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Coexisting primary Sjögren’s syndrome and sarcoidosis: coincidence, mutually ex...

Herein, we describe a 44-year-old female diagnosed with histologically proven coexistence of primary Sjögren's syndrome and sarcoidosis with pulmonary and muscular involvement. The differential diagnosis may be difficult, but this is not an exceptional case, which highlights the need to critically revise the consideration of sarcoidosis as an exclusion for primary Sjögren's syndrome, as established in current c...

Chronic granulomatous disease associated with common variable immunodeficiency ...

INTRODUCTION: Chronic granulomatous disease associated with common variable immunodeficiency (GD-CVID), although well documented, is rare. Granulomatous lesions can affect several organs and are histologically indistinguishable from sarcoidosis. CLINICAL CASES: Case 1: A 39-year-old male patient with CVID, asymptomatic although with thrombocytopenia and mediastinal-hilar adenopathies. GD-CVID was diagnosed by b...

Dramatic recovery after IV thrombolysis in anterior circulation ischemic stroke...

BACKGROUND AND PURPOSE: Dramatic recovery (DR) after thrombolysis is dependent of vessel recanalization and is predictive of favorable clinical outcome. Successful recanalization is not equivalent to DR. Our objective was to assess its frequency and evaluate clinical and biochemical predictors and their prognosis. METHODS: We analyzed prospectively registered data from January 2007 to September 2012. All patie...

Chronic granulomatous disease associated with common variable immunodeficiency ...

INTRODUCTION: Chronic granulomatous disease associated with common variable immunodeficiency (GD-CVID), although well documented, is rare. Granulomatous lesions can affect several organs and are histologically indistinguishable from sarcoidosis. CLINICAL CASES: Case 1: A 39-year-old male patient with CVID, asymptomatic although with thrombocytopenia and mediastinal-hilar adenopathies. GD-CVID was diagnosed by b...

Novel method of full-thickness bladder closure with an endoscopic suturing mach...

OBJECTIVE: To assess the feasibility of a pure endoscopic closure method for vesical perforations using fully absorbable material. MATERIALS AND METHODS: A pilot experimental study was performed in eight anaesthetized female pigs. Four 10-mm and four 20-mm endoscopic full thickness cystotomies were created. An endoscopic suturing machine (RD-180®; LSI Solutions, Victor, NY, USA) was deployed through the workin...

Edema Agudo do Pulmão Secundário a Laringoespasmo. Pós-Extubação num Lactente (...

Os autores descrevem um caso clínico de edema agudo do pulmão secundário a um laringoespasmo pós-extubação de anestesia geral, num lactente de 3 meses submetido a herniorrafia bilateral. A entubação decorreu sem problemas e o aporte de líquidos durante a cirurgia foi apropriado.A extubação precoce com esforço respiratório contra uma glote cerrada foi provavelmente a causa desta situação levando à instalação de ...

Gastrosquisis e Onfalocelo Revisão de 15 Casos

Análise retrospectiva dos recém-nascidos (R.N.) com defeito da parede abdominal anterior (6 Gastrosquisis e 9 Onfalocelos) tratados no Serviço de Cirurgia do Hospital de Crianças Maria Pia no período de Janeiro de 1990 a Dezembro de 1993, com especial relevância para os dados pré-natais e pré e pós-operatórios.Oito R.N. nasceram por cesariana electiva com diagnóstico pré-natal da anomalia. Dois morreram por cau...

Multigigabit Clock Recovery

This dissertation purpose is the design and implementation of circuits to be used in the synchronization of high bit rate digital signals. At those rates clock recovery is done using an opne-loop structure, since the technology needed for developing closed-loop synchronisers is still not completely mature. (...)Keywords: optical communications; clock recovery; multigigabit; jitter; Gallium Arsenide monolit...

Perturbação de Stress Pós-traumático em sobreviventes de doença oncológica

O papel do pedopsiquiatra e a articulação inter-hospitalar