease of breath sounds in the left hemithorax and abdominal prominence with flank tenderness. Abdominal ultrasound showed ascites and pleural effusion. Thoracocentesis revealed pleural fluid with ...
Reninoma: uma causa rara de hipertensão arterial
Pina, Rui; Barbosa, Benilde; Morales, Jorge; Correia, João; Veríssimo, Teixeira; Furtado, Linhares; Saldanha, Maria HelenaOs tumores justa-glomerulares, também designados por reninomas, são causas benignas e raras de hipertensão arterial (HTA) secundária. Os autores descrevem o caso de uma doente do sexo feminino de 19 anos, com um quadro de HTA de evolução recente. Analiticamente apresentava uma hipocaliemia e um aumento da renina e da aldosterona séricas. Dos exames imagiológicos realizados há a salientar a ressonância magnética...
Doença de Kikuchi-Fujimoto: Uma causa pouco frequente de adenopatias cervicais
Pina, Rui; Fonseca, Isabel; Saldanha, Maria HelenaA doença de Kikuchi-Fujimoto (DKF), também denominada por linfadenite necrosante histiocitária, foi descrita pela primeira vez em 1972 e é caracterizada por ser uma doença benigna e auto-limitada de etiologia desconhecida, que atinge preferencialmente mulheres na segunda ou terceira décadas de vida. As manifestações clínicas mais frequentes são adenopatias cervicais bilaterais associadas a febre, embora outros ...
Reninoma: a rare cause of arterial hypertension
Pina, Rui; Barbosa, Benilde; Morales, Jorge; Correia, João; Veríssimo, Teixeira; Furtado, Linhares; Saldanha, Maria HelenaJuxtaglomerular cell tumours, also called reninomas, are benign and rare causes of secondary high blood pressure.The authors present a case of a 19-year-old woman, admitted to the Coimbra University Hospitals Department of Medicine, suffering from high blood pressure of recent onset. Laboratory fi ndings revealed a decrease in serum potassium and an increased plasma renin and plasma aldosterone level. The abdom...
Kikuchi-Fujimoto disease: a rare cause of cervical Adenopathies
Pina, Rui; Fonseca, Isabel; Saldanha, Maria HelenaKikuchi-Fujimoto disease, also nominated histiocytic necrotizing lymphadenitis, was described in 1972 and is characterised by a benign, self-limiting course and unknown aetiology affecting predominantly young women in their second or third decades of life.Clinical features include bilateral cervical lymphadenopathy in association with fever, even though other constitutional symptoms may be present. Diagnosis is...