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Excessive daytime sleepiness. When to think of narcolepsy?

Rosinha, Inês; Santos, Lea; Madureira, Núria

Narcolepsy is a rare entity that has excessive daytime sleepiness (EDS) as chief complaint. It is a lifelong neurological condition that can be dramatically disabling in the life of a child or adolescent. The classic symptomatic tetrad of EDS − cataplexy, hypnagogic hallucinations, and sleep paralysis − is relatively rare and usually not present in early stages of the disorder, making the diagnosis quite challe...


Dermatology clinical case

Luís, Telma; Clemêncio, Tatiana; Santos, Lea; Loureiro, Manuela

The case of a teenager with guttate psoriasis secondary to trauma and upper airway infection is reported. Guttate psoriasis is the second most common psoriasis variant in pediatric age. Infection and trauma (leading to Koebner phenomenon) seem to be major triggers of the condition. The diagnosis is clinical. Most cases with no previous history of psoriasis spontaneously remit. Topical corticosteroids and vitami...


Neonatal Morbidity in Term Newborns Born by Elective Cesarean Section

Resende, Maria Cristina; Santos, Lea; Santos Silva, Isabel

Introduction: International guidelines suggest that non-urgent planned deliveries be scheduled at or after 39 weeks. Despite this recommendation elective cesarean often occurs before 39 weeks. Some research has demonstrated that elective cesarean before 39 weeks poses a greater risk to the infants than at or after 39 weeks.Objective: To evaluate neonatal morbidity in term newborns born by elective cesarean sect...

Date: 2015   |   Origin: Acta Médica Portuguesa

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