- Telemedicine and Telehealth Implementation
- Dermatological and COVID-19 studies
- Sarcoma Diagnosis and Treatment
- Venous Thromboembolism Diagnosis and Management
- Parvovirus B19 Infection Studies
- Blood Coagulation and Thrombosis Mechanisms
- Dialysis and Renal Disease Management
- Vasculitis and related conditions
- Parathyroid Disorders and Treatments
- Mycobacterium research and diagnosis
- Health, psychology, and well-being
- Climate Change and Health Impacts
- Whipple's Disease and Interleukins
- Thyroid and Parathyroid Surgery
- Connective tissue disorders research
- Shoulder Injury and Treatment
- Cardiac tumors and thrombi
- Neutropenia and Cancer Infections
- Infections and bacterial resistance
- Medical Imaging and Pathology Studies
- Central Venous Catheters and Hemodialysis
- Autoimmune and Inflammatory Disorders Research
- Glycogen Storage Diseases and Myoclonus
- Pulmonary Hypertension Research and Treatments
- Lymphatic Disorders and Treatments
Centro Universitário do Espírito Santo
2024
Hospital da Senhora da Oliveira Guimarães
2021-2023
Centro Hospitalar de Trás os Montes e Alto Douro
2015-2019
The COVID-19 pandemic has driven the implementation of telemedicine as a solution for maintaining access to healthcare, transforming primary care landscape in many parts world. In Brazil, established itself an essential tool overcoming geographical and social barriers, facilitating basic populations that traditionally faced difficulties accessing health services. This study seeks investigate impact on care, analyzing its main challenges opportunities context post-pandemic care. analyze...
Whipple's disease (WD) is caused by Tropheryma whipplei, frequently found in lamina propria's macrophages the small intestine. It a rare and chronic systemic infection, principal clinical manifestations are diarrhea, weight loss, abdominal pain, arthralgia. The diagnosis difficult mainly because of its rarity should be considered patients with arthralgias, loss after more common conditions have been excluded. laboratory established duodenal biopsy. treatment involves 14 days intravenous...
Climate change has intensified in recent decades, generating devastating consequences for the environment and, consequently, human health. Mental health emerged as a critical area of concern, since extreme weather events such natural disasters, droughts and floods directly impact psychological well-being vulnerable populations. This study aims to analyze how climate influences mental health, focusing on effects these changes have communities situations vulnerability. The aim this analysis is...
The authors describe the case of a patient with primary monophasic pulmonary synovial sarcoma presenting as right pleural effusion, and discuss underlying diagnostic challenges.There has been tremendous progress in diagnosis management malignant thoracoscopic biopsy pleura providing highest yield.Even though advanced techniques such image-guided pleuroscopy have relatively high sensitivity specificity, rare cases, can still be missed.In clinical practice, all should considered order to...
Abstract Neuroimaging scan and calcium/phosphorus metabolism evaluation should be considered in patients with new onset of neuropsychiatric symptoms, to provide an earliest detection pathological metabolic alterations, such as Fahr's syndrome.
<p>Ehlers-Danlos syndrome is a group of rare genetic disorders collagen characterized by skin hyperextensibility, joint hypermobility and tissue fragility. The authors describe case 52-year-old woman that presented to the clinic with chronic pain talipes equinovarum since childhood. Large eyes, sunken cheeks, thin nose lobeless ears were noticed on clinical examination. Beighton hypermotility criteria met positive Walker Steinberg sign, elbow extension superior 10° knee in genu...
Introducao: O edema hemorragico agudo da infância (EHAI) e uma vasculite leucocitoclastica rara benigna. Caracteriza-se pelo aparecimento subito de lesoes purpuricas na face, pavilhoes auriculares, escroto, extremidades raro atingimento do tronco, associadas a das por vezes febre baixa. A sua etiologia desconhecida, embora se considere mediada imunocomplexos em resposta estimulos antigenicos. Em 75% dos casos precedida infecao virica ou bacteriana, imunizacao exposicao farmacos. Ocorre mais...
Introduction: Acute hemorrhagic edema of infancy (AHEI) is a rare and benign leukocytoclastic vasculitis, frequently misdiagnosed. Case report: A twelve-month-old boy presented with seven-day history coryza cough associated lowgrade fever the sudden appearance purpuric rash over left lower limb. It progressed to an annular rash, well-defined edges, on face, limbs, ears, buttocks, scrotum, right tibiotarsal joint edema. Mild thrombocytosis was detected laboratorial investigation. Patient...
Abstract Rationale: Ecthyma gangrenosum is an uncommon cutaneous manifestation and recognized for its association with Pseudomonas aerugninosa sepsis in immunocompromised patients, particularly if there neutropenia. These lesions follow a certain pattern of presentation, from erythematous nodules to necrotizing ulcers surrounding erythema. Patient concerns: We describe case woman recent breast cancer diagnosis, under chemotherapy treatment, who on admission presented painful her right thigh...