Encontrados 16 documentos, a visualizar página 1 de 2
Diabetic foot with acute infection: treatment in the Portuguese Emergency Depar...
Neves, José; Serviço de Cirurgia 2.6, Hospital de Santo António dos Capuchos – Centro Hospitalar de Lisboa Central, Lisboa, PortugalDiabetic foot is a common major complication of Diabetes mellitus. The general surgeon is responsible for its diagnosis and treatment. Acute infection is a medical and surgical emergency. This article aims to guide the surgeon in the diagnosis and treatment of infected diabetic foot in the emergency department. Broad-spectrum antibiotics, surgical drainage/debridement in the emergency department, inpatient, lyi...
Long-Term Evaluation of Recurrence after Photodynamic Therapy with Topical Meth...
Cabete, J; Rafael, M; Cravo, M; Moura, C; Sachse, F; Pecegueiro, MIntroduction & Objectives: Several factors may influence the decision to pursue nonsurgical modalities for the treatment of non-melanoma skin cancer. Topical photodynamic therapy (PDT) is a non-invasive alternative treatment reported to have a high efficacy when using standardized protocols in Bowen’s disease (BD), superficial basal cell carcinoma (BCC) and in thin nodular BCC. However, long-term recurrence stu...
Vulvar Lichen Sclerosus: Efficacy of Photodynamic Therapy Under Conscious Sedat...
Cabete, J; Campos, S; Lestre, SAnogenital lichen sclerosus is a chronic, inflammatory, mucocutaneous disorder of significant morbidity. Common symptoms include pruritus, pain, dysuria, and dyspareunia, frequently of difficult control. Photodynamic therapy (PDT) may be an effective therapeutic option in selected cases refractory to first--‐line treatment options. However, procedure--‐related pain is a limiting factor in patient adherence to t...
Fototerapia como Adjuvante da Terapêutica Biológica na Psoríase
Cabete, J; Serrão, V; Lestre, S; Páris, F; Apetato, MIntrodução: A associação terapêutica é uma estratégia frequentemente usada no tratamento da psoríase. Contudo, a associação de fármacos biológicos com terapêuticas convencionais, e em particular com fototerapia, tem sido pouco explorada. Objectivo: Caracterizar a eficácia e a segurança da associação fototerapia-terapêutica biológica no tratamento da psoríase. Métodos: Foram analisados retrospectivamente os proc...
Recidiva de Cancro Cutâneo Não-Melanoma após Terapêutica Fotodinâmica num Servi...
Cabete, J; Rafael, M; Cravo, M; Moura, C; Sachse, F; Pecegueiro, MIntrodução: São escassos os estudos de eficácia a longo prazo da terapêutica fotodinâmica(TFD) no tratamento da doença de Bowen (DB) e do carcinoma basocelular (CBC). Objectivos: Determinar a eficácia a longo prazo da TFD com metilaminolevulinato (MAL) no tratamento da DB e do CBC pela análise de recidiva. Material e método: Foram analisados retrospectivamente os processos clínicos de doentes com o diagnóstico ...
Retroníquia: Reconhecer para Tratar
Cabete, J; Lencastre, AIntrodução: Retroníquia é o termo proposto por alguns autores para definir o processo caracterizado por onicocriptose proximal e consequente inflamação crónica da prega ungueal proximal (PUP), provavelmente de etiologia traumática. Os autores descrevem dois casos desta entidade clínica recentemente descrita. Casos clínicos: Caso 1: Jovem de 18 anos é observada por sinais inflamatórios do hálux esquerdo com 5 me...
Blastic Plasmacytoid Dendritic Cell Neoplasm
Lencastre, A; Farinha, P; Cabete, J; Ferreira, G; João, A; Lestre, SBlastic plasmacytoid dendritic cell neoplasm is a rare and aggressive hematodermic neoplasia with frequent cutaneous involvement and leukemic dissemination. We report the case of a 76-year-old man with a 2 month history of violaceous nodules and a tumor with stony consistency, located on the head, and mandibular, cervical and supraclavicular lymphadenopathies. Multiple thoracic and abdominal adenopathies were i...
Anti-Tumor Necrosis Factor Alpha-Induced Drug Eruptions: One Patient, More Than...
Cabete, J; Lestre, S; João, A; Ferreira, A; Serrão, VBackground: Tumor necrosis factor alpha (TNFα) antagonists are effective in treating several immune-inflammatory diseases, including psoriasis and inflammatory bowel disease. The paradoxical and unpredictable induction of psoriasis and psoriasiform skin lesions is a recognized adverse event, although of unclear aetiology. However, histological analysis of these eruptions remains insufficient, yet suggesting tha...
Playing With Fire: Decrease in Safe-Sex Attitudes Among Men Who Have Sex With M...
Cabete, J; Lestre, S; Serrão, VBackground: Sexually transmitted infections (STIs) present a major public health concern and a global cause of illness in both industrialized and developing countries. Portugal is no exception, with an increasing incidence of STIs, and one of the highest prevalences of HIV in Europe. Reduced risk perceptions among men who have sex with men (MSM) and a consequent high-risk sexual behaviour have been increasingly...
Intravenous Immunoglobulin for the Treatment of Quetiapin-Induced Bullous Pemph...
Cabete, J; Santos, G; Páris, F; Serrão, V; Fidalgo, AThe authors present the case of a 48-year-old woman with HIV-associated dementia treated with antiretroviral therapy and psychoactive drugs, to whom bullous pemphigoid(BP) was diagnosed. Given incomplete response to corticotherapy, and azathioprine-induced bicytopenia,intravenous immunoglobulin(IVIG) was initiated. Despite transient disease control, recurrent flares suggested a persistent triggering factor. S...
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