Abstract：
:Pleural mesothelioma is a disease associated with exposure to asbestos. Although rare, it is the most common malignant pleural neoplasm. It is difficult to diagnose and it has a poor prognosis. We report the case of a 62-year-old male patient with a history of prolonged occupational exposure to asbestos, with dyspnea for minor exertion and productive cough, for several months. Imaging studies revealed extensive interstitial involvement with marked thickening of the interlobular and centrilobular septa and tenuous pleural involvement. Several differential diagnoses were considered such as, asbestosis, cryptogenic organizing pneumonia, desquamative interstitial pneumonia, pleuropulmonary metastases, and/or bronchopulmonary infection, but the histological and immunohistochemical results were compatible with pleural mesothelioma - a rare malignant neoplasm, with pleural origin, with a high mortality rate. :O mesotelioma pleural é uma doença associada à exposição ao amianto. Embora raro, é a principal neoplasia maligna da pleura, sendo o seu diagnóstico difícil e o seu prognóstico reservado. O caso clínico apresentado refere-se a um doente de 62 anos, do género masculino, com história ocupacional de exposição prolongada a amianto e clínica arrastada, com meses de evolução, de dispneia para pequenos esforços e tosse produtiva. Imagiologicamente, apresentava um envolvimento intersticial extenso com marcado espessamento dos septos interlobulares e centrilobulares, associado a ténues alterações pleurais. Várias hipóteses diagnósticas foram equacionadas tais como, asbestose, pneumonia organizativa criptogénica, pneumonia intersticial descamativa, metástases pleuropulmonares, e/ou patologia infeciosa broncopulmonar, mas o resultado histológico e imunohistoquímico foi compatível com mesotelioma pleural- uma neoplasia maligna rara, de origem pleural, com uma taxa de mortalidade elevada.
journal_name
Acta Med Portjournal_title
Acta medica portuguesaauthors
Pais A,Pinto N,Cardoso J,Fernandes M,Coutinho AI,Oliveira AS,Carvalho L,Bárbara Cdoi
10.20344/amp.11406subject
Has Abstractpub_date
2020-02-03 00:00:00pages
143-146issue
2eissn
0870-399Xissn
1646-0758journal_volume
33pub_type
杂志文章abstract：BACKGROUND:Meningitis is an uncommon clinical manifestation of invasive infection by Streptococcus pyogenes. CASE REPORT:A four years-old female child, previously healthy, started a history of high fever, associated to right otorrhea, prostration and vomiting. On admission she was haemodynamically stable but prostrate...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2011-12-01 00:00:00
abstract：:In this work, 139 intra-cranial aneurysms diagnosed at the Egas Moniz Hospital were studied, from 1980 to the first quarter of 1992. The nature of this type of lesions was discussed, and aneurysms were defined as an abnormal and segmental dilatation of an intracranial artery wall. A statistical study was performed, in...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：1992-11-01 00:00:00
abstract：:The authors present a case of a 60-year-old male patient, previously diagnosed with B-cell chronic lymphocytic leukemia, who was admitted to the Emergency Room with dyspnea. The initial evaluation revealed severe anemia (Hgb = 5.0 g/dL) with hyperleukocytosis (800.000/µL), nearly all of the cells being mature lymphocy...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2016-05-01 00:00:00
abstract：INTRODUCTION:The use of adequate assessment tools in health care is crucial for the management of care. The lack of specific tools in Portugal for assessing the performance of children who use cochlear implants motivated the translation and adaptation of the EARS (Evaluation of Auditory Responses to Speech) test batter...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2014-01-01 00:00:00
abstract：:Thyroid associated orbitopathy is a clinical entity with pathogenic mechanisms not fully understood, and appears in about 90% of cases in association with hyperthyroidism of Graves' disease. Its approach involves the recognition of typical features and the exclusion of other diseases in the less common presentations. ...
journal_title：Acta medica portuguesa
pub_type： 杂志文章,评审
doi：
更新日期：2011-11-01 00:00:00
abstract：:Brain radiotherapy aims at controlling the pathological lesion(s) as well as avoiding damaging critical structures. However, side effects may occur. Neurocognitive function is often involved impairing quality of life. This dysfunction is among the most frequent complications of brain irradiation. Sparing as much as fe...
journal_title：Acta medica portuguesa
pub_type： 杂志文章,评审
doi：
更新日期：2010-01-01 00:00:00
abstract：INTRODUCTION:The consumption of potentially inappropriate medicines is high among institutionalized elderly, predisposing to potential drug interactions, adverse drug events, risk of iatrogenic cascade, increased morbidity and mortality and health costs. Medication review is a promising strategy for therapeutic optimiz...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：10.20344/amp.13030
更新日期：2020-07-30 00:00:00
abstract：:An unusual case of accidental hanging during autoerotic practices in a 25-year-old male student is described and the autoerotic asphyxia syndrome briefly discussed. The authors stressed the importance of a correct diagnostic of accidental death in these cases. ...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：1989-05-01 00:00:00
abstract：:We report a case of a 25-year-old women admitted to the emergency room of Santa Maria Hospital with pancytopenia and fever. We describe the diagnostic work-up, laboratory findings, therapy, outcome and follow-up after discharge Lastly, we discuss aplastic anemia as a rare systemic lupus erythematosus complication, wit...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：1994-01-01 00:00:00
abstract：:The authors report the importance of not only all over the world but also in Portugal and, particularly, in Dona Estefânia Hospital. Some considerations are made about the usefulness of molecular biology methods in prenatal diagnosis. With this tool can also be do the origins and migrations of populations, which contr...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：1995-06-01 00:00:00
abstract：:Suicidal behaviour still represents a serious public health problem. Although the existence of some consultations on this subject, their efficacy remains very far from what we wish. In that sense, the research on the biological markers of suicidal behaviour might be of considerable importance. The aim of this paper is...
journal_title：Acta medica portuguesa
pub_type： 杂志文章,评审
doi：
更新日期：2008-01-01 00:00:00
abstract：:Duodenocaval fistula is a type of digestive fistula rarely described in the literature. It usually manifests by sepsis associated with gastrointestinal bleeding. The treatment is surgical and the prognosis usually not favorable. We describe the case of a woman admitted to our hospital with sepsis, having been diagnose...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2011-09-01 00:00:00
abstract：:Sympathetic and parasympathetic nervous system evaluation was performed in 21 patients with rheumatoid arthritis. Every patient had autonomic nervous system (ANS) dysfunction, the parasympathetic involvement being the most frequent. ANS dysfunction may explain some manifestations and may well be the expression of a la...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：1993-06-01 00:00:00
abstract：:From January 1980 until October 1991 we operated 112 patients with Gastric cancer in which Surgery was considered palliative by intra-operative criteria or by pathological analysis of the resected specimen. Locally irresectable tumour was found in 24.1% of the cases, peritoneal metastases (mets.) in 21.4%, liver mets....
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：1993-02-01 00:00:00
abstract：:In about 28% of patients, dyslipidemia has a secondary cause. Many times, the treatment of these causes can lead to the total correction of dyslipidemia. We describe the case of a 50-year-old female patient with class II obesity and primary biliary cirrhosis, evaluated for mixed dyslipidemia with poor control (statins...
journal_title：Acta medica portuguesa
pub_type：
doi：10.20344/amp.9944
更新日期：2020-03-02 00:00:00
abstract：:We report 3 years of experience with operative ultrasonography on 200 patients who underwent cholecystectomy for biliary lithiasis. Intraoperative ultrasonography and intraoperative cholangiography were performed on all of these patients and compared with the operative findings. The diagnostic accuracy of sonography w...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：1993-03-01 00:00:00
abstract：:The aim of this study was to evaluate the association between maternal nutritional factors and intrauterine growth retardation (IUGR). We studied 1233 mothers who delivered single term newborns: 144 IUGR-birth weight less than one 10th percentile for sex and gestational age and 1119 controls-birth weight between the 1...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：1994-12-01 00:00:00
abstract：BACKGROUND:The large wounds of the body wall, due to traumas, removal of tumors or prolonged laparostomies are a difficult surgical challenge with complex treatment. This paper presents the efficacy of the closure of large surgical wounds using rubber elastic bands. METHODS:One or two circular rubber elastic bands wer...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2011-05-01 00:00:00
abstract：BACKGROUND:Venous thromboembolism (VTE) risk assessment is a cornerstone for the achievement of best practices and outcomes. Epidemiologic data and practices related to venous thromboprophylaxis as considered by the global ENDORSE study, (Epidemiologic International Day for the Evaluation of Patients at Risk for Venous...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2011-11-01 00:00:00
abstract：:The pathogenesis of cholestasis, bilirubin encephalopathy, and Alzheimer's disease appears to result from accumulation of diverse cytotoxic agents, which in turn may cause apoptotic cell death. In addition, mitochondria has lately been considered as a central executioner of programmed cell death, through the release o...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2002-07-01 00:00:00
abstract：INTRODUCTION:Respiratory tract infections represent the most frequent conditions in pediatric clinical practice that motivate antibiotic prescribing. The objective was to identify the frequency and pattern of antibacterial prescribing in respiratory diseases. MATERIAL AND METHODS:Over a period of two years (divided by...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：10.20344/amp.11111
更新日期：2019-02-28 00:00:00
abstract：:The effects of immunodepression on several disease states have constituted an important area of research, leading to the identification of relevant associations between immunodepression and a vast set of comorbidities, including infectious diseases, cardiovascular diseases and cancer. Research on the effects of immuno...
journal_title：Acta medica portuguesa
pub_type： 杂志文章,评审
doi：10.20344/amp.7997
更新日期：2017-01-31 00:00:00
abstract：:The Internal Medicine consultation plays an important part in the activity of the Medicine Department. This activity is seldom quantified and is usually underestimated. In order to assess the work load represented by this service, the authors designed a prospective study to quantify and analyse the characteristics of ...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2004-07-01 00:00:00
abstract：:The interaction between HPV E6 and p53 protein is known as the most important event in HPV-associated carcinogenesis. Some in vitro studies suggested that p53 genetic variants are targeted for ubiquitin-proteasome degradation induced by E6 with different abilities. A common p53 variant at position 72 (R72P) has leaded...
journal_title：Acta medica portuguesa
pub_type： 杂志文章,评审
doi：
更新日期：2011-01-01 00:00:00
abstract：:Rhabdomyolysis is a common entity that often has a multifactorial etiology. It usually affects healthy individuals, following trauma, excessive physical activity, convulsive crisis, alcohol and other drugs consumption or infections. Accumulation of intracellular calcium, activation of proteases and lipases, production...
journal_title：Acta medica portuguesa
pub_type： 杂志文章,评审
doi：
更新日期：2005-07-01 00:00:00
abstract：:The authors present their clinical experience of leg and foot reconstruction with 227 clinical cases. Based on these cases the authors analyse the use of 18 musculocutaneous, 53 axial, 72 septocutaneous and 84 free flaps, totalling 29 different kinds of flaps performed. Although no definitive conclusions can be drawn ...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：1998-02-01 00:00:00
abstract：:On page 761, in the first sentence of the Introduction, where it reads: "Cardiovascular Botulinum toxin A (BoNT-A) has beenapproved for spasticity management."It should read: "Botulinum toxin A (BoNT-A) has been approved for spasticity management."Article published with errors: https://www.actamedicaportuguesa.com/rev...
journal_title：Acta medica portuguesa
pub_type： 已发布勘误
doi：10.20344/amp.15226
更新日期：2020-12-02 00:00:00
abstract：INTRODUCTION:Severity in systemic lupus erythematosus may vary from mild to even fatal consequences. There are no biomarkers to predict the disease's prognosis. The Systemic Lupus International Collaborating Clinics/ Systemic Damage Index defines systemic lupus erythematosus disease severity and is found to predict pro...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：10.20344/amp.8082
更新日期：2017-05-31 00:00:00
abstract：:Congenital muscular dystrophy (CMD) is one of the most frequent dystrophies of childhood, which is commonly characterized by neonatal muscle impairment with or without clinical evidence of central nervous system involvement. CMDs were classified into five clinically distinct forms: the two classical CMDs with and with...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2003-05-01 00:00:00
abstract：:Spontaneous ileopsoas hematoma is a rare and potentially lethal complication of liver cirrhosis, with exceptional mention in medical literature. In this article we present a clinical case diagnosed in a patient with alcoholic liver cirrhosis. ...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2012-01-01 00:00:00
