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Vaccine against hepatitis B. Comments apropos of a strategy.

Non-A, non-B hepatitis: hepatitis C.

Non-A, non-B hepatitis (NANB), whether following the transfusion of blood products or occurring sporadically without percutaneous exposure, is complicated in approximately 50% of cases by the development of chronic hepatitis. Emerging as a consistent observation is the insidious progression of such cases of chronic NANB hepatitis to cirrhosis. Among patients with chronic NANB hepatitis followed for up to 10 yea...

Sézary syndrome.

Vaccine against hepatitis B. Eight years of experience.

Hepatitis B virus infection is one of the world's major health problems and health care workers are especially at risk, leading to the need for a high priority vaccination program. Such a program was begun in 1989 in S. Maria Hospital and included all hospital personnel and students of the Faculty of Medicine. The screening included 2360 health care workers and 1153 students. Fifty-five percent of hospital heal...

Prevalence of chronic hepatic disease in Portugal. Apropos of a review carried ...

The chronic elevation of Aminotransferases is one of the most frequent indications for percutaneous Liver Biopsy (LB). From a retrospective study of LB performed in the Hepatology liver Unit of Santa Maria Hospital, between 1989 and 1993, we correlated the histologic diagnosis with the etiology of liver disease, sex, age and the Aspartate aminotransferase/Alanine aminotransferase (AST/ALT) and Gama-Glutamyl tra...

Infection with hepatitis C virus in porphyria cutanea tarda.

The authors make a literature review on hepatitis C virus infection in porphyria cutanea tarda, illustrated by one clinical case. They also present some considerations about pathophysiologic mechanisms involved in this association. ; The authors make a literature review on hepatitis C virus infection in porphyria cutanea tarda, illustrated by one clinical case. They also present some considerations about patho...

Echo endoscopy in the local staging of gastric cancer.

to evaluate the accuracy of endoscopic ultrasonography (EUS) in the pre-operative T and N staging of gastric cancer.41 consecutive patients with gastric cancer (35 carcinomas and 6 lymphomas) underwent EUS using an Olympus GF-UM20, with 360 degrees sector scan and interchangeable frequency (7.5-12 MHz). They were classified as T1-T4 and N0-N2, according to the TNM system. These results were then compared with t...

Acute alcoholic hepatitis complicated by cardiac arrhythmia. Alcohol, hepatitis...

The authors present the case of a 32-year-old woman, with acute alcoholic hepatitis(AAH), severe ionic changes and ventricular tachycardia torsade de pointes. Treatment with magnesium sulphate and the use of corticotherapy for AAH are the subjects for discussion. ; The authors present the case of a 32-year-old woman, with acute alcoholic hepatitis(AAH), severe ionic changes and ventricular tachycardia torsade ...

Visceral leishmaniasis and HIV infection: the diagnostic and therapeutic proble...

We present the case of an HIV-seropositive drug addict patient whose seropositivity was unknown until admission to hospital, where he presented with a clinical picture of fever splenomegaly and weight loss. A diagnosis of visceral leishmaniasis was established. We stress the diagnostic difficulties well expressed in the need to repeat the bone marrow aspirate to detect the presence of leishmanias. The lack of r...

Collagenous colitis: clinical and histologic improvement after sulfasalazine an...

We here by report a case of a 42 year-old white woman with an eight-year history of watery diarrhea where the rectal biopsies performed in endoscopically normal mucosa led to the diagnosis of collagenous colitis, characterized histologically by a thickening of the colonic subepithelial basement membrane. A brief review of the current etiopathogenic concepts of this entity is done and the importance of performin...