4,564 results match your criteria Acta Medica Portuguesa[Journal]


A Rare Case of Unilateral Tongue Edema with Angiotensin Converting Enzyme Inhibitors.

Acta Med Port 2022 May 25. Epub 2022 May 25.

Departamento de Medicina Interna. Centro Hospitalar Universitário do Porto. Porto. Portugal.

Angiotensin converting enzyme inhibitors (ACEi) are widely used for the treatment of multiple conditions such as hypertension, heart failure and chronic kidney disease. Angioedema is a rare but potentially fatal complication of ACEi use and unilateral tongue edema is a very rare presentation. We report a case of a 55-year-old man, with a history of hypertension, on enalapril for three years, who presented to the hospital with unilateral tongue swelling, without airway compromise. Read More

View Article and Full-Text PDF

Fever in a Patient with a Central Venous Catheter Colonized by Pandoraea pnomenusa.

Acta Med Port 2022 May 23. Epub 2022 May 23.

Sector de Microbiologia. Serviço de Patologia Clínica. Hospital Pedro Hispano. Unidade Local de Saúde de Matosinhos. Matosinhos. Portugal.

Pandoraea species are a newly described genus of multidrug-resistant, non-fermentative Gram-negative bacilli, mainly isolated from sputum samples of cystic fibrosis patients. In immunocompromised patients or with high antibiotic selective pressure, these pathogens are generally opportunistic and invasive. Although Pandoraea spp. Read More

View Article and Full-Text PDF

European Portuguese Language and Cultural Validation of the Chronic Obstructive Pulmonary Disease Assessment Test.

Acta Med Port 2022 May 20. Epub 2022 May 20.

Faculty of Medicine. University of Coimbra. Coimbra. Coimbra Institute for Clinical and Biomedical Research (iCBR). Faculty of Medicine. University of Coimbra. Coimbra. Clinical Academic Center of Coimbra (CACC). Coimbra. Portugal.

Introduction: The chronic obstructive pulmonary disease assessment test (CAT) is a self-administered questionnaire that measures health-related quality of life. GOLD proposes using this questionnaire, since it provides thorough coverage of the impact of chronic obstructive pulmonary disease (COPD) on well-being. This questionnaire has been widely used in daily clinical practice in Portugal, but it lacks validation for European Portuguese. Read More

View Article and Full-Text PDF

Breast Implant-Associated Anaplastic Large Cell Lymphoma: Two Distinct Clinical Presentations.

Acta Med Port 2022 May 18. Epub 2022 May 18.

Breast Clinic. General Surgery Service. Portuguese Oncology Institute Francisco Gentil. Lisbon. Portugal.

Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) is a rare CD30 positive T cell lymphoma whose incidence has recently increased. Until 2020, 733 cases of BIA-ALCL and 36 deaths have been reported around the world, with only one confirmed case in Portugal. The authors describe two clinical cases of BIA-ALCL after breast cancer reconstruction using macrotextured implants. Read More

View Article and Full-Text PDF

[Environmental Sustainability in Healthcare Systems: The Role of Anaesthesiology].

Acta Med Port 2022 May 16. Epub 2022 May 16.

Departamento de Anestesia. Unidade Local de Saúde de Matosinhos. Hospital Pedro Hispano. Matosinhos. Grupo de Sustentabilidade Ambiental. Sociedade Portuguesa de Anestesiologia. Lisboa. Portugal.

View Article and Full-Text PDF

Erasmus Syndrome: An Underrecognized Entity.

Acta Med Port 2022 May 13. Epub 2022 May 13.

Pulmonology Department. Hospital de Santa Marta. Centro Hospitalar Universitário Lisboa Central. Lisboa. Portugal.

We present a case of a 33-year-old male who worked as a plumber and a locksmith. The patient presented with diffuse myalgia and asthenia, skin sclerosis and puffy fingers, Raynaud's phenomenon, exertional dyspnea and erectile dysfunction. The presence of specific autoantibodies enabled the diagnosis of systemic sclerosis. Read More

View Article and Full-Text PDF

Syphilitic Balanitis of Follmann.

Acta Med Port 2022 May 11. Epub 2022 May 11.

Serviço de Dermatovenereologia. Hospital Garcia de Orta. Almada. Portugal.

View Article and Full-Text PDF

[Syndemic Pandemic in Portugal: Social Inequality in Risk Factors Associated With COVID-19 Mortality].

Authors:
Julian Perelman

Acta Med Port 2022 May 9. Epub 2022 May 9.

NOVA National School of Public Health. Comprehensive Health Research Center. Universidade NOVA de Lisboa. Lisboa. Portugal.

Introduction: International evidence has unveiled the existence of social inequalities in the risk of death associated with SARS-CoV-2 (COVID-19). In Portugal, the impossibility to identify the socioeconomic condition of deceased people hinders this evaluation. This study analyzes the social inequalities in the risk factors of COVID-19 mortality in Portugal. Read More

View Article and Full-Text PDF

Functional Disorders in Neurology and Gastroenterology: Notes on Terminology, Classification and Stigma.

Acta Med Port 2022 May 3. Epub 2022 May 3.

CHRC - Comprehensive Health Research Centre. NOVA Medical School. Universidade NOVA de Lisboa. Lisbon. Department of Neurology & Headache Centre. Hospital da Luz Lisboa. Lisbon. Department of Neurosciences and Mental Health. Hospital de Santa Maria. Centro Hospitalar Universitário Lisboa Norte. Lisbon. Portugal.

View Article and Full-Text PDF

Still Regarding Schizophrenia, Secondary Schizophrenia, Pseudo-Schizophrenia, and Schizophrenia-Like Psychosis.

Acta Med Port 2022 May 5. Epub 2022 May 5.

Serviço de Psiquiatria Geral e Transcultural. Hospital Júlio de Matos. Centro Hospitalar Psiquiátrico de Lisboa. Lisboa. Clínica Universitária de Psiquiatria e Psicologia Médica. Faculdade de Medicina. Universidade de Lisboa. Lisboa. Portugal.

View Article and Full-Text PDF

Profiles on Adolescent Internet Addiction: A Taxonomy with Latent Profiling Analysis.

Acta Med Port 2022 Apr 22. Epub 2022 Apr 22.

Pediatrics Department. Centro Hospitalar Universitário Cova da Beira. Covilhã. Portugal.

Introduction: Addictive use of the Internet among adolescents has been linked to a negative psychosocial development, but more detailed information about Internet addiction (IA) profiles is warranted. The aim of this study was to identify IA profiles in adolescents based on psychometric properties from the Internet Addiction test (IAT), and to assess the associations between the profiles and personal/social behaviors.

Material And Methods: A cross-sectional study was performed at public schools from a Portuguese region, using a survey that included the IAT. Read More

View Article and Full-Text PDF

[Fibrofolliculomas: The Clue to the Diagnosis of Birt-Hogg-Dubé Syndrome].

Acta Med Port 2022 May 4. Epub 2022 May 4.

Serviço de Dermatologia. Hospital de Santa Maria. Centro Hospitalar Universitário Lisboa Norte. Lisboa. Clínica Universitária de Dermatologia. Faculdade de Medicina. Universidade de Lisboa. Lisboa. Portugal.

View Article and Full-Text PDF

Campylobacter jejuni Pericarditis: A Case Report.

Acta Med Port 2022 Apr 28. Epub 2022 Apr 28.

Serviço de Medicina Intensiva e Polivalente. Centro Hospitalar Vila Nova de Gaia/Espinho. Gaia. Portugal.

Campylobacter jejuni is one of the most common causes of enteritis. In rare cases, extraintestinal infection can occur, with a handful of cases of cardiac involvement, of which the pathophysiological mechanism is unclear. We report a case of pericarditis in a patient with X-linked agammaglobulinemia presenting with chronic diarrhea and chest pain who evolved to cardiac tamponade, requiring a pericardial window and a long course of broad-spectrum antibiotics. Read More

View Article and Full-Text PDF

Association between Body Mass Index and Gestational Weight Gain with Obstetric and Neonatal Complications in Pregnant Women with Gestational Diabetes.

Acta Med Port 2022 Apr 26. Epub 2022 Apr 26.

Internal Medicine Department. Centro Hospitalar de Póvoa de Varzim/Vila do Conde. Póvoa de Varzim. Portugal.

Introduction: Gestational diabetes is a condition that predisposes to complications during pregnancy and to the newborn. The aim of this study was to assess the association between body mass index and gestational weight gain and obstetric and neonatal complications in pregnant women with gestational diabetes.

Material And Methods: Retrospective cohort study involving 13 467 singleton pregnancies with gestational diabetes, diagnosed between 2014 and 2018, in Portugal. Read More

View Article and Full-Text PDF

Portuguese Version of the Stigma Scale: Preliminary Psychometric Characteristics.

Acta Med Port 2022 Apr 20. Epub 2022 Apr 20.

Institute of Psychological Medicine. Faculty of Medicine. University of Coimbra. Coimbra. Department of Psychiatry. Centro Hospitalar e Universitário de Coimbra. Coimbra. Portugal.

Introduction: Stigma is associated with poor prognosis of illness and reduced help-seeking behavior, self-esteem and treatment compliance. The aims of this study were to study the reliability and construct validity of the King's et al Stigma Scale, and its association with Illness and Help-Seeking Behaviors scale (IHSBS) scores.

Material And Methods: One hundred and forty mental health patients filled out the Stigma scale and the Illness and Help-Seeking Behaviors scale. Read More

View Article and Full-Text PDF

[The Health Effects and Anesthetic Management for Patients Using E-Cigarettes and Heat-Not-Burn Tobacco Products: A Narrative Review].

Acta Med Port 2022 Apr 18. Epub 2022 Apr 18.

Hospital de Santa Maria. Centro Hospitalar Universitário Lisboa Norte. Lisboa. Portugal.

Introduction: The implementation of policies aimed at promoting smoking cessation led to a decrease in the use of tobacco. There has been an increase in the use of systems such as electronic nicotine delivery systems and electronic non-nicotine delivery systems - also known as electronic cigarettes, and heat-not-burn tobacco products. The aim of this review is to describe the pathophysiological implications of these devices and their perioperative impact. Read More

View Article and Full-Text PDF

Natural Tolerance Development to Peach in a Child with Lipid Transfer Protein Allergy.

Acta Med Port 2022 Apr 14. Epub 2022 Apr 14.

Allergy Department. Centro Hospitalar Vila Nova de Gaia/Espinho. Vila Nova de Gaia. Portugal.

Non-specific lipid transfer proteins (LTPs), present in multiple plant foods and pollens, are the predominant allergen in peach allergy in the Mediterranean region and may induce life-threatening allergic reactions. Although reasonably studied in adults, LTP allergy has been rarely described in children, and to the best of the author's knowledge, natural tolerance development during childhood to this allergen has not been reported to date. The authors reported the case of a 21 month-old boy who presented urticaria and facial edema 15 minutes after eating a peach. Read More

View Article and Full-Text PDF

The First Documented Case of Hb South Florida Variant in Portugal.

Acta Med Port 2022 Apr 13. Epub 2022 Apr 13.

Serviço de Medicina Interna. Hospital de Braga. Braga. Portugal.

We present a 39-year-old male, previous smoker, with no other known cardiovascular risk factors. He was referred to Internal Medicine for study of thrombophilia, because of repeated deep vein thrombosis. Multiple diagnostic tests were undertaken where HbA1c assay was included. Read More

View Article and Full-Text PDF

Translation and Validation of the Clinician Administered PTSD Scale (CAPS-CA-5) for Portuguese Children and Adolescents.

Acta Med Port 2022 Apr 11. Epub 2022 Apr 11.

Department of Psychology and Education. Universidade da Beira Interior. Covilhã. Portugal.

Introduction: The aim of this study was to translate and validate into European Portuguese the CAPS-CA-5 (Clinician Administered PTSD Scale for Children and Adolescents), a semi-structured scale for the diagnosis of post-traumatic stress disorder in children and adolescents, according to the DSM-5 criteria.

Material And Methods: This study was developed in three stages. In the first stage, the translation and back-translation of CAPS-CA-5 into European Portuguese was carried out. Read More

View Article and Full-Text PDF

An Uncommon Presentation of Pheochromocytoma in Neurofibromatosis Type 1 and the Importance of Long-Term Follow-Up.

Acta Med Port 2022 Apr 8. Epub 2022 Apr 8.

Endocrinology Department. Coimbra Hospital and University Centre. Coimbra. Portugal.

Neurofibromatosis type 1 (NFT1) is a disease caused by mutations in the tumor suppressor gene NF1. It is associated with a higher incidence of chromaffin cell tumors which are usually adrenal, unilateral and benign. The presence of these tumors during pregnancy is extremely rare and frequently associated with fatal outcomes. Read More

View Article and Full-Text PDF

[The Impact of the COVID-19 Pandemic on the Intensive Care Residency Program in Portugal].

Acta Med Port 2022 Apr 6. Epub 2022 Apr 6.

Associação de Internos de Medicina Intensiva. Porto. Serviço de Medicina Intensiva. Centro Hospitalar Universitário de Lisboa Central. Lisboa. Portugal.

Introduction: In 2020, critical care departments underwent profound changes imposed by the COVID-19 pandemic. The aim of this study was to evaluate the impact of the pandemic on the intensive care residency program in Portugal.

Material And Methods: The Association of Critical Care Residents (AIMINT) prepared a questionnaire using the Google Forms® tool, which was applied during August 2020 to the Critical Care residents in Portugal. Read More

View Article and Full-Text PDF

Caring for People with Autism Spectrum Disorder and Cancer.

Acta Med Port 2022 04 1;35(4):309-310. Epub 2022 Apr 1.

Psycho-oncology Service. Instituto Português de Oncologia do Porto Francisco Gentil. Porto. Portugal.

View Article and Full-Text PDF

[Integrated Registry for Drowning and Aquatic Injuries in Portugal].

Acta Med Port 2022 04;35(4):306-307

IDRA - International Drowning Researchers' Alliance. Kuna. United States of America. Royal Life Saving Society. Sydney. School of Population Health. Faculty of Medicine. University of New South Wales. Sydney. Australia.

View Article and Full-Text PDF

[Letter to the Editor concerning "Knowledge and Patterns of Use of Emergency Oral Contraception among Portuguese Female Users of Healthcare Services"].

Authors:
Filipe Prazeres

Acta Med Port 2022 04 1;35(4):305. Epub 2022 Apr 1.

Unidade de Saúde Familiar Beira Ria. Gafanha da Nazaré; Faculdade de Ciências da Saúde. Universidade da Beira Interior. Covilhã. Portugal.

View Article and Full-Text PDF

[Emergency Contraception: The Importance of the Adolescent Clinic].

Acta Med Port 2022 04 1;35(4):304. Epub 2022 Apr 1.

USF Águeda + Saúde. Agrupamento de Centros de Saúde Baixo Vouga. Águeda. Portugal.

View Article and Full-Text PDF

[Use of Emergency Contraception: A Letter to the Editor about Health Literacy and Primary Health Care].

Acta Med Port 2022 04 1;35(4):303. Epub 2022 Apr 1.

Unidade de Saúde Familiar Egas Moniz. Agrupamentos de Centros de Saúde Feira/Arouca. Santa Maria da Feira. Portugal.

View Article and Full-Text PDF

[Telemedicine and its Practical Features].

Acta Med Port 2022 04 1;35(4):311-312. Epub 2022 Apr 1.

Unidade de Saúde Familiar S. Martinho. Agrupamento de Centro de Saúde Tâmega II. Vale do Sousa Sul. Penafiel. Portugal.

View Article and Full-Text PDF

Epidemiology of Clostridioides difficile Infection in Portugal: A Retrospective, Observational Study of Hospitalized Patients.

Acta Med Port 2022 Apr 1;35(4):270-278. Epub 2022 Apr 1.

Departamento de Doenças Infeciosas. Instituto Nacional de Saúde Doutor Ricardo Jorge. Lisboa. Portugal.

Introduction: Clostridioides difficile is the main cause of healthcare-associated diarrhea in Europe and North America. The aim of this study was to characterize the epidemiology and clinical burden of Clostridioides difficile infection among hospitalized patients in Portugal.

Material And Methods: Retrospective study conducted in six public hospital centers in Portugal. Read More

View Article and Full-Text PDF