Servico de Medicina Interna


Servico de Medicina Interna

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Menezes N.,Centro Hospitalar Of Vila Nova Of Gaia Chvng | Moreira A.,Centro Hospitalar Of Vila Nova Of Gaia Chvng | Mota G.,Centro Hospitalar Of Vila Nova Of Gaia Chvng | Tente D.,Servico de Anatomia Patologica | And 4 more authors.
Medicina Cutanea Ibero-Latino-Americana | Year: 2010

A 84 year-old man from north Portugal with chronic myelomonocytic leukaemia (diagnosed 2 years ago), under treatment with erythropoietin and hydroxyurea and Kaposi's sarcoma is reported. The patient was referred to our department with brown macules, papules and patches with a smooth surface and whitish scale, located to the lower limbs that had appeared 2 month ago. The diagnosis of Kaposi's sarcoma was histologically confirmed. He was HIV-1/HIV-2 negative and had no analytic detectable immussupression. The patient died short time after the diagnosis without specif any treatment.

Ricardo Pereira P.,Servico de Medicina Interna | Lopes C.,Unidade de Imunoalergologia | Lopes C.,University of Porto
Revista Portuguesa de Pneumologia | Year: 2013

Introduction: The most recent guidelines on asthma and rhinitis management recommend the optimal control of both diseases as the primary goal of treatment. CARAT10 is a recently developed and validated Portuguese questionnaire, which permits the simultaneous assessment of allergic rhinitis and asthma (ARA) control. There is no published data about the use of this tool. Aims: To assess ARA control using CARAT10 in an Immunoallergology hospital setting;. Methods: Patients with diagnosis of allergic rhinitis with or without asthma (positive aeroallergens prick-tests and/or positive specific IgE) were sequentially enrolled and asked to fill in CARAT10 questionnaire at their first appointment. Results: Two hundred patients were included, mostly female (n. =. 142) with an average age of 33.6. ±. 12.3 years. ARA was present in 86 patients while 114 had isolated allergic rhinitis. In ARA group, 86% scored CARATtotal≤24, meaning poor control. Subscores revealed that 83% had poorly controlled rhinitis (CARATr≤8) and 74% had poorly controlled asthma (CARATa<16). There were no age or gender related differences in ARA control. In allergic rhinitis group (n. =. 114), 89% were poorly controlled. Conclusions: Only 14% of patients presenting rhinitis and asthma had both diseases controlled. © 2012 Sociedade Portuguesa de Pneumologia.

Franco D.,Servico de Medicina Interna | Alves D.,Servico de Medicina Interna | Cristina Almeida A.,Servico de Medicina Interna | Costa Almeida C.,Servico de Cirurgia | And 2 more authors.
Acta Medica Portuguesa | Year: 2015

The spontaneous non-ischaemic blue finger is a rare and benign disorder, characterized by purple discoloration of a finger, with complete resolution. This article reports the case of a woman of 88 years, which after a few hours of stay in the emergency department developed without associated trauma, a purplish color of the 3rdfinger of the right hand, with a palpable pulse and without temperature changes or pain. The etiological investigation was negative. The patient was assessed one week after the event and showed complete resolution. There are several diseases that share the same signs and symptoms, as such the diagnosis is based on the spontaneous violaceous color sparing the finger tip, and fast resolution without treatment. Though being a harmless phenomenon, it requires early assessment for timely differential diagnosis with severe pathologies. © Ordem dos Médicos 2015.

Fernandes C.,Servico de Medicina Interna | Fernandes C.,Centro Hospitalar Of Vila Nova Of Gaia Espinho Epe | Mota M.,Servico de Medicina Interna | Veloso R.,Centro Hospitalar Of Vila Nova Of Gaia Espinho Epe | And 2 more authors.
Acta Gastroenterologica Latinoamericana | Year: 2013

Chronic infection by the hepatitis C virus (HCV) is one of the leading causes of chronic liver disease with an estimate worldwide prevalence of over 200 million people. Acute hepatitis C infection is usually asymptomatic and rarely identified in clinical practice, leading to chronic infection in about 80% of all cases. However, when symptomatic, only about 50% of acute infections progress to chronicity. Correctly identifying acute HCV infection is of paramount importance once it presents itself as an unique treatment opportunity with sustained virological response of about 90%, which is very distant from the 30% to 80% of sustained virological response achieved with standard chronic HCV treatment. The authors present four cases of acute HCV infection. There was spontaneous viral clearance in two patients at week 12 of follow-up. In one case viral RNA was positive at week 12 but sustained virological response was eventually achieved after peginterferon a2a monotherapy.

Cesario V.,Servico de Medicina Interna | Loureiro M.J.,Hospital Garcia Of Orta | Pereira H.,Hospital Garcia Of Orta
Revista Portuguesa de Cardiologia | Year: 2012

Takotsubo cardiomyopathy, also known as transient left ventricular apical ballooning syndrome, stress-induced cardiomyopathy and broken heart syndrome, is characterized by transient left ventricular dysfunction in the absence of obstructive coronary artery disease. It was first described in 1990 in Japan, and gained worldwide recognition following the publication of several series of case reports. Its prevalence is estimated to be 1.7-2.2% of suspected acute coronary syndromes. Although takotsubo cardiomyopathy has been progressively better characterized, certain aspects remain to be clarified, and it is still under study. In this article, we report a series of ten cases of takotsubo cardiomyopathy admitted to a cardiology department, and compare the clinical, laboratory, electrocardiographic and imaging characteristics, therapeutic regimens and follow-up of these patients with those described in the latest scientific reviews. © 2011 Sociedade Portuguesa de Cardiologia. Published by Elsevier España, S.L. All rights reserved.

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