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Júnior VRS, Lemos VMV, Feitosa IML, Florencio R, Correia CWB, Fontes LBC, Costa MFH, Correia MCB. Effect of Menstrual Cycle on Acute Intermittent Porphyria. Child Neurol Open 2017; 4:2329048X17736170. [PMID: 29094055 PMCID: PMC5652657 DOI: 10.1177/2329048x17736170] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2017] [Revised: 08/21/2017] [Accepted: 09/13/2017] [Indexed: 01/10/2023] Open
Abstract
A 16-year-old female who was attended as an outpatient reported localized, acute abdominal pain with vomiting, symmetrical motor weakness, and burning sensation in both arms and legs. Her medical history showed irrational behavior, repeated admissions at the emergency units of many other reference hospitals, where she had been investigated for celiac disease and treated with analgesics for pain events. Her clinical condition remained unchanged despite the use of many oral analgesics. In those admissions, she showed dysautonomia, vomiting, and abdominal pain. Diagnosis investigation disclosed a notable serum hyponatremia (133.7 mEq/L). She was referred for endoscopy and the histopathological lesion of the antrum in the stomach did not show neoplastic lesions. Colonoscopy, pelvic magnetic resonance imaging (MRI), total abdominal computed tomography, and video laparoscopy were without significant abnormalities. Suspicion of acute intermittent porphyria was confirmed by quantitative urine porphobilinogen-level tests and genetic analysis. Patient was successfully treated with intravenous infusion of glucose and hemin therapy.
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Affiliation(s)
- V. R. Souza Júnior
- Department of Clinical Medicine-Hematology, Universidade Federal de Pernambuco, Recife, Brazil
- The College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, United Kingdom
- Federal University of Pernambuco Society for Haematology, Recife, Brazil
| | - V. M. V. Lemos
- Department of Clinical Medicine-Hematology, Universidade Federal de Pernambuco, Recife, Brazil
| | - I. M. L. Feitosa
- Department of Clinical Medicine-Hematology, Universidade Federal de Pernambuco, Recife, Brazil
| | - R. Florencio
- Department of Clinical Medicine-Hematology, Universidade Federal de Pernambuco, Recife, Brazil
| | - C. W. B. Correia
- Department of Clinical Medicine-Hematology, Universidade Federal de Pernambuco, Recife, Brazil
- Federal University of Pernambuco Society for Haematology, Recife, Brazil
| | - L. B. Correia Fontes
- Department of Clinical Medicine-Hematology, Universidade Federal de Pernambuco, Recife, Brazil
| | - M. F. Hazin Costa
- Department of Clinical Medicine-Hematology, Universidade Federal de Pernambuco, Recife, Brazil
- Federal University of Pernambuco Society for Haematology, Recife, Brazil
| | - M. C. B. Correia
- Department of Clinical Medicine-Hematology, Universidade Federal de Pernambuco, Recife, Brazil
- Federal University of Pernambuco Society for Haematology, Recife, Brazil
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Ostronoff M, Ostronoff F, Souto Maior P, Matias C, Calixto R, Sucupira A, Domingues M, Florencio R, Tagliari C. Pilot study of allogeneic G-CSF-stimulated bone marrow transplantation: harvest, engraftment, and graft-versus-host disease. Biol Blood Marrow Transplant 2006; 12:729-33. [PMID: 16785062 DOI: 10.1016/j.bbmt.2006.03.006] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2005] [Accepted: 03/13/2006] [Indexed: 10/24/2022]
Abstract
Peripheral blood progenitor cell (PBPC) harvests mobilized by granulocyte colony-stimulating factor (G-CSF) contain more CD34+ cells and provide more rapid engraftment than do bone marrow (BM) harvests. However, some reports have suggested a higher risk of chronic graft-versus-host disease (GVHD), possibly because such PBPC harvests contain approximately 10 times more T lymphocytes than do BM harvests. Some groups are attempting to combine the faster engraftment of PBPCs with the lower incidence of GVHD observed after BM transplantation by using G-CSF-primed BM conventionally harvested from iliac crests for allogenic BM transplantation. We report the results of a pilot study of 38 allogeneic transplants using G-CSF-stimulated BM from related donors, with a focus on the harvest composition, engraftment, and incidence of acute and chronic GVHDs.
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Affiliation(s)
- M Ostronoff
- Hematology and BMT Unit, Real-Hospital Português, Recife, Pernambuco, Brazil
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Ostronoff M, Ostronoff F, Campos G, Arruda S, Vaz C, Florencio R, Calixto R, Souto Maior AP, Sucupira A, Domingues M, Tagliari C. Allogeneic bone marrow transplantation in a child with severe aplastic anemia and hemophilia A. Bone Marrow Transplant 2006; 37:627-8. [PMID: 16444275 DOI: 10.1038/sj.bmt.1705292] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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Ostronoff M, Ostronoff F, Coutinho M, Calixto R, Souto Maior AP, Sucupira A, Florencio R, Tagliari C. Hemophagocytic syndrome after autologous peripheral blood stem cell transplantation for multiple myeloma; successful treatment with high-dose intravenous immunoglobulin. Bone Marrow Transplant 2006; 37:797-8. [PMID: 16518425 DOI: 10.1038/sj.bmt.1705329] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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Ostronoff M, Florencio R, Campos G, Arruda S, Matias C, Florencio M, Domingues M, Maior APS, Sucupira A, Calixto R, Tagliari C, Matias K. Successful nonmyeloablative bone marrow transplantation in a corticosteroid-resistant infant with Diamond–Blackfan anemia. Bone Marrow Transplant 2004; 34:371-2. [PMID: 15220956 DOI: 10.1038/sj.bmt.1704592] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Gutiérrez A, Florencio R, Ezpeleta C, Cisterna R, Martínez M. Fatal intravascular hemolysis in a patient with Clostridium perfringens septicemia. Clin Infect Dis 1995; 20:1064-5. [PMID: 7795054 DOI: 10.1093/clinids/20.4.1064] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023] Open
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