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[PMID]:29489689
[Au] Autor:Jiang L; Tao T; Zheng J; Jia Z; Xu H; Ni Y
[Ad] Endereço:Department of Cardiothoracic Surgery, The First Affiliated Hospital of Zhejiang University, Hangzhou, China.
[Ti] Título:Case report of refractory pericardial effusion associated with lymphatic fistula due to surgical injury during sternotomy.
[So] Source:Medicine (Baltimore);97(9):e9892, 2018 Mar.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: A 35-year old Chinese female was admitted to hospital with refractory pericardial effusions 10 days post mitral valve replacement via median sternotomy. We performed an exploratory resternotomy and found lymphatic leakage on the surface of the diaphragm which was continuously emitting a light yellow fluid. PATIENT CONCERNS: The patient complained of no obvious discomfort except for the concern of massive pericardial effusion drainage. DIAGNOSES: Exploratory resternotomy and biochemical testing lead to a supradiaphragmatic lymphatic fistula being diagnosed as the cause of the refractory pericardial effusion. INTERVENTIONS: The fistula was closed with a continuous suture and no other fistulas were found after a thorough exploration. OUTCOMES: The patient was discharged home on postoperative day 5 and recovery was uneventful. LESSONS: In this case a timely exploratory resternotomy proved effective in seeking the cause of and treating pericardial effusion following cardiac surgery.
[Mh] Termos MeSH primário: Complicações Intraoperatórias/etiologia
Doenças Linfáticas/complicações
Derrame Pericárdico/etiologia
Fístula do Sistema Respiratório/complicações
Esternotomia/efeitos adversos
[Mh] Termos MeSH secundário: Adulto
Diafragma/patologia
Diafragma/cirurgia
Drenagem
Feminino
Seres Humanos
Complicações Intraoperatórias/patologia
Doenças Linfáticas/patologia
Derrame Pericárdico/cirurgia
Fístula do Sistema Respiratório/patologia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180307
[Lr] Data última revisão:
180307
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180301
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009892


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[PMID]:28458597
[Au] Autor:Park HJ; Kim HJ; Park SH; Lee JS; Kim AY; Ha HK
[Ad] Endereço:Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul 05505, Korea.
[Ti] Título:Gastrointestinal Involvement of Recurrent Renal Cell Carcinoma: CT Findings and Clinicopathologic Features.
[So] Source:Korean J Radiol;18(3):452-460, 2017 May-Jun.
[Is] ISSN:2005-8330
[Cp] País de publicação:Korea (South)
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To retrospectively evaluate the CT findings and clinicopathologic features in patients with gastrointestinal (GI) involvement of recurrent renal cell carcinoma (RCC). MATERIALS AND METHODS: The medical records were reviewed for 15 patients with 19 pathologically proven GI tract metastases of RCC. The CT findings were analyzed to determine the involved sites and type of involvement; lesion size, morphology, and contrast enhancement pattern; and occurrence of lymphadenopathy, ascites and other complications. RESULTS: The most common presentation was GI bleeding (66.7%). The average interval between nephrectomy and the detection of GI involvement was 30.4 ± 37.4 months. GI lesions were most commonly found in the ileum (36.8%) and duodenum (31.6%). A distant metastasis (80%) was more common than a direct invasion from metastatic lesions. The mean lesion size was 34.1 ± 15.0 mm. Intraluminal polypoid masses (63.2%) with hyperenhancement (78.9%) and heterogeneous enhancement (63.2%) were the most common findings. No patients had regional lymphadenopathy. Complications occurred in four patients, with one each of bowel obstruction, intussusception, bile duct dilatation, and pancreatic duct dilatation. CONCLUSION: GI involvement of recurrent RCC could be included in the differential diagnosis of patients with heterogeneous, hyperenhanced intraluminal polypoid masses in the small bowel on CT scans along with a relative paucity of lymphadenopathy.
[Mh] Termos MeSH primário: Carcinoma de Células Renais/diagnóstico por imagem
Tomografia Computadorizada por Raios X
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Carcinoma de Células Renais/patologia
Diagnóstico Diferencial
Feminino
Hemorragia Gastrointestinal/diagnóstico por imagem
Hemorragia Gastrointestinal/patologia
Neoplasias Gastrointestinais/diagnóstico por imagem
Neoplasias Gastrointestinais/secundário
Seres Humanos
Intussuscepção/diagnóstico por imagem
Doenças Linfáticas
Masculino
Meia-Idade
Recidiva Local de Neoplasia
Estadiamento de Neoplasias
Nefrectomia
Estudos Retrospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:180102
[Lr] Data última revisão:
180102
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170502
[St] Status:MEDLINE
[do] DOI:10.3348/kjr.2017.18.3.452


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[PMID]:29068984
[Au] Autor:Zhang F; Zhao X; Ji X; Han R; Li P; Du M
[Ad] Endereço:aDepartment of Ultrasound, the Fourth Hospital of Hebei Medical University bDepartment of Nuclear Medicine and Medical Imaging, the Fourth Hospital of Hebei Medical University, Hebei, Shijiazhuang, China.
[Ti] Título:Diagnostic value of acoustic radiation force impulse imaging for assessing superficial lymph nodes: A diagnostic accuracy study.
[So] Source:Medicine (Baltimore);96(43):e8125, 2017 Oct.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The aim of this study was to assess the diagnostic value of acoustic radiation force impulse (ARFI) imaging for differentiating superficial lymph nodes.Virtual touch tissue imaging (VTI) grade and shear wave velocity (SWV) were analyzed and compared in 97 patients (65 women, 32 men; mean age, 49 y; range, 23-72 y) with 97 lymph nodes [23 chronic nonspecific reactive lymph nodes (CLNs), 38 metastatic lymph nodes (MLNs), and 36 blood and lymphatic system diseases lymph nodes (BLLNs)]. The elastography characteristics in patients with CLNs, MLNs, and BLLNs were compared using the nonparametric Kruskal-Wallis test and Mann-Whitney U test for continuous variables and categorical variables. The diagnostic performance of VTI grade and SWV were evaluated using the area under the receiver operating characteristic curve (AUC).The median of SWV of MLNs was significantly higher (2.90 m/s) than those of CLNs (2.15 m/s) and BLLNs (2.52 m/s). The VTI grade of MLNs was significantly higher than those of CLNs (P < .001) and BLLNs (P < .001). The sensitivity, specificity, accuracy, and AUC were 81.58%, 95.65%, 86.89%, and 0.904, respectively, at a cutoff level of grade IV for VTI grade in differentiating MLNs from CLNs, whereas those of SWV were 57.89%, 86.96%, 68.85%, and 0.752, respectively, at a cutoff level of 2.76 m/s.The diagnostic performance of VTI grade was significantly higher than that of SWV in differentiating MLNs from CLNs. The diagnostic performance of VTI grade and SWV were lower intermediate in differentiating MLNs from BLLNs and in differentiating BLLNs from CLNs, and there was no significant difference between VTI grade and SWV. ARFI imaging may be a feasible method for differentiating MLNs from CLNs.
[Mh] Termos MeSH primário: Técnicas de Imagem por Elasticidade
Linfonodos/diagnóstico por imagem
Linfonodos/patologia
Metástase Linfática/diagnóstico por imagem
[Mh] Termos MeSH secundário: Adulto
Idoso
Diagnóstico Diferencial
Feminino
Neoplasias Hematológicas/diagnóstico por imagem
Neoplasias Hematológicas/patologia
Seres Humanos
Doenças Linfáticas/diagnóstico por imagem
Doenças Linfáticas/patologia
Masculino
Meia-Idade
Gradação de Tumores
Ultrassonografia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171123
[Lr] Data última revisão:
171123
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171026
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000008125


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[PMID]:28901223
[Au] Autor:Kreutzer C; Kreutzer G
[Ad] Endereço:1 Division of Pediatric Cardiovascular Surgery, Hospital Universitario Austral, Pilar, Buenos Aires, Argentina.
[Ti] Título:The Lymphatic System: The Achilles Heel of the Fontan-Kreutzer Circulation.
[So] Source:World J Pediatr Congenit Heart Surg;8(5):613-623, 2017 Sep.
[Is] ISSN:2150-136X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:In spite of excellent long term survival the Fontan Kreutzer procedure commonly presents late failure due to end-organ damage. Several advances have been described to refine single ventricle management and surgical techniques. However, very little research has been dedicated to the lymphatic circulation in the precarious Fontan hemodynamic state. The lymphatic circulation is clearly affected since there is increased lymph production, which requires to be drained at a similar or higher pressure than it is produced, commonly resulting in chronic lymphedema. Chronic lymphedema induces fibrosis and end-organ failure even in normal circulation. Diverting lymph drainage to the low-pressured systemic atrium in Fontan may represent a valid alternative for the treatment of devastating complications as protein-losing enteropathy and plastic bronchitis and may prevent or decrease the development of end-organ fibrosis or failure.
[Mh] Termos MeSH primário: Circulação Sanguínea/fisiologia
Técnica de Fontan/métodos
Cardiopatias Congênitas/cirurgia
Ventrículos do Coração/cirurgia
Doenças Linfáticas/fisiopatologia
Sistema Linfático/fisiopatologia
[Mh] Termos MeSH secundário: Seres Humanos
Doenças Linfáticas/etiologia
Vasos Linfáticos/fisiopatologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171012
[Lr] Data última revisão:
171012
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170914
[St] Status:MEDLINE
[do] DOI:10.1177/2150135117720685


  5 / 12555 MEDLINE  
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[PMID]:28763491
[Au] Autor:Tahara T; Takahama K; Tahara S; Yoshida D; Horiguchi N; Kawamura T; Okubo M; Nagasaka M; Nakagawa Y; Urano M; Shibata T; Tuskamoto T; Ieda HO; Kuroda M; Ohmiya N
[Ad] Endereço:Department of Gastroenterology, Fujita Health University School of Medicine, Toyoake, Japan.
[Ti] Título:Endoscopic features of lymphoid follicles using blue laser imaging (BLI) endoscopy in the colorectum and its association with chronic bowel symptoms.
[So] Source:PLoS One;12(8):e0182224, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND/AIM: In the colorectum, lymphoid follicles hyperplasia (LH) is sometimes observed as small, round, yellowish-white nodules. The novel image-enhanced endoscopy system named blue laser imaging (BLI) provides enhanced the contrast of surface vessels using lasers for light illumination. We investigated the endoscopic features of LH observed by using BLI endoscopy and its association with chronic bowel symptoms. PATIENTS/METHODS: 300 participants undergoing colonoscopy for various indications were enrolled. Entire colorectum was observed by using BLI-bright mode with non-magnification view. LH was defined as well demarcated white nodules. Elevated LH with erythema was distinguished as LH severe. RESULTS: LHs were observed more clearly by using BLI-bright mode compared to conventional white light colonoscopy and were also histologically confirmed as intense infiltration of lymphocytes or plasmacytes. LH was observed in 134 subjects (44.6%) and 67 (22.3%) were LH severe. LH was associated younger age (Odds ratio (OR) = 1.05, 95%Confidence Interval (95%CI) = 1.03-1.07, P<0.0001) and chronic bowel symptoms including constipation, hard stools, diarrhea and loose stools (all LH: OR = 4.03, 95%CI = 2.36-6.89, P<0.0001, LH severe: OR = 5.31, 95%CI = 2.64-10.71, P<0.0001). LH severe was closely associated with both constipation associated symptoms (OR = 3.94, 95%CI = 1.79-8.66, P = 0.0007) and diarrhea associated symptoms (OR = 5.22, 95%CI = 2.09-13.05, P = 0.0004). In particular, LH severe in the ascending colon was strongly associated with bowel symptoms (P<0.0001). CONCLUSION: LH, visualized by using BLI endoscopy was associated with bowel symptom, raising the possibility of pathogenic role of this endoscopic finding in the functional lower gastrointestinal disorders.
[Mh] Termos MeSH primário: Colo/diagnóstico por imagem
Colonoscopia
Enteropatias/diagnóstico por imagem
Lasers
Doenças Linfáticas/diagnóstico por imagem
Reto/diagnóstico por imagem
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Biópsia
Doença Crônica
Colo/patologia
Constipação Intestinal
Diarreia
Feminino
Seres Humanos
Hiperplasia
Linfócitos/citologia
Masculino
Meia-Idade
Imagem de Banda Estreita
Razão de Chances
Plasmócitos/citologia
Estudos Prospectivos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171010
[Lr] Data última revisão:
171010
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170802
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0182224


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[PMID]:28639923
[Au] Autor:Sun X; Wang R
[Ad] Endereço:1 Beijing Shijitan Hospital, Capital Medical University Beijing, China 490150302@qq.com.
[Ti] Título:Reply to "Use of Unenhanced MR Lymphography to Characterize Lung Lymphatic Diseases".
[So] Source:AJR Am J Roentgenol;209(1):W54, 2017 07.
[Is] ISSN:1546-3141
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Vasos Linfáticos
Linfografia
[Mh] Termos MeSH secundário: Meios de Contraste
Seres Humanos
Doenças Linfáticas
Imagem por Ressonância Magnética
[Pt] Tipo de publicação:JOURNAL ARTICLE; COMMENT
[Nm] Nome de substância:
0 (Contrast Media)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170904
[Lr] Data última revisão:
170904
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170623
[St] Status:MEDLINE
[do] DOI:10.2214/AJR.17.18101


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[PMID]:28639922
[Au] Autor:Arrivé L; Monnier-Cholley L; Mouhadi SE
[Ad] Endereço:1 Saint-Antoine Hospital Paris, France lionel.arrive@aphp.fr.
[Ti] Título:Use of Unenhanced MR Lymphography to Characterize Lung Lymphatic Diseases.
[So] Source:AJR Am J Roentgenol;209(1):W53, 2017 07.
[Is] ISSN:1546-3141
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Vasos Linfáticos
Linfografia
[Mh] Termos MeSH secundário: Meios de Contraste
Seres Humanos
Doenças Linfáticas
Imagem por Ressonância Magnética
[Pt] Tipo de publicação:JOURNAL ARTICLE; COMMENT
[Nm] Nome de substância:
0 (Contrast Media)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170904
[Lr] Data última revisão:
170904
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170623
[St] Status:MEDLINE
[do] DOI:10.2214/AJR.17.17990


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[PMID]:28621249
[Au] Autor:Nacaroglu HT; Bahçeci Erdem S; Gülez N; Ünsal Karkiner CS; Devrim I; Genel F; Köker MY; Can D
[Ad] Endereço:Clinic of Pediatric Immunology and Allergy, Dr. Behçet Uz Children Diseases Training and Research Hospital, Izmir, Turkey. tekin212@gmail.com.
[Ti] Título:Tuberculosis masked by immunodeficiency: a review of two cases diagnosed with chronic granulomatous disease.
[Ti] Título:Immünyetmezligin arkasina gizlenen tüberküloz; kronik granülomatöz hastalik tanisi alan iki olgunun irdelenmesi..
[So] Source:Tuberk Toraks;65(1):56-59, 2017 Mar.
[Is] ISSN:0494-1373
[Cp] País de publicação:Turkey
[La] Idioma:eng
[Ab] Resumo:Chronic granulomatous disease (CGD) is a genetically heterogeneous primary immunodeficiency that is characterized by recurrent and life-threatening infections resulting from defects in phagocyte nicotinamide adenine dinucleotide phosphate (NADPH) oxidase system and granuloma formation due to increased inflammatory response. The most commonly involved organs are the lungs, skin, lymph nodes, and liver due to infection. It may present with recurrent pneumonia, hilar lymphadenopathy, empyema, abscess, reticulonodular patterns, and granulomas due to lung involvement. In recent years, mycobacterial disease susceptibility has been reported in CGD cases. This article presents two male cases, one of whom is aged 18 months and the other is aged 5 years, who were diagnosed with CGD and tuberculosis during examination due to extended pneumonia. This report is presented because CGD should be considered not only in the presence of skin abscesses and Aspergillus infections, but also in the differential diagnosis for cases with BCG-itis and/or tuberculosis. It should be kept in mind that mycobacterial infections can occur during the course of the disease.
[Mh] Termos MeSH primário: Doença Granulomatosa Crônica/complicações
Tuberculose/complicações
[Mh] Termos MeSH secundário: Pré-Escolar
Diagnóstico Diferencial
Suscetibilidade a Doenças
Granuloma/diagnóstico
Doença Granulomatosa Crônica/diagnóstico
Seres Humanos
Lactente
Doenças Linfáticas/diagnóstico
Masculino
Pneumonia/diagnóstico
Tomografia Computadorizada por Raios X
Tuberculose/diagnóstico
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171109
[Lr] Data última revisão:
171109
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170617
[St] Status:MEDLINE


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[PMID]:28319462
[Au] Autor:Ito R; Hale LP; Geyer SM; Li J; Sornborger A; Kajimura J; Kusunoki Y; Yoshida K; van den Brink MRM; Kyoizumi S; Manley NR; Nakachi K; Sempowski GD
[Ad] Endereço:a Department of Molecular Biosciences, Radiation Effects Research Foundation, Hiroshima, Japan.
[Ti] Título:Late Effects of Exposure to Ionizing Radiation and Age on Human Thymus Morphology and Function.
[So] Source:Radiat Res;187(5):589-598, 2017 May.
[Is] ISSN:1938-5404
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The thymus is essential for proper development and maintenance of a T-cell repertoire that can respond to newly encountered antigens, but its function can be adversely affected by internal factors such as pregnancy and normal aging or by external stimuli such as stress, infection, chemotherapy and ionizing radiation. We have utilized a unique archive of thymus tissues, obtained from 165 individuals, exposed to the 1945 atomic bomb blast in Hiroshima, to study the long-term effects of receiving up to ∼3 Gy dose of ionizing radiation on human thymus function. A detailed morphometric analysis of thymus activity and architecture in these subjects at the time of their natural deaths was performed using bright-field immunohistochemistry and dual-color immunofluorescence and compared to a separate cohort of nonexposed control subjects. After adjusting for age-related effects, increased hallmarks of thymic involution were observed histologically in individuals exposed to either low (5-200 mGy) or moderate-to-high (>200 mGy) doses of ionizing radiation compared to unirradiated individuals (<5 mGy). Sex-related differences were seen when the analysis was restricted to individuals under 60 years of attained age at sample collection, but were not observed when comparing across the entire age range. This indicates that while females undergo slower involution than males, they ultimately attain similar phenotypes. These findings suggest that even low-dose-radiation exposure can accelerate thymic aging, with decreased thymopoiesis relative to nonexposed controls evident years after exposure. These data were used to develop a model that can predict thymic function during normal aging or in individuals therapeutically or accidentally exposed to radiation.
[Mh] Termos MeSH primário: Envelhecimento/patologia
Doenças Linfáticas/mortalidade
Doenças Linfáticas/patologia
Exposição à Radiação/estatística & dados numéricos
Lesões por Radiação/mortalidade
Lesões por Radiação/patologia
Timo/patologia
[Mh] Termos MeSH secundário: Distribuição por Idade
Seres Humanos
Incidência
Japão/epidemiologia
Estudos Longitudinais
Doenças Linfáticas/fisiopatologia
Dose de Radiação
Lesões por Radiação/fisiopatologia
Radiação Ionizante
Fatores de Risco
Distribuição por Sexo
Taxa de Sobrevida
Sobreviventes/estatística & dados numéricos
Timo/fisiopatologia
Timo/efeitos da radiação
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170818
[Lr] Data última revisão:
170818
[Sb] Subgrupo de revista:IM; S
[Da] Data de entrada para processamento:170321
[St] Status:MEDLINE
[do] DOI:10.1667/RR4554.1


  10 / 12555 MEDLINE  
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[PMID]:28210768
[Au] Autor:Menon S; Chennapragada M; Ugaki S; Sholler GF; Ayer J; Winlaw DS
[Ad] Endereço:The Heart Centre for Children, The Children's Hospital at Westmead, Sydney, NSW, Australia.
[Ti] Título:The Lymphatic Circulation in Adaptations to the Fontan Circulation.
[So] Source:Pediatr Cardiol;38(5):886-892, 2017 Jun.
[Is] ISSN:1432-1971
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Failing Fontan continues to be major problem for patients on the univentricular pathway. Failing Fontan is often complicated by chylothorax, plastic bronchitis and protein loosing enteropathy. The role of lymphatic circulation in Fontan circulation is still being researched. Newer imaging modalities give insight into the role of abnormal dilatation and retrograde flow in lymphatic channels post Fontan. Interventional strategies targeting abnormal lymphatic channels, provides an alternative management strategy for patients with failing Fontan. This review focuses on the role of lymphatic system in adaptations to Fontan circulation.
[Mh] Termos MeSH primário: Técnica de Fontan/efeitos adversos
Cardiopatias Congênitas/cirurgia
Doenças Linfáticas/fisiopatologia
Sistema Linfático/fisiopatologia
[Mh] Termos MeSH secundário: Adaptação Fisiológica
Circulação Sanguínea/fisiologia
Bronquite/etiologia
Dilatação Patológica
Seres Humanos
Doenças Linfáticas/diagnóstico
Doenças Linfáticas/etiologia
Doenças Linfáticas/terapia
Vasos Linfáticos/fisiopatologia
Enteropatias Perdedoras de Proteínas/etiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171005
[Lr] Data última revisão:
171005
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170218
[St] Status:MEDLINE
[do] DOI:10.1007/s00246-017-1576-y



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