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Crise hipercalcémia secundária a hiperparatiroidismo primário durante a gravidez

Branco, MR; Rodrigues, CT; Campos, A; Figueiredo, A; Coucelo, J; Magalhães, C; Santos-Silva, I; Taborda, A; Almeida, MC

Primary hyperparathyroidism is a rare occurrence in pregnancy with significant risks to the mother and the foetus, witch is related to the level of serum calcium. A 41-year-old women, gravida 2, para 1, presented at 22 weeks gestation with nausea, vomiting and mild cognitive dysfunction associated with hypercalcemic crisis. The hypercalcemia was observed to be related to parathyroid hyperplasia that was surgica...


Malignant histiocytosis.

João Neto, M; Serviço de Medicina Interna, Centro Hospitalar de Coimbra.; Coucelo, J; Teixeira, A; Ferreira, O; Miraldo, M

The authors report a case of malignant histiocytosis, with sub acute evolution and fatal outcome in a 36 year old male, presenting with fever, hemoptysis, splenomegaly, parietal mass, anemia and bilateral pulmonary nodules. Despite one transbronchial pulmonary biopsy non diagnostic, both myelogram and histology of parietal tumor aroused the suspicion of malignant histiocytosis, later confirmed through a broncho...

Data: 1990   |   Origem: Acta Médica Portuguesa

Complete auriculo-ventricular block during therapy with carbamazepine.

Arsénio, A; Serviço de Cardiologia, Hospital Egas Moniz, Lisboa.; Coucelo, J; Marques, J C; Araújo, V

The authors describe the case of a complete AV block probably induced by carbamazepine. They also review cases described in the literature and suggest some preventive measures before beginning therapy with carbamazepine, mainly in patients over sixty-five years of age, with or without known cardiovascular pathology. ; The authors describe the case of a complete AV block probably induced by carbamazepine. They ...

Data: 1990   |   Origem: Acta Médica Portuguesa

Acute complications of diabetes mellitus.

Luzio, J L; Serviço de Medicina, Centro Hospitalar de Coimbra.; Matos, F; Ferreira, B; Pato, A V; Silva, F; Athayde, C; Coucelo, J; Sá, A; Ferreira, O

A retrospective study was made of 83 diabetic patients admitted to the Department of Internal Medicine between January 1986 and December 1993, with acute intercurrence of the disease. The authors considered some clinical features (age, type and frequency of complication, form of presentation, causal aetiology, laboratory findings and therapeutic options). Statistical relationships between different populations ...

Data: 1970   |   Origem: Acta Médica Portuguesa

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Fundação para a Ciência e a Tecnologia Universidade do Minho   Governo Português Ministério da Educação e Ciência Programa Operacional da Sociedade do Conhecimento União Europeia