12 documents found, page 1 of 2
Miliary tuberculosis – A challenging diagnosis
Pinto Silva, Catarina; de Sousa, Beatriz; Lima, Joana; Vasconcelos, Sofia; Rebelo, Alícia; Lobo, Ana Luísa; Fernandes, AlexandreTuberculosis is a challenging diagnosis with marked clinical heterogeneity that can lead to diagnostic delay and serious and potentially life-threatening problems. The most prevalent form of the disease is pulmonary tuberculosis. The present case has unique features as in that it describes a case of miliary tuberculosis in an immunocompetent adolescent vaccinated with the Bacillus Calmette-Guerin vaccine and ra...
Miliary tuberculosis – A challenging diagnosis
Silva, Catarina Pinto; de Sousa, Beatriz; Lima, Joana; Vasconcelos, Sofia; Rebelo, Alícia; Lobo, Ana Luísa; Fernandes, AlexandreTuberculosis is a challenging diagnosis with marked clinical heterogeneity that can lead to diagnostic delay and serious and potentially life-threatening problems. The most prevalent form of the disease is pulmonary tuberculosis. The present case has unique features as in that it describes a case of miliary tuberculosis in an immunocompetent adolescent vaccinated with the Bacillus Calmette-Guerin vaccine and ra...
Castleman disease. A rare diagnosis in childhood
Cunha, Sara Monteiro; Vasconcelos, Sofia; Neto, Cláudia; Oliva, Tereza; Salgado, MiguelIntroduction: Castleman Disease (CD) is a rare polyclonal lymphoproliferative disorder characterized by massive growth of lymphoid tissue. The most common sites of disease are the chest, abdomen, neck, and axilla. Excisional biopsy is mandatory for diagnosis, and complete surgical resection the gold-standard treatment in unicentric CD. Case report: A ten-year-old girl was observed at the Emergency Department wi...
Hypersensitivity Pneumonitis: A Rare Diagnosis
Monteiro Cunha, Sara; Moita, Rita; Vasconcelos, Sofia; Neto, Cláudia; Azevedo, InêsIntroduction: Hypersensitivity pneumonitis (HP) is a pulmonary inflammatory disease associated with the exposition of several environmental agents in immunological susceptible individuals. HP is a rare disease and its exact prevalence remains unknown in children. Case report: A healthy ten-year-old male hospitalised with complaints of fatigue, anorexia, abdominal pain, and dry cough. He subsequently developed d...
Multiple Pulmonary Nodes and Thoracic Pain: A Case Report
Vasconcelos, Sofia; Maia Ferreira, AnaThere is limited data about the prevalence of pulmonary nodules in healthy children and no guidelines for their diagnosis and management. We report a case of a nine-year-old boy with thoracalgia aggravated by inspiration. Chest radiography showed pneumonia and, after treatment with azythromicin, there was imagiologic aggravation. Chest computer tomography showed multiple nodular lesions compatible with metastas...
Charcot-Marie-Tooth Disease - From Steppage Gait to Nephropathy
Freitas, Maria Francisca; Moreira, Liane; Vasconcelos, Sofia; Magalhães, Catarina; Tavares, ClaúdiaA previously healthy nine-year-old boy was referred to the Paediatric Neurology Outpatient Clinic for steppage gait. Objectively he had claw toes and slight muscular atrophy of the intrinsic muscles of hands and feet, almost absent Achilles and Rotulian reflexes, slight retraction in dorsiflexion of the feet. Electromyography revealed severe and demyelinating sensorimotor polyneuropathy. The MLPA study of the P...
Castleman disease. A rare diagnosis in childhood
Monteiro-Cunha, Sara; Vasconcelos, Sofia; Neto, Cláudia; Oliva, Tereza; Salgado, MiguelIntroduction: Castleman Disease (CD) is a rare polyclonal lymphoproliferative disorder characterized by massive growth of lymphoid tissue. The most common sites of disease are the chest, abdomen, neck, and axilla. Excisional biopsy is mandatory for diagnosis, and complete surgical resection the gold-standard treatment in unicentric CD. Case report: A ten-year-old girl was observed at the Emergency Department wi...
Acute abdominal pain in a 13-year-old female adolescent
Cunha, Sara Monteiro; Leite, Sara; Vasconcelos, Sofia; Meireles, Carla; Gonzaga, Luís; Simão, Teresa SãoIntroduction: Ovarian torsion can occur at any pediatric age, mainly between the ages of 9 and 14 years. Diagnosis is challenging, as symptoms are nonspecific, misleading to other more common diagnoses, as genitourinary and gastrointestinal disorders. In children, ovarian lesions leading to torsion are typically benign and cystic. Surgical approach is safe, as most cases of early torsed ovary untwisting exhibit...
Quality of life of adolescents with type 1 diabetes mellitus
Vasconcelos, Sofia; Cunha, Sara Monteiro; Rebelo, Alícia; Ferreira, Carla; Meireles, Carla; Dias, ÂngelaIntroduction: Type 1 diabetes mellitus is one of the most common endocrine-metabolic disorders of childhood and adolescence and requires a continuous and rigorous therapeutic approach, with recognized impact on children and adolescents’ quality of life. The purpose of this study was to evaluate the quality of life of adolescents with type 1 diabetes mellitus and its relationship with clinical and laboratory asp...
Quality of life of adolescents with type 1 diabetes mellitus
Vasconcelos, Sofia; Monteiro Cunha, Sara; Rebelo, Alícia; Ferreira, Carla; Meireles, Carla; Dias, ÂngelaIntroduction: Type 1 diabetes mellitus is one of the most common endocrine-metabolic disorders of childhood and adolescence and requires a continuous and rigorous therapeutic approach, with recognized impact on children and adolescents’ quality of life. The purpose of this study was to evaluate the quality of life of adolescents with type 1 diabetes mellitus and its relationship with clinical and laboratory asp...