Browsing by Author "Inchaustegui, L"
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- Atypical renal presentation of antiphospholipid syndromePublication . Gaspar, A; Manso, RT; Pereira, F; Cunha, L; Inchaustegui, L; Serra, A; Rodrigues, B; Correia, PAntiphospholipid syndrome (APS) is a systemic autoimmune disease which can occur as a primary disease or in association with other autoimmune diseases, the most frequent being Systemic Lupus Erythematosus (SLE). Although renal manifestations of SLE are well known, antiphospholipid syndrome renal manifestations such as antiphospholipid syndrome nephropathy and glomerulopathies have yet to be better characterized. The authors present the case of a 39 -year -old Caucasian woman with antiphospholipid syndrome diagnosis and a previous history of deep venous thrombosis and intermittent polyarthralgia, who was referred to a nephrology consultation for proteinuria and microscopic haematuria with preserved renal function. The renal biopsy showed a pattern of membranous glomerulopathy and thrombotic microangiopathy in association with antiphospholipid syndrome nephropathy. This case report illustrates a complex clinical and anatomopathological case of a 39 - year -old woman with a previous antiphospholipid syndrome diagnosis who presented with unspecific manifestations such as proteinuria and microscopic haematuria and preserved renal function. The histological findings alert us to the range of possible renal manifestations of APS and the need to better characterize these patients by preforming renal biopsy.
- O cateter venoso central para hemodiálise como acesso vascular em situações emergentesPublication . Lanzas Martin, D; Inchaustegui, L; Leitão, MJ
- Consulta de enfermagem nefrológica em pré-diálise: dados 2011Publication . Gomez Miguel, I; Ruano Muñoz, ML; Sengo, MC; Duarte, F; Lanzas Martin, D; Alves, L; Rivero, A; Amorim, S; Sousa, R; Inchaustegui, L; Leitão, MJ
- Demographic and clinical characteristics of patients receiving dialysis in Portugal: a nationwide multicentre surveyPublication . Lopes, J; Abreu, F; Almeida, E; Carvalho, B; Carmo, C; Carvalho, D; Barber, E; Costa, F; Silva, G; Boquinhas, H; Silva, J; Inchaustegui, L; Dias, L; Batista, M; Neves, P; Mendes, TBackground. Data on human immunodeficiency virus (HIV) infected patients receiving dialysis in Portugal is scarce. Methods. This nationwide epidemiological survey retrospectively evaluates HIV-infected patients on chronic dialysis in Portugal between 1997 and 2002. Results. Sixty-six patients were evaluated (mean age: 39.1±1.6 years, 47 men, 35 black African). Sixty-two patients started dialysis and 4 patients who were receiving dialysis had HIV seroconversion. Eighty-five percent of patients were treated in Lisbon. The annual incidence of HIV-infected patients on chronic dialysis was 0.5% in 1997 and 0.9% in 2002. Seventy-eight percent of patients were HIV-1 infected , 13% had hepatitis B and 31% hepatitis C. Sexual contact was the mode of transmission of HIV in 53% of cases. Four patients had biopsy-proved HIV-associated nephropathy. Ninety-five percent of patients were on chronic hemodialysis. Fifty percent of patients had acquired immunodeficiency syndrome. At follow-up, 12 patients died. HIV-infected CKD patient survival after starting dialysis was 80% at 3 years. Conclusion. The incidence of HIV-infected patients on chronic dialysis in Portugal has almost doubled. Widespread use of highly active antiretroviral therapy and the increasing number of black Africans from former overseas Portuguese colonies now living in Portugal are possible reasons for this large increase.
- Management of hyperglycaemia in type 2 diabetic patients with chronic kidney diseasePublication . Coelho, S; Carrilho, P; Inchaustegui, LA diabetes é uma patologia com uma prevalência crescente, que condiciona um importante impacto negativo na morbilidade e mortalidade dos doentes, sendo a principal causa de doença renal crónica ter- minal. O tratamento da diabetes no doente com doença renal crónica implica desafios adicionais nomea- damente em relação à definição dos alvos glicémicos e da terapêutica utilizada para os atingir. Os autores fazem uma revisão sobre o estado da arte da utilização dos agentes hipoglicimiantes na diabetes tipo 2 na perspectiva do profissional de saúde responsável por doentes com doença renal crónica.
- Nefrotoxicidade e lesão renal agudaPublication . Campos, P; Pires, A; Inchaustegui, L
- A propósito de dois casos clínicos de linfoma de Burkitt do rim em doentes com infecção a VIHPublication . Gonçalves, L; Aparício, S; Costa, MM; Inchaustegui, L; Costa, C; Fiúza, T; Silva, S
- Renal pathology of human immunodeficiency and hepatitis C virus infected patientsPublication . Coelho, S; Manso, RT; Oliveira, R; Aparício, S; Inchaustegui, L; Santos, S