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US-guided interventional joint procedures in patients with rheumatic diseases--...

OBJECTIVE: To describe the main indications and the technical steps to perform ultrasound guided procedures in patients with rheumatic diseases. To access procedures accuracy, safety and effectiveness. MATERIALS AND METHODS: 27 patients with pain related to articular complications of rheumatic diseases and according to previous radiographic or US exam were submitted to several US-guided procedures. 42% of pati...

A propósito de um caso de espessamento cutâneo

The authors present a clinical case of a 79 years old female patient, with a progressive cutaneous thickening of the face, trunk and limbs, lasting for 6 years. She also presented exertional dyspnea and intermittent solid dysphagia. The laboratory study identified IgG KAPA monoclonal protein and antinuclear antibodies with a speckled pattern. The nailfold capillaroscopy was normal. A detailed physical examinati...

A articulação esternoclavicular na artrite psoriática

Artralgias, dores ósseas, anticorpos anti-nucleares positivos e trombocitopenia...

The differential diagnosis of rheumatic diseases is sometimes very complex given the lack of specificity of some clinical manifestations. A careful physical examination with the aid of laboratory and radiographic findings can lead us to some rare conditions, reminding that they should never be forgotten in the differential diagnosis. The authors present a case report of a woman referred to the rheumatology depa...

Exuberant calcinosis and acroosteolysis. A diagnostic challenge

A case of exuberant acroosteolysis and subcutaneous tissue calcinosis in the absence of skin involvement is presented. Different hypotheses are discussed following the clinical unfolding of the case in practice.

Síndrome de Löfgren: a importância da radiografia torácica

Sarcoidosis is a systemic granulomatosis of unknown origin characterized by a formation of non-caseating granulomas in multiple organs, which can present as a chronic, sub acute or an acute form. Löfgren’s syndrome is an acute form of sarcoidosis characterized by the presence of arthritis/arthralgia, eritema nodosum lesions and hilar lymphadenopathy. The authors present 3 case reports of arthritis/ /arthralgia ...

Hemotórax espontâneo como forma de apresentação de Síndrome de Ehlers-Danlos

A síndrome de Ehlers-Danlos é uma entidade clínica caracterizada por hipermobilidade articular, lassidão e fragilidade cutânea resultante de alterações do tecido conjuntivo. São descritos seis tipos principais, com base em dados clínicos, no modo de transmissão hereditária e alterações bioquímicas e moleculares subjacentes. Os autores apresentam um caso clínico referente a uma doente do sexo feminino, de 44 ano...

Hemotórax espontâneo como forma de apresentação de síndrome de Ehlers-Danlos

Condrocalcinose familiar: uma história para dois irmãos

Calcium pyrophosphate dihydrate crystal deposition is frequently an asymptomatic disease. However it may cause severe acute attacks of inflammatory arthritis as well as chronic arthropathies. The authors present two case reports of two brothers with chondrocalcinosis and an unusual presentation that mimics rheumatoid arthritis. Special considerations are made about the differences between the familiar and idiop...

Linfedema na artrite idiopática juvenil: uma manifestação extra-articular rara

Extraarticular features are usually found in rheumatological diseases sometimes with no correlation with the disease's activity in that moment. Lymphoedema is one of these manifestations and it's defined as a tissue fluid accumulation with gradual onset of swelling of a limb. Because it is an unusual finding, the physiopatological explanation of this feature is still difficult to understand. We describe a case ...