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Casos Enfermaria

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By Manoel Vicente Barros Junior Brazilian Medical Student
Simona Gaudino, Matia Martucci, Raffaella Colantonio, Emilio Lozupone, Emiliano Visconti, Antonio Leone, Cesare Colosimo
Vertebral hemangiomas (VHs) are a frequent and often incidental finding on computed tomography (CT) and magnetic resonance (MR) imaging of the spine. When their imaging appearance is "typical" (coarsened vertical trabeculae on radiographic and CT images, hyperintensity on T1- and T2-weighted MR images), the radiological diagnosis is straightforward. Nonetheless, VHs might also display an "atypical" appearance on MR imaging because of their histological features (amount of fat, vessels, and interstitial edema)...
January 2015: Skeletal Radiology
Adriana Toro, Ahmed-Emad Mahfouz, Annalisa Ardiri, Michele Malaguarnera, Giulia Malaguarnera, Francesco Loria, Gaetano Bertino, Isidoro Di Carlo
Hepatic cavernous hemangioma accounts for 73% of all benign liver tumors with a frequency of 0.4-7.3% at autopsy and is the second most common tumor seen in the liver after metastases. Patients affected by hemangioma usually have their tumor diagnosed by ultrasound abdominal examination for a not well defined pain, but pain persist after treatment of the hemangioma. The causes of pain can be various gastrointestinal pathologies including cholelithiasis and peptic ulcer disease.The malignant trasformation is practically inexistent...
July 2014: Annals of Hepatology
A Murali, Denesh Narasimhan, J Krishnaveni, G Rajendiran
Systemic lupus erythematosus (SLE) is a chronic immunologic disorder that may affect multiple organ systems and present with myriad of clinical features. Gastro-intestinal (GI) manifestations are oral ulcers, dysphagia and abdominal pain caused by autoimmune peritonitis/intestinal vasculitis. Hypoalbuminaemia due to GI loss is uncommon. Protein losing enteropathy (PLE) is a group of clinical entities where there is loss of protein through GI tract. PLE due to SLE is rare but it can be the initial manifestation...
October 2013: Journal of the Association of Physicians of India
Liang Jiang, Xiao Guang Liu, Hui Shu Yuan, Shao Min Yang, Jie Li, Feng Wei, Chen Liu, Lei Dang, Zhong Jun Liu
BACKGROUND CONTEXT: Vertebral hemangiomas (VHs) are called benign tumors but are actually just vascular malformations. The diagnosis and treatment for aggressive VHs is still controversial, due to their rarity. PURPOSE: To evaluate the safety and efficiency of the present diagnostic methods and treatment choices. STUDY DESIGN: A retrospective study of aggressive VHs with neurologic deficit. PATIENTS SAMPLE: A total of 29 consecutive aggressive VH cases were diagnosed and treated in our department since 2001...
June 1, 2014: Spine Journal: Official Journal of the North American Spine Society
J H Lewis, J G Stine
BACKGROUND: Most drugs have not been well studied in cirrhosis; recommendations on safe use are based largely on experience and/or expert opinion, with dosing recommendations often based on pharmacokinetic (PK) changes. AIM: To provide a practical approach to prescribing medications for cirrhotic patients. METHODS: An indexed MEDLINE search was conducted using keywords cirrhosis, drug-induced liver injury, pharmacodynamics (PDs), PKs, drug disposition and adverse drug reactions...
June 2013: Alimentary Pharmacology & Therapeutics
Rémi Longuespée, C Boyon, Annie Desmons, Denis Vinatier, Eric Leblanc, Isabelle Farré, Maxence Wisztorski, Kévin Ly, François D'Anjou, Robert Day, Isabelle Fournier, Michel Salzet
Ovarian cancer (OVC) is the fourth leading cause of cancer mortality among women in Europe and the United States. Its early detection is difficult due to the lack of specificity of clinical symptoms. Unfortunately, late diagnosis is a major contributor to the poor survival rates for OVC, which can be attributed to the lack of specific sets of markers. Aside from patients sharing a strong family history of ovarian and breast cancer, including the BRCA1 and BRCA2 tumor suppressor genes mutations, the most used biomarker is the Cancer-antigen 125 (CA-125)...
December 2012: Cancer Metastasis Reviews
Siu-Tong Law, Kwok Man Ma, Kin Kong Li
Our objective was to compare patients with concurrent and sequentially presented systemic lupus erythematosus (SLE)-related protein-losing enteropathy (PLE). Patients with history of SLE admitted for PLE were selected and their clinical, laboratory, endoscopic and imaging characteristics, treatment and outcome were analyzed. From 2001 to 2010, 21 and 27 patients had concurrent and sequentially presented SLE-related PLE, respectively, and their clinical characteristics were comparable except the following: the concurrent group had more pleural effusion (P < 0...
January 2013: Rheumatology International
Siu-Tong Law, Kwok Man Ma, Kin Kong Li
OBJECTIVE: The aim of our study was to compare protein-losing enteropathy (PLE) associated with or without systemic autoimmune (SA) diseases. METHODS: Patients diagnosed with PLE were selected, and their clinical characteristics, laboratory, endoscopic and imaging characteristics, treatment, and outcome were analyzed. RESULTS: From 2001 to 2010, 74 patients (60 patients with SA disease) with a female predominance were diagnosed with PLE. The SA group tended to be younger, presented early (4...
March 2012: European Journal of Gastroenterology & Hepatology
Ryoko Awazawa, Yu-ichi Yamamoto, Yoshiko Mine, Ikumi Nakamura, Kazuto Kishimoto, Fukunori Kinjyo, Keisuke Hagiwara, Jiro Fujita, Hiroshi Uezato, Kenzo Takahashi
A 45-year-old man was referred to our hospital with a history of multiple erythematous skin lesions of several months' duration. Blood examination revealed extreme hypoproteinemia and hypoalbuminemia, as well as the presence of antinuclear antibodies. A skin biopsy specimen showed liquefaction degeneration at the dermoepidermal junction and dense lymphocyte and neutrophil infiltration around the vessels and appendages in the upper and middle dermis. Chest X-ray and computed tomography showed a pleural effusion and thoracic paracentesis revealed a mononuclear cell-dominant cell infiltration, suggestive of serositis...
May 2012: Journal of Dermatology
F O A A Carneiro, L R Sampaio, L A R Brandão, L L B C Braga, F A C Rocha
Protein-losing enteropathy is a rare manifestation of systemic lupus erythematosus. We report the case of an 18-year-old woman that presented initially with diarrhoea and anasarca. During evaluation, there was low serum albumin of 1.6 g/dl (3.5-5.2 g/dl) and a positive antinuclear antibody test (1:2560). Anti-Sm antibodies (ELISA) were positive in addition to low serum C3 of 35 mg/dl. A scintigraphy using 99mTc-labelled albumin was positive for abdominal protein loss. A diagnosis of systemic lupus erythematosus related protein-losing enteropathy was made...
April 2012: Lupus
Ellen C Ebert, Klaus D Hagspiel
In this review of the gastrointestinal (GI) and hepatic manifestations of systemic lupus erythematosus (SLE), 180 articles from the English literature, found using a medline search from January 1965 to December 2010, were examined. Vasculitis may cause ulcerations, bleeding, stricture formation, and perforation from ischemia and infarction. Otherwise, GI symptoms, occurring in about 50% of patients, are usually mild. Esophageal dysmotility may result in heartburn, regurgitation, and dysphagia. Occasionally, pneumatosis cystoides intestinalis may develop, sometimes associated with benign pneumoperitoneum...
May 2011: Journal of Clinical Gastroenterology
Sultan M Al-Mogairen
Lupus protein-losing enteropathy (LUPLE) is a well reported but a rare manifestation of systemic lupus erythematosus (SLE). The main objectives of this study are to raise awareness of LUPLE that can be easily missed by internist, rheumatologist, gastroenterologist and nephrologist, and then to be considered in any patient with unexplained edema, ascites, and hypoalbuminemia. A systematic review was performed with 112 patients who met the eligibility criteria and were critically appraised. The LUPLE was ultimately diagnosed by either Tc-(99m) albumin scintography ((99m)Tc-HAS) or fecal alpha-1-antitrypsin clearance test...
August 2011: Rheumatology International
Soo Young Park, Won Young Tak, Min Kyu Jung, Seong Woo Jeon, Chang Min Cho, Young Oh Kweon, Kab Chul Kim
BACKGROUND & AIMS: We aimed to evaluate the feasibility, efficacy, and safety of percutaneous ultrasonography-guided radiofrequency ablation for the management of symptomatic-enlarging hepatic hemangiomas. METHODS: Twenty-four patients (5 male and 19 female, with mean age of 49.5±2.2) with 25 hemangiomas over 4 cm underwent percutaneous RFA due to either the presence of symptoms or the enlargement of hemangioma compared with previous imaging studies. RESULTS: The mean diameter of hemangioma was 7...
March 2011: Journal of Hepatology
Aytekin Oto, Kirti Kulkarni, Robert Nishikawa, Richard L Baron
OBJECTIVE: The purpose of this article is to determine whether enhancement of nodular foci within hemangiomas is homogeneous and matches blood vessels at different phases on contrast-enhanced MDCT. MATERIALS AND METHODS: Multiphase (unenhanced, arterial, portal venous, and delayed phases) MDCT images of 58 hemangiomas were reviewed by two radiologists. Nodular-enhancing foci within hemangiomas were evaluated for enhancement pattern and were subjectively compared with enhancement of the aorta, inferior vena cava, hepatic vein, and portal vein for each contrast-enhanced phase...
August 2010: AJR. American Journal of Roentgenology
Mohamed O Hegazi, Salem F Owayed, Mohamed Mourou, Munish Joneja, Anant Mashankar
Microscopic colitis (MC) is a recognized cause of chronic watery diarrhea. It is characterized by subepithelial collagen deposition or intraepithelial lymphocytic infiltration of the colonic mucosa which, however, appears grossly normal on endoscopy. The term microscopic enterocolitis is applied when MC is associated with similar microscopic affection of the ileum and/or proximal small intestine. MC is reported to be associated with a variety of autoimmune conditions. Systemic lupus erythematosus (SLE) is rarely reported in association with MC...
October 2009: Saudi Journal of Gastroenterology: Official Journal of the Saudi Gastroenterology Association
Bruce A Runyon
No abstract text is available yet for this article.
June 2009: Hepatology: Official Journal of the American Association for the Study of Liver Diseases
Christine C Johnson, Bruce Kessel, Thomas L Riley, Lawrence R Ragard, Craig R Williams, Jian-Lun Xu, Saundra S Buys
OBJECTIVE: To determine the epidemiology of CA-125 in women without ovarian cancer. METHODS: We analyzed demographic, medical and lifestyle characteristics related to CA-125, measured using the Centocor CA-125II RIA assay, among 25,608 multi-ethnic U.S. women aged 55-74 years enrolled in a cancer screening trial and found to have no evidence of ovarian cancer. RESULTS: Mean CA-125 level was 11.9 U/ml (SD 8.3); median 10.0 U/ml, interquartile range 8...
September 2008: Gynecologic Oncology
Wen-jie Zheng, Xin-ping Tian, Ling Li, Hong-li Jing, Fang Li, Xiao-feng Zeng, Fu-lin Tang
OBJECTIVE: Protein-losing enteropathy (PLE) is an unusual manifestation of systemic lupus erythematosus (SLE), so its clinical manifestations and management are not well understood. In this study, we try to characterize the basic clinical features and the management of PLE by retrospectively analyzing the clinical data of 15 PLE patients and hope this study can improve the awareness of PLE in lupus patients with severe hypoalbuminemia that could not be explained by other causes. METHODS: The clinical data of 15 SLE patients with PLE hospitalized during November 2001 and April 2006 in Peking Union Medical College Hospital were retrospectively reviewed...
December 2007: Journal of Clinical Rheumatology: Practical Reports on Rheumatic & Musculoskeletal Diseases
Toru Hirano, Keisuke Hagiharai, Mari Kawai, Yusuke Kuwahara, Tomoki Yamadori, Yoshihito Shima, Atsushi Ogata, Toshio Tanaka, Kazuyuki Yoshizaki, Ichiro Kawase
The patient was a 33 year female. In 2001, she was diagnosed with systemic lupus erythematosus (SLE) and treated with prednisolone and ciclosporin. In May 2006, she noticed slight muscle weakness in the bilateral lower limbs. In July of the same year, she experienced gait difficulty and was admitted to our hospital because of fatigue, appetite loss, fever and disorientation. Soon afterwards, she had a fit of general convulsion and suffered from urinary retention and fecal incontinence. A brain magnetic resonance image revealed atrophy of the thoracic cord in T2 weighted images, and cerebrospinal fluid examination showed high total protein and interleukin-6 concentration, indicating complication of lupus myelitis as well as cerebral involvement...
October 2007: Nihon Rinshō Men'eki Gakkai Kaishi, Japanese Journal of Clinical Immunology
Guadalupe Garcia-Tsao, Arun J Sanyal, Norman D Grace, William Carey
No abstract text is available yet for this article.
September 2007: Hepatology: Official Journal of the American Association for the Study of Liver Diseases
2014-12-16 16:06:04
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