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Wunderlich syndrome as a rare complication of polyarteritis nodosa: a case report

Oliveira, D.; Martins, A.; Martins, F.; Rato, M.; Pinheiro, F.; Fonseca, D.; Vaz, C.; Mariz, E.; Costa, L.

Spontaneous subcapsular and perirenal hemorrhage, known as Wunderlich syndrome (WS), is a rare clinical manifestation of polyarteritis nodosa (PAN). We report a case of a 48-year-old male with a history of recurrent episodes of leg muscle tenderness and dysesthesia, bilateral flank pain, painful nodular skin lesions in the lower limbs, weight loss, and difficult-to-control arterial hypertension. The abdominopel...


Immune-mediated skin lesions related to biological disease-modifying antirheuma...

Martins, A.; Oliveira, D. Santos; Martins, F. R.; Nicolau, R.; Pinheiro, F. Oliveira; Rato, M.; Bernardo, A.; Pimenta, S.; Bernardes, M.; Costa, L.

Biological disease-modifying antirheumatic drugs (bDMARDs) have revolutionized the treatment of chronic inflammatory rheumatic diseases. However, the physician and the patient should be aware of possible adverse reactions. Skin is one of the most frequent organs involved in bDMARD adverse reactions and immune-mediated skin lesions (IMSL) have rarely been described before in cohort studies and their incidence is...


Adalimumab and number of previous biological disease-modifying antirheumatic dr...

Martins, A.; Oliveira, D. Santos; Martins, F. R.; Nicolau, R.; Pinheiro, F. Oliveira; Rato, M.; Bernardo, A.; Pimenta, S.; Bernardes, M.; Costa, L.

Treatment of inflammatory rheumatic diseases has dramatically changed with the introduction of biologic disease modifying anti-rheumatic drugs (bDMARDs). However, these drugs aren’t exempt from risks and skin lesions are the most frequent adverse reactions. Among the possible adverse skin reactions, immune-mediated skin lesions (IMSL) may occur. Risk factors associated with the occurrence of IMSL in rheumatic p...



Epidemiologia das infeções fúngicas superficiais em Portugal - revisão de 3 ano...

Rato, M.; Costin, A.; Furtado, C.; Sousa, C.; Toscano, C.; Veríssimo, C.; Trindade, F.; Almeida, F.; Velho, G.; Catorze, G.; Raposo, I.; Selada, J.

Introdução: As infeções fúngicas superficiais são as dermatoses infeciosas mais frequentes e a sua incidência continua a aumentar. Os dermatófitos são os principais agentes causais apresentando, contudo, uma distribuição geográfica variável. Material e Métodos: O presente estudo teve como objetivo a caracterização epidemiológica das infeções fúngicas superficiais diagnosticadas nos Serviços/Unidades de Dermatol...


Assessment of inshore/offshore tributyltin pollution gradients in the northwest...

Rato, M.; Sousa, A.; Quinta, R.; Langston, W.; Barroso, C.

Imposex and organotin tissue contamination were assessed in Nassarius reticulatus (L.) populations in the northwest Portuguese continental shelf between 2002 and 2005 over an area of 735 km2, involving 366 sampling sites. The objective was to evaluate the dispersion of tributyltin (TBT) from inshore sources inside the Ria de Aveiro estuary into the adjacent deeper sea and to assess endocrine disruption in the n...


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