Revista da Associacao Medica Brasileira (1992)
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Rev Assoc Med Bras (1992) · Jun 2017
Case ReportsSecondary syphilis: The great imitator can't be forgotten.
Syphilis is an infection caused by Treponema pallidum, mainly transmitted by sexual contact. Since 2001, primary and secondary syphilis rates started to rise, with an epidemic resurgence. The authors describe an exuberant case of secondary syphilis, presenting with annular and lichen planus-like lesions, as well as one mucocutaneous lesion. Physicians must be aware of syphilis in daily practice, since the vast spectrum of its cutaneous manifestations is rising worldwide.
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Rev Assoc Med Bras (1992) · Jun 2017
Hospitalization due to exacerbation of COPD: "Real-life" outcomes.
Hospitalization due to chronic obstructive pulmonary disease exacerbation (eCOPD) may indicate worse prognosis. It is important to know the profile of hospitalized patients and their outcome of hospitalization to customize and optimize treatment. ⋯ Hospitalization for eCOPD is frequent. The number of readmissions was high and associated with death as an outcome. Patients hospitalized for eCOPD were a heterogeneous group separated in three clusters with different degrees of disease severity and no correlation with hospitalization outcomes.
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Rev Assoc Med Bras (1992) · May 2017
Randomized Controlled TrialEffect of rhubarb on extravascular lung water in patients with acute respiratory distress syndrome.
The aim of this study was to evaluate the effect of rhubarb on extravascular lung water (EVLW) in patients with acute respiratory distress syndrome (ARDS). ⋯ Rhubarb can decrease EVLWI and PVPI, and improve oxygenation in patients with ARDS.
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Rev Assoc Med Bras (1992) · May 2017
Comparative StudyCardiac remodeling indicators in adolescent athletes.
The idea that different sports and physical training type results in different cardiac adaptations has been widely accepted. However, this remodelling process among different sport modalities is still not fully understood. Thus, the current study aims to investigate the heart morphology variation associated with a set of different modalities characterized by distinct models of preparation and different methods and demands of training and completion. ⋯ The major contributors to changes in heart morphology are for the most part associated with sport-specific training and competition and the specific dynamics and adaptive mechanisms imposed by each sport.
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Rev Assoc Med Bras (1992) · May 2017
Treatment of digital ulcers in systemic sclerosis: Case series study of thirteen patients and discussion on outcome.
In systemic sclerosis (SSc), digital ulcers (DU) are debilitating and recurrent. They are markers of prognosis and are associated with disability and mortality. Treatment strategies have been developed to block the proposed mechanisms of this complication. ⋯ Younger patients and early referrals had better outcomes. Endothelin receptor antagonist toxicity should be monitored, particularly in patients previously exposed to hepatotoxic drugs.