866 results match your criteria Acta Reumatologica Portuguesa [Journal]


Salivary gland ultrasound findings are associated with clinical and serologic features in primary Sjögren's syndrome patients.

Acta Reumatol Port 2020 Jan-Mar;45(1):76-77

Unidade Local de Saúde do Alto Minho.

Objective: Salivary gland ultrasound (SGUS) has been applied in the diagnosis of primary Sjögren's syndrome (pSS). To investigate the association of SGUS findings with clinical and analytical features of pSS patients.

Material And Methods: 54 pSS patients underwent SGUS evaluation. Read More

View Article

Download full-text PDF

Source

Juvenile bullous systemic lupus erythematosus - case report.

Acta Reumatol Port 2020 Jan-Mar;45(1):74-75

Hospital Garcia de Orta.

Bullous systemic lupus erythematosus (BSLE) is a rare autoimmune subepidermal blistering disease, with few cases described in childhood. We report a case of bullous systemic lupus erythematosus refractory to corticosteroid therapy in a 16-year-old female who was successfully treated with low dose dapsone. We highlight the rarity and the relevance of skin biopsy for a correct diagnosis of BSLE. Read More

View Article

Download full-text PDF

Source

Shoulder pain: are there predictive factors of response to treatment and of ultrasound findings?

Acta Reumatol Port 2020 Jan-Mar;45(1):39-45

Introduction: Shoulder pain is a common cause of consultation in Primary Health Care, and may correspond to up to 30% of the reasons for consultation. Pathology of the rotator cuff is the most common cause of pain. Ultrasound is a valuable diagnostic tool in assessing shoulder disorders; it can be as effective as magnetic resonance imaging. Read More

View Article

Download full-text PDF

Source

Ultrasound-guided core biopsy of the parotid gland: the procedure from the Rheumatology point of view.

Acta Reumatol Port 2020 Jan-Mar;45(1):69-70

Unidade Local de Saúde do Alto Minho.

Ultrasound-guided core biopsy is a minimally invasive technique able to identify lymphoma accompanying Sjögren syndrome, neoplasms or infiltrative diseases, with less complications compared to open biopsy. With these images, we aim to describe the ultrasound-guided core biopsy procedure, in a female patient with rheumatoid arthritis who presented evident inhomogeneity of the parotid gland. The procedure was performed by rheumatologists, trained in ultrasonography of the salivary glands, demonstrating that ultrasound-guided core biopsy is an easy and safe method to obtain salivary gland tissue. Read More

View Article

Download full-text PDF

Source

Development and validation of psoriatic arthritis switch quality assessment tool (PASQAL) - an outcomes measurement tool to assess the quality of biologic switch decisions in psoriatic arthritis.

Acta Reumatol Port 2020 Jan-Mar;45(1):46-57

Serviço de Reumatologia, Hospital Garcia de Orta, Almada and Unidade de Investigação em Reumatologia, Instituto de Medicina Molecular, Faculdade de Medicina, Universidade de Lisboa, Portugal.

Background: Switching between biologic therapies is a recommended strategy for Psoriatic Arthritis (PsA) patients that show an insufficient response or adverse events. Although the choice of the subsequent biologic may be dependent on many factors, assessing the quality of the switch decision is of utmost relevance.

Objectives: To develop and validate two outcomes measurement tools (for patients with peripheral and axial PsA phenotypes) that address the quality of treatment decisions in PsA regarding the switch of biologic therapies in clinical practice. Read More

View Article

Download full-text PDF

Source

Bertolotti syndrome: a not-to-miss cause of chronic low back pain in young adults.

Acta Reumatol Port 2020 Jan-Mar;45(1):58-60

University Hospital of Ioannina.

Low back pain (LBP) in young adults is a common condition that needs to be appropriately examined in cases of refractory to classic treatment strategies. We present two cases of chronic LBP with challenging diagnosis and treatment refractoriness. The first case corresponds to a young lady that has been treated mistakenly with an anti-tumor necrosis factor because her treating doctors diagnosed unilateral sacroiliitis which turned out to be a magnetic resonance imaging (MRI) artifact (partial volume artifact). Read More

View Article

Download full-text PDF

Source

Monostotic melorheostosis and trigger finger.

Acta Reumatol Port 2020 Jan-Mar;45(1):71-72

Centro Hospitalar Trás-os-Montes e Alto Douro.

View Article

Download full-text PDF

Source

Posterior reversible encephalopathy syndrome and digital gangrene in a patient with granulomatosis with polyangiitis - a rare case report.

Acta Reumatol Port 2020 Jan-Mar;45(1):65-68

Hospital de Santa Maria, Centro Hospitalar Universitário de Lisboa Norte, Centro Académico de Medicina de Lisboa.

View Article

Download full-text PDF

Source

Calcifying nucleopathy mimicking infectious spondylodiscitis.

Acta Reumatol Port 2020 Jan-Mar;45(1):61-64

Tunis El Manar University - Tunisia.

Spinal hydroxy apatite deposition disease is a scarce condition. It can be misdiagnosed. Clinical signs may be remarkable mimicking an infectious spondylodiscitis. Read More

View Article

Download full-text PDF

Source

Jump ship, ultrasound is y(our) oyster!

Acta Reumatol Port 2020 Jan-Mar;45(1):73

Department of Physical and Rehabilitation Medicine, Hacettepe University Medical School, Ankara, Turkey.

View Article

Download full-text PDF

Source

The role of opioid analgesics in rheumatic disorders: a position paper from the Portuguese Rheumatology Society.

Acta Reumatol Port 2020 Jan-Mar;45(1):7-19

Pain is a common feature of most rheumatic diseases and it is often the main reason for the patient to seek for a clinical appointment. Chronic pain has a major impact on patient's quality of life, being frequently associated with functional incapacity, sleep and mood disorders. This leads to absenteeism and heavy consumption of health resources, both representing huge burdens on national economy. Read More

View Article

Download full-text PDF

Source

Imaging of gout: findings and pitfalls. A pictorial review.

Acta Reumatol Port 2020 Jan-Mar;45(1):20-25

Nuffield Orthopaedic Centre, Oxford University Hospitals NHS Foundation Trust.

Gout is the most common crystal arthropathy, accounting for up to 5% of all arthritis. The hallmark of the disease is hyperuricemia with the subsequent deposition of monosodium urate (MSU) crystals in the intra- and extra-articular soft tissues and bones, leading to inflammation of these tissues. Recurrent intermittent flares can result in chronic gouty arthritis leading to cartilage and bone destruction. Read More

View Article

Download full-text PDF

Source

Procalcitonin and C-reactive Protein Levels as Biomarkers to Determine Gastrointestinal Involvement in Adult Henoch-Schönlein Purpura Patients.

Acta Reumatol Port 2020 Jan-Mar;45(1):34-38

Objective: To investigate the association of procalcitonin (PCT) and C-reactive protein (CRP) levels with gastrointestinal (GI) involvement in adult HSP patients.

Method: A retrospective study using clinical data and serum PCT and CRP levels from 121 adult HSP patients was performed.

Results: The proportion of male HSP patients with GI involvement was significantly higher compared to patients without GI involvement. Read More

View Article

Download full-text PDF

Source

The European Portuguese version of the ASAS Health Index for Patients with Spondyloarthritis: Measurement properties.

Acta Reumatol Port 2020 Jan-Mar;45(1):26-33

Objective: The Assessments of SpondyloArthritis international Society Health Index (ASAS HI), estimates the impact of Spondyloarthritis (SpA) on global functioning and health. This article assesses the construct validity, reliability and responsiveness of the Portuguese version of the ASAS HI.

Patients And Methods: Patients fulfilling ASAS classification criteria for axial (axSpA) or peripheral SpA (pSpA) were included. Read More

View Article

Download full-text PDF

Source

How did COVID-19 pandemic changed the Portuguese rheumatology?

Acta Reumatol Port 2020 06 8;45(Jan-Mar (1)):5-6. Epub 2020 Jun 8.

Serviço de Reumatologia, Hospital Garcia de Orta, Almada; Faculdade de Medicina, Universidade de Lisboa, Lisboa.

View Article

Download full-text PDF

Source

Obesity, metabolic syndrome and other comorbidities in rheumatoid arthritis and psoriatic arthritis: influence on disease activity and quality of life.

Acta Reumatol Port 2019 Oct-Dec;44(4):322-324

Rheumatology department, Unidade Local de Saúde do Alto Minho, Ponte de Lima.

In obesity, especially if visceral, and in rheumatic diseases, the production of pro-inflammatory cytokines contributes to an increased cardiovascular risk. Moreover, classic cardiovascular risk factors are more common in these patients. We intended to assess the influence of body mass index (BMI), abdominal circumference (AC) and metabolic syndrome (MS) on disease activity and quality of life in Rheumatoid Arthritis (RA) and Psoriatic Arthritis patients and to compare the results between the RA and PsA patients. Read More

View Article

Download full-text PDF

Source

Loss to follow-up in registries of rheumatic patients treated with biologics: a potential information bias in assessing pharmacovigilance and efficacy outcomes.

Acta Reumatol Port 2019 Oct-Dec;44(4):281-287

Serviço de Reumatologia e Doenças Ósseas Metabólicas, Hospital de Santa Maria, Centro Hospitalar Universitário Lisboa Norte, Lisboa, Portugal; Unidade de Investigação em Reumatologia, IMM, Faculdade de Medicina, Universidade de Lisboa.

Background: The information associated with loss to follow-up (LFU) patients may affect real-world data evaluation of the use of biologics that is not being adequately captured in registries.

Methods: We identified all patients (Pts) treated with biologics in our center who had no visits registered for more than 6 months, in the Rheumatic Diseases Portuguese Register, Reuma.pt. Read More

View Article

Download full-text PDF

Source

Intensity of inflammation as the most important predictor of myocardial involvement in JIA. A 3D echocardiographic study.

Acta Reumatol Port 2019 Oct-Dec;44(4):296-302

Faculty of Medicine/Cairo University.

Introduction: Myocardial dysfunction is an important complication in the context of juvenile idiopathic arthritis (JIA). Several mechanisms might be involved in the induction of myocardial injury in such a disabling disease. Among several factors involved, myocardial inflammation and cardiotoxic drugs were thought to be the most incriminated factors. Read More

View Article

Download full-text PDF

Source

Benign transient hyperphosphatasemia in Juvenile Idiopathic Arthritis: a case report.

Acta Reumatol Port 2019 Oct-Dec;44(4):317-319

Hospital de Egas Moniz, Centro Hospitalar de Lisboa Ocidental, Lisboa.

Benign transient hyperphosphatasemia of infancy and early childhood is a self-limiting condition characterized by transiently increased serum alkaline phosphatase in the absence of liver, kidney or metabolic bone diseases. It is often accidentally found in children under five years old and it might be associated with a variety of underlying clinical disorders. Its pathophysiology remains unclear. Read More

View Article

Download full-text PDF

Source

Balance and falls in axial Spondyloarthritis: a cross sectional study.

Acta Reumatol Port 2019 Oct-Dec;44(4):248-253

Mackenzie Evangelical Hospital, Curitiba, PR, Brazil.

Background: Spondyloarthritis (SpA) patients may suffer from balance loss predisposing them to falls.

Aim: To study balance impairment and falls in axial SpA patients and its association with clinical and epidemiological variables, disease activity, functional and metrology indexes.

Methods: Cross-sectional study of 55 SpA patients with axial disease. Read More

View Article

Download full-text PDF

Source

Hand function and adaptive equipment use in patients with rheumatoid arthritis.

Acta Reumatol Port 2019 Oct-Dec;44(4):273-280

Centro de Reabilitação do Norte.

Objectives: Evaluation and characterization of hand function in patients with rheumatoid (RA) arthritis and, secondarily, identification of the use of adaptive equipments.

Material And Methods: Firstly, a written informed consent was obtained and then an anonymous questionnaire was filled by RA outpatients after observation at the rheumatology consultation with no other musculoskeletal or neuromuscular disorders that would determine major functional impairment of hand function. Sociodemographic and clinical variables were collected and the Cochin Hand Functional Scale (CHFS) was applied. Read More

View Article

Download full-text PDF

Source

Innovation and digital transformation to support clinical care and prevent osteoporosis related fractures

Acta Reumatol Port 2019 11 1;44(3):171-172. Epub 2019 Nov 1.

EpiDoC Unit, CEDOC, NOVA Medical School, UNL

View Article

Download full-text PDF

Source
November 2019

How challenging can neuropsychiatric systemic lupus erythematous be? experience from a tertiary care centre.

Acta Reumatol Port 2019 Oct-Dec;44(4):312-316

Hospital Garcia de Orta.

Neuropsychiatric Systemic Lupus Erythematous comprises several neurologic and psychiatric manifestations attributable to Lupus Erythematous Systemic. Diagnosis implies exclusion of non- Systemic Lupus Erythematous -related diseases that might mimic the same symptoms and should be prompt in order to avoid delaying the treatment. Treatment is dictated by the underlying pathogenesis and includes immunosuppression and/or anti-platelet agents/anticoagulation. Read More

View Article

Download full-text PDF

Source
February 2020

Transition in a paediatric rheumatology unit - experience from a tertiary unit.

Acta Reumatol Port 2019 Oct-Dec;44(4):320-321

Serviço de Reumatologia e Doenças Ósseas Metabólicas, Hospital de Santa Maria, Centro Hospitalar Universitário Lisboa Norte, Portugal; Unidade de Investigação em Reumatologia, IMM, Faculdade de Medicina da Universidade Lisboa.

The transition from paediatric to adult health care has been recognised as a priority in recent years. Health care transition (HCT) is defined as the process of moving from a paediatric to an adult model of health care with or without a transfer of follow up to a different clinician. In our centre, the transition begins around 11 years, when the patient education process starts and at the same time enable adolescents and young adults (AYA) to acquire knowledge to manage their disease. Read More

View Article

Download full-text PDF

Source
February 2020

Biologic therapy use and pregnancy outcomes in women with immune-mediated inflammatory rheumatic diseases.

Acta Reumatol Port 2019 Oct-Dec;44(4):266-272

Hospital Garcia da Orta.

Introduction: Concerns about the side effects and interactions of biologic drugs with reproduction and pregnancy have been always an issue between experts. The safety of these therapies during conception and/or pregnancy is not fully understood. The aim of this study was to assess the exposure to biologic drugs before and/or during conception/pregnancy and the risk of adverse pregnancy outcomes in women with rheumatic diseases. Read More

View Article

Download full-text PDF

Source
February 2020

Psoriatic arthritis and ankylosing spondylitis impact on health-related quality of life and working life: a comparative population-based study.

Acta Reumatol Port 2019 Oct-Dec;44(4):254-265

EpiReumaPt Study Group - Sociedade Portuguesa de Reumatologia; Centro de Estudo de Doenças Crónicas (CEDOC), EpiDoc Unit, NOVA Medical School, Universidade Nova de Lisboa (NMS/UNL).

Introduction: Psoriatic arthritis (PsA) and ankylosing spondylitis (AS) are chronic disorders that significantly impact patients' quality of life (QoL), health care systems and society. There is very little data on the epidemiology and the impact of PsA and AS in Portugal, so in this study we aim to: 1) estimate the prevalence of PsA and AS in the adult Portuguese population; 2) compare health-related quality of life (QoL) of PsA and AS with the one of other rheumatic and musculoskeletal diseases (RMD) and with subjects with no rheumatic diseases; 3) compare early retirement and productivity loss among PsA and AS with other RMD.

Methods: We used data from EpiReumaPt, a population-based survey, conducted from 2011 to 2013, in which 10661 subjects over 18 years old were screened for RMD. Read More

View Article

Download full-text PDF

Source
February 2020

Efficacy, immunogenicity and cost analysis of a systematic switch from originator infliximab to biosimilar CT-P13 of all patients with inflammatory arthritis from a single center.

Acta Reumatol Port 2019 Oct-Dec;44(4):303-311

Serviço de Reumatologia e Doenças Ósseas Metabólicas, Hospital de Santa Maria, Centro Hospitalar Universitário Lisboa Norte, Lisboa, Portugal.

Biosimilar drugs are intended to be as effective as the originator product but with a lower cost to healthcare systems. In our center we promoted a switch from originator infliximab (IFXor) to biosimilar infliximab (CT-P13). We analyzed efficacy, safety, immunogenicity and cost savings of switching. Read More

View Article

Download full-text PDF

Source
November 2019
5 Reads

Fall determinants in the adult Portuguese: do chronic conditions change the risk of falling?

Acta Reumatol Port 2019 Oct-Dec;44(4):288-295

Departamento de Medicina e CINTESIS, Faculdade de Medicina da Universidade do Porto (FMUP).

Objectives: Falls are a major public health issue, given its prevalence and social impact. This study aimed to (1) characterize fallers in the adult Portuguese population as well as (2) identify if some chronic conditions are fall determinants.

Material And Methods: Our data of 7403 adults (≥18 years) was retrieved from phase 1 survey of EpiReumaPt, a representative sample of adult Portuguese population. Read More

View Article

Download full-text PDF

Source
November 2019

Tongue ischemia - an unusual presentation of Giant Cell Arteritis.

Acta Reumatol Port 2019 Jul-Sep;44(3):273-275. Epub 2019 Sep 29.

Hospital Divino Espírito Santo de Ponta Delgada, EPE.

Unusual presentations of Giant Cell Arteritis (GCA) can sometimes delay the diagnosis and its prompt treatment. An 83-year-old male patient was admitted in the emergency department with a few hours evolution of tongue swelling, dysphagia and dysarthria. He also complained of a bitemporal headache with about 4 months of evolution and resistant to all treatment prescribed, including ergotamine, that he had started one week before. Read More

View Article

Download full-text PDF

Source
September 2019
1 Read

Endothelin-1 serum levels in women with Rheumatoid Arthritis.

Acta Reumatol Port 2019 Jul-Sep;44(3):250-257. Epub 2019 Sep 24.

Hospital Universitario San Cecilio, Granada, Spain.

Objective: The purpose of this study was to evaluate serum Endothelin-1(ET-1) levels in women Rheumatoid Arthritis (RA) patients compared with healthy controls, examine possible associations between ET-1 with different characteristic of the disease and investigate possible associations between ET-1 with surrogate markers of cardiovascular disease (CVD).

Methods: This cross-sectional study was performed in Vega-Baja Hospital, Orihuela (Spain) from November 2016 to May 2018. Sixty-three women with RA and sixty-five age and sex healthy controls were included in this study. Read More

View Article

Download full-text PDF

Source
September 2019
1 Read
0.831 Impact Factor

First steps to understand productivity loss in Portuguese patients with rheumatoid arthritis.

Acta Reumatol Port 2019 Jul-Sep;44(3):282-283. Epub 2019 Sep 24.

Centro Hospitalar de Vila Nova de Gaia/Espinho.

Rheumatoid Arthritis (RA), in consequence of joint inflammation and damage, is known to lead to productivity loss. Developments during the 21st century, such as biologic treatments, allowed remission/low disease activity to be achieved in more RA patients. Despite this, evidence is equivocal concerning work outcomes improvement. Read More

View Article

Download full-text PDF

Source
September 2019
1 Read

Autohemotherapy with ozone as a possible effective treatment for Fibromyalgia.

Acta Reumatol Port 2019 Jul-Sep;44(3):244-249. Epub 2019 Sep 29.

Universidad de Sevilla.

Objective: The objective of this study is to evaluate the effectiveness of autohemotherapy with ozone in the management of fibromyalgia (FM).

Design: 20 FM patients (according to the criteria of the American College of Rheumatology), were treated with 10 sessions of ozone hemotherapy (2 sessions per week) with a concentration of 30-60 mcgr/ml. The health condition of the patients was evaluated before and after treatment, through the Fibromyalgia Impact Questionnaire (FIQ). Read More

View Article

Download full-text PDF

Source
September 2019
2 Reads

Bilateral vertebral artery occlusion without stroke secondary to giant cell arteritis.

Acta Reumatol Port 2019 09 23;44(3):270-272. Epub 2019 Sep 23.

University of Medicine and Pharmacy Targu Mures.

Ultrasound examination has become an important tool in the diagnosis of giant cell arteritis, revealing the suggestive hypoechoic arterial wall thickening (halo sign). Vertebral artery involvement is not unusual in giant cell arteritis, but bilateral vertebral artery occlusion secondary to this affection is a rare condition and only a few cases have been reported so far. We report a case of an 84-year-old male patient with anterior ischaemic optic neuropathy secondary to giant cell arteritis, with bilateral occlusion of the vertebral arteries manifested with nonspecific neurological signs, detected during the ultrasound scan of the cervical arteries. Read More

View Article

Download full-text PDF

Source
September 2019
2 Reads

Rheuma SPACE - Standard Practice Aiming Clinical Excellence: description of the methodological approach.

Acta Reumatol Port 2019 Sep 8. Epub 2019 Sep 8.

Rheuma SPACE study group.

Background: Quality of care is a key component of the right to health, and the route to equity and dignity. The aim of the project Rheuma SPACE - Standard Practice Aiming Clinical Excellence was to develop a set of quality indicators focused in rheumatoid arthritis care and apply them to rheumatology departments of the Portuguese National Health Service in order to benchmark the care for these patients. This article details the methodology that was applied. Read More

View Article

Download full-text PDF

Source
September 2019

Pleuroparenchymal Fibroelastosis in association with Connective Tissue Disease: a new interstitial pneumonia to be aware of.

Acta Reumatol Port 2019 Aug 7. Epub 2019 Aug 7.

Centro Hospitalar Universitário de São João, Porto, Portugal.

Pleuroparenchymal fibroelastosis (PPFE) is a rare and recently described interstitial pneumonia. It consists of progressive fibrosis involving the pleura and subpleural lung parenchyma, predominantly in the upper lobes, with defined and reproducible clinical, radiological and histopathological criteria. No effective treatment has yet been shown to modify the natural course of the disease, which vary greatly in the literature. Read More

View Article

Download full-text PDF

Source

Granulomatosis with polyangiitis with isolated orbital involvement in children: a case report successfully treated with Rituximab and review of literature.

Acta Reumatol Port 2019 07 8;44(Jul-Sep (3)):258-263. Epub 2019 Jul 8.

We report the case of a 15-year old girl who presented with a non-tender right upper eyelid swelling. Magnetic resonance confirmed the presence of an enlargement of the orbicular muscle with moderate contrast enhancement. Biopsy revealed the presence of necrotizing granulomatous vasculitis. Read More

View Article

Download full-text PDF

Source
July 2019
10 Reads

Chondrosarcoma as inaugural manifestation of monostotic Paget's disease of Bone.

Acta Reumatol Port 2019 Apr-Jun;44(2):163-164

Centro Hospitalar São João.

Sarcomatous degeneration is one of the serious and rare complications of Paget's disease of bone. Osteosarcoma is the most common secondary tumour, while other variants such as chondrosarcoma are extremely uncommon. We describe a unique case of Paget's chondrosarcoma of the pelvis in an elderly female patient, with no previous established diagnosis of osteitis deformans. Read More

View Article

Download full-text PDF

Source
February 2020
2 Reads

Tumoral calcinosis in a rheumatoid arthritis patient - a rare case report.

Acta Reumatol Port 2019 Apr-Jun;44(2):158-160

Unidade de Investigação em Reumatologia, Instituto de Medicina Molecular, Faculdade de Medicina, Universidade de Lisboa, Centro Académico de Medicina de Lisboa, Portugal.

View Article

Download full-text PDF

Source
February 2020

The geyser sign: an unusual presentation of a rotator cuff tear.

Acta Reumatol Port 2019 Apr-Jun;44(2):155-157

Unidade de Investigação em Reumatologia, Instituto de Medicina Molecular, Faculdade de Medicina, Universidade de Lisboa, Centro Académico de Medicina de Lisboa, Portugal.

View Article

Download full-text PDF

Source
February 2020

Tocilizumab in refractory juvenile idiopathic arthritis with associated uveitis: a case report.

Acta Reumatol Port 2019 Apr-Jun;44(2):151-154

Centro Hospitalar Vila Nova de Gaia/Espinho.

Introduction: We report a 9-year follow-up of a child with refractory juvenile idiopathic arthritis (JIA) with associated uveitis in which tocilizumab proved to be effective in achieving disease control.

Case Report: A 16-month child was diagnosed with JIA and at the age of 3 developed bilateral non-granulomatous anterior uveitis. Throughout the follow-up, the patient presented frequent joint and ocular flares. Read More

View Article

Download full-text PDF

Source
February 2020
4 Reads
0.831 Impact Factor

Non-Pharmacological and Non-Surgical Interventions for Knee Osteoarthritis: A Systematic Review and Meta-Analysis.

Acta Reumatol Port 2019 07 29;44(3):173-217. Epub 2019 Jul 29.

Polytechnic Institute of Coimbra.

Objective: The aim of the present systematic review and meta-analysis is to know, based on the available randomized controlled trials, if the non-surgical and non-pharmacological interventions commonly used for knee osteoarthritis (OA) patients are effective and which are the most effective ones.

Material And Methods: RCTs were identified through electronic databases respecting the following terms to guide the search strategy: PICO (Patients - Humans with knee OA; Intervention - Non-surgical and non-pharmacological interventions; Comparison - Pharmacological, surgical, placebo, no intervention, or other non-pharmacological/non-surgical interventions; Outcomes - Pain, physical function and patient global assessment). The methodological quality of the selected publications was evaluated using the PEDro and GRADE scales. Read More

View Article

Download full-text PDF

Source
July 2019
1 Read

Outcomes of rheumatic patients referred from Portuguese speaking African countries for medical evaluation in Portugal.

Acta Reumatol Port 2019 Jul 22. Epub 2019 Jul 22.

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

Bureaucratic, social and economic barriers may influence several clinical aspects of rheumatic diseases in patients from Portuguese speaking African countries (PALOP) displaced for medical care in Portugal. Despite the apparent advantages of dislocating patients to a more resourceful country, these patients present with long-lasting and severe rheumatic diseases with chronic damage, due to lack of precise diagnosis, ineffective referrals, lack of appropriate treatment and concomitant infectious comorbidities that may jeopardize the outcomes of these strategies. Read More

View Article

Download full-text PDF

Source

Assessment of the vaccination status in rheumatic disease patients treated with disease-modifying antirheumatic drugs.

Acta Reumatol Port 2019 Jul 11. Epub 2019 Jul 11.

Centro Hospitalar e Universitário de Coimbra.

Patients with rheumatic diseases are at a higher risk for infections associated to the underlying pathology and immunosuppressive therapy. This fact leads to an increased morbidity and/or mortality. Effective vaccination is essential for the prevention of a significant number of these infections, namely influenza and pneumococcal vaccination. Read More

View Article

Download full-text PDF

Source
July 2019
3 Reads

Hepatic vasculitis mimicking multiple liver abscesses in Cogan's Syndrome.

Acta Reumatol Port 2019 Jul 8. Epub 2019 Jul 8.

Centro Hospitalar E Universitário De Coimbra, E.P.E.

Cogan's syndrome is a rare inflammatory disorder, classically characterized by interstitial keratitis and sensorineural hearing loss. Inner ear disease may result in deafness. In some patients, it may also be accompanied by systemic vasculitis. Read More

View Article

Download full-text PDF

Source
July 2019
15 Reads

The very early inflammatory triquetral lesion by MRI - is this the first sign in Rheumatoid Arthritis?

Acta Reumatol Port 2019 12 15;44(3):218-224. Epub 2019 Dec 15.

Universidad Autonoma de Nuevo Leon, Facultad de Medicina.

Introduction/aim: Rheumatoid Arthritis (RA) an autoimmune, chronic, and disabling disease if untreated, affects wrist joints, with a diagnostic delay of up to 2 years. Triquetral bone allows rotational movement that pivots over the rest wrist bones, and maintains physiological loads during mobility. Magnetic Resonance Imaging (MRI) is the most sensitive (96%) method for diagnosis, evidencing lesions as early as in the initial RA stages. Read More

View Article

Download full-text PDF

Source
December 2019
0.831 Impact Factor

Dermatoscopic and Mucoscopic Features of Lesions in Patients with Behcet's Disease.

Acta Reumatol Port 2019 12 15;44(3):225-231. Epub 2019 Dec 15.

Objective: Behcet's disease (BD), as a vasculitis, can affect small and large vessels. As dermatoscopy has been shown to improve the accuracy in diagnosis of various skin lesions especially vascular patterns, we set this study to find if there is any characteristic pattern in the dermatoscopy of Behcet's mucocutaneous lesions.

Methods: This prospective cross-sectional observational study designed to evaluate dermatoscopic features of Behcet's mucocutaneous lesions. Read More

View Article

Download full-text PDF

Source
December 2019
13 Reads
0.831 Impact Factor

How to diagnose lupus enteritis early? Lessons learned from a multicenter case series.

Acta Reumatol Port 2019 Apr-Jun;44(2):145-150

Centro Hospitalar e Universitário de Coimbra.

Introduction: Lupus enteritis (LE) is a rare, potentially life-threatening manifestation of systemic lupus erythematosus (SLE). Early diagnosis is crucial for early treatment and prevention of serious complications such as ischemic enteritis, bowel infarction with bleeding and/or perforation and peritonitis. The objective of this case review is to identify strategies for early diagnosis of LE. Read More

View Article

Download full-text PDF

Source
February 2020
13 Reads

Antifibrotics in interstitial lung disease related to connective tissue diseases - a paradigm shift in treatment and outcome.

Acta Reumatol Port 2019 Apr-Jun;44(2):161-162

Hospital Garcia de Orta.

Interstitial lung disease (ILD) is one of the major causes of morbidity and mortality in patients with connective tissue disease (CTD) and the treatments available until nowadays are in most cases unable to halt disease progression. CTD-ILD pathogenesis includes an initial inflammatory phase, followed by a fibrotic phase, in which extracellular matrix proteins are produced and fibrotic scaring tissue within the lung develops. Steroids and immunosuppressants are the weapons we currently have to treat CTD-ILD. Read More

View Article

Download full-text PDF

Source
February 2020
2 Reads

The relationship between anthropometric status and rheumatoid arthritis. Exploring the role of nesfatin and asymmetric dimethylarginine.

Acta Reumatol Port 2019 Apr-Jun;44(2):126-131

Objective: The aim of this study was to explore the anthropometric status of rheumatoid arthritis (RA) patients, as well as two controversial adipokines, namely nesfatin-1 and asymmetric dimethylarginine (ADMA), to reveal the possible relationships between them and RA.

Methods: This study included RA patients who fulfilled the American college of rheumatology classification criteria. Anthropometric parameters including height, weight, and waist circumference (WC) were measured and body mass index (BMI) was calculated. Read More

View Article

Download full-text PDF

Source
February 2020
2 Reads

Low persistence with oral biphosphonate treatment in postmenopausal osteoporosis.

Acta Reumatol Port 2019 Apr-Jun;44(2):114-125

CEDOC, Faculdade de Ciências Médicas, Universidade Nova de Lisboa & Serviço de Reumatologia, CHLO,EPE / Hospital Egas Moniz, Lisboa, Portugal.

Background: Osteoporotic fractures are a major cause of morbidity and mortality. It is recognized that persistence with medication is crucial to reach optimal clinical outcomes. We aimed to estimate the persistence level to weekly and monthly oral bisphosphonates (OBP) in women with postmenopausal osteoporosis (PMO) over 24 months from therapy initiation in a population-based setting. Read More

View Article

Download full-text PDF

Source
February 2020
2 Reads