6 documents found, page 1 of 1
Risk Factors of Acute T -Cell Mediated and Borderline Rejection Diagnosed in Ea...
Roldão,Marisa; Vida,Ana Carlota; Dias,Joana Monteiro; Vieira,Miguel Bigotte; Magriço,Rita; Silva,Cecília; Caeiro,Fernando; Aires,Inês; Ferreira,AníbalAbstract Introduction: Acute graft rejection remains one of the main causes of graft dysfunction and premature loss. Understanding the factors affecting graft rejection is essential to promote graft survival. Our study aimed to determine the incidence and assess risk factors of acute T‑cell mediated rejection (TCMR) and borderline rejection in early protocol kidney transplant biopsies. Methods: Retrospective si...
NAU ‑ New Areas of Unifying Interest for CKD: A Multidisciplinary Expert Opinio...
Malheiro,Jorge; Araújo,Francisco; Nunes,Andreia; Almeida⁵,Clara; Aires,Inês; Nobre,João Pedro; Neves,João Sérgio; Dias,Jordana; Vieira,Miguel BigotteAbstract Introduction: The global prevalence of chronic kidney disease (CKD) is rising exponentially. While patient awareness of CKD remains low, we studied the physicians’ awareness and how globally it can be improved. We aimed to evaluate the awareness and consensus of physicians on the screening, diagnosis and clinical management of CKD, thus identifying which areas should be the subject of educational or re...
O problema da sobreutilização de recursos e o projeto Choosing Wisely Portugal ...
Vieira,Miguel Bigotte; Vaz-Carneiro,AntónioResumo A variação da prática clínica é um fenómeno que se encontra bem descrito e que se caracteriza por uma prática clínica utilizando testes diagnósticos e esquemas terapêuticos diversos, em doentes semelhantes na patologia que apresentam e no seu risco basal. A sobreutilização de recursos em saúde caracteriza-se por apresentar um benefício-risco negativo. Infelizmente ambos os fenómenos se verificam em diver...
Intestinal obstruction in a patient on chronic hemodialysis
Vieira,Miguel Bigotte; Pereira,Marta; Pinto de Abreu,CristinaEncapsulating peritoneal sclerosis (EPS) is an uncommon but serious complication of peritoneal dialysis (PD). We present a case report of EPS and a brief description of the disease. A previously stable 47-year-old male patient on hemodialysis (HD) presented to the hospital with weight loss, fever, anorexia, increased abdominal volume, anemia, increased inflammatory markers, septated hemoperitoneum, and peritone...
Persistent knee pain in a patient with systemic lupus erythematosus
Vieira,Miguel Bigotte; Dias,Joana Monteiro; Romeu,José Carlos; Pereira,Marta; Abreu,Cristina Pinto deThe evaluation of chronic kidney disease-mineral and bone disorder (CKD-MBD) is based on clinical, laboratory, radiology and histological data. However, these data may not always be entirely concordant, leading to significant doubt over therapeutic options. We present a challenging CKD-MBD case report. A 26-year-old female patient presented a past medical history of systemic erythematosus lupus and end-stage re...
Hemodialysis Reliable Outflow (HeRO) Graft device: a lifesaving solution in mul...
Vieira,Miguel Bigotte; Ferreira,Tiago; Fortes,Alice; Martins,Pedro; Ministro,Augusto; Ferreira,Hugo; Silva,Hugo; Amaral,Tiago; Resina,CristinaThe increasing prevalence of end-stage chronic kidney disease associated with advances in treatment is expected to lead to improved survival rates of chronic haemodialysis patients in Portugal. Establishing and maintaining vascular access patency is becoming a challenging issue in these patients. We present a case report of a multiple vascular access failure patient to whom a novel vascular access device was im...