Thrombotic thrombocytopenic purpura: a case report
ABSTRACT Thrombocytopenic thrombotic purpura (TTP) is a severe hemorrhagic syndrome characterized by thrombocytopenia, microangiopathic hemolytic anemia and microvascular occlusion, besides the associated symptoms that may or may not be present: fever, neurological and renal impairment. The pathophysiology involves the autoimmune or genetic deficiency of a metalloproteinases activity (ADAMTS-13), responsible for the von Willebrand Factor cleavage. The treatment is based on plasmapheresis; and in acute or recurrent cases, corticosteroids and immunosuppressants are associated. In this article, we will discuss a case report a...
Source: Jornal Brasileiro de Patologia e Medicina Laboratorial - October 5, 2018 Category: Pathology Source Type: research

Experimental validation of a rapid staining method and digital cytology for cervical and anal cancer
ABSTRACT Cytology is used as detection and screening method of malignant and pre-malignant lesions showing their potential since the original works of Papanicolaou. The cytological smears are usually stained with the Pap staining, although this method is time consuming and requires different reagents. The aim of this study is to assess the quality of an original Blue staining in exfoliative smears comparing it with the standard Papanicolaou staining. The new Blue staining allows staining gynecological cytology with high quality standards at reduced cost and time when compared to the Papanicolaou method.RESUMO A citologia &...
Source: Jornal Brasileiro de Patologia e Medicina Laboratorial - October 5, 2018 Category: Pathology Source Type: research

Interference of cold agglutinin autoantibodies in erythrogram interpretation: a case report and literature review
ABSTRACT The erythrogram is one of the components of the blood count that includes red blood cell (RBC) quantification and evaluation. A correct interpretation and validation of the results obtained in an erythrogram require experience and critical awareness of health professionals. It is imperative to evaluate the interference of physiological variables, collection procedures, manipulation of samples and endogenous variables (such as the presence of cold agglutinin autoantibodies), since these may falsify the results obtained. Cold agglutinin autoantibodies are predominantly immunoglobulin type M (IgM), which cause agglut...
Source: Jornal Brasileiro de Patologia e Medicina Laboratorial - October 5, 2018 Category: Pathology Source Type: research

Lagochilascariasis: case report
ABSTRACT An unusual case of parasitism by Lagochilascaris minor infection is reported in a 38-year-old woman from Paraupebas, Par á, Brazil. The article summarizes the main characteristics of the disease and its etiological agent, including prevalence, life cycle, clinical course and treatment.RESUMO Relata-se um caso de infec ção por Lagochilascaris minor, parasitose incomum, em mulher de 38 anos de idade, procedente de Paraupebas, Pará, Brasil. O artigo resume as principais características da doença e de seu agente etiológico, incluindo prevalência, ciclo de vida, cu...
Source: Jornal Brasileiro de Patologia e Medicina Laboratorial - October 5, 2018 Category: Pathology Source Type: research

Serological and molecular evaluation of parvovirus B19 (B19V) in blood donors from the Blood Center of Brasília, Brazil: focus on women of childbearing age
This study provides important data of B19V circulation in the Center-West of Brazil.RESUMO O parvov írus B19 (B19V) pode ser transmitido por via respiratória, verticalmente - da mãe para o feto - e via transfusão de sangue e transplante de órgãos. A infecção por transfusão de sangue ou hemoderivados ocorre devido à resistência do B19V aos métodos de inativação viral. Nosso estudo ava liou a presença do ácido desoxirribonucleico (DNA) B19V e a prevalência de imunoglobulina da classe G (IgG) anti-B19V em mulhe...
Source: Jornal Brasileiro de Patologia e Medicina Laboratorial - October 5, 2018 Category: Pathology Source Type: research

Assessment of the pre-analytical phase of a clinical analyses laboratory
Conclusion: The evaluation of the QI allowed organizing the improvements that should be prioritized in the laboratory. The Sigma metric was useful for assessing the QIs considered important to the laboratory, for which there are no published specifications. The questionnaire for evaluating the laboratory's service and client's satisfaction was not a reliable tool for assessing the quality of the pre-analytical phase.RESUMO Introdu ção: A fase pré-analítica abrange os procedimentos antes da execução dos testes laboratoriais, sendo eles a requisição, o cadastro de clien...
Source: Jornal Brasileiro de Patologia e Medicina Laboratorial - October 5, 2018 Category: Pathology Source Type: research

Alkaline phosphatase: reference interval transference from CALIPER to a pediatric Brazilian population
Conclusion: The results demonstrated that the ALP RI for Brazilian children and adolescents are comparable to the CALIPER study in 92.4% of the patients and can be used for this population.RESUMO Introdu ção: A interpretação de exames laboratoriais necessita de intervalos de referência (IR) que podem variar entre diferentes populações. Para o diagnóstico de hipofosfatasia, deve-se determinar limites inferiores do IR da fosfatase alcalina (FA). Objetivo: Transferir os resultados de IR da FA obtidos pela Canadian Laboratory Initiative in Pediatric Reference Intervals (CA...
Source: Jornal Brasileiro de Patologia e Medicina Laboratorial - October 5, 2018 Category: Pathology Source Type: research

Review of peripheral blood smear slides: assessment of the compliance with criteria used by analysts in a laboratory of a public hospital in Bahia, Brazil
Conclusion: The study evidenced the need of standardization of the criteria for hematoscopy used by analysts to obtain reproducible results that reflect quality and reliability by the prescribing physician. T herefore, it is necessary to invest in training the professionals involved in revision of blood smear slides.RESUMO Introdu ção: Recomendações em literatura e publicações de sociedades científicas têm proposto sistemas e níveis de classificação para comunicar alterações hematoscópicas no hemograma. Visando a uniformiza&cce...
Source: Jornal Brasileiro de Patologia e Medicina Laboratorial - October 5, 2018 Category: Pathology Source Type: research

Oxidative, inflammatory and cardiometabolic biomarkers of clinical relevance in patients with metabolic syndrome
Conclusion: The combination of IL-6, ultra-sensitive C-reactive protein (us-CRP), ADA, DPP-IV and the increase of TBARS, with the reduction of vitamin C, SH groups and adiponectin, promote inflammation and compromise insulin sensitivity, thus presenting an active role in the pathogenesis of MetS. These findings are significant because they may assist in monitoring clinical changes, in the prevention of future cardiometabolic events in individuals with MetS, and in the identification of inflammatory and oxidative markers that assist in the monitoring and prevention of MetS.RESUMO Introdu ção: A obesidade carac...
Source: Jornal Brasileiro de Patologia e Medicina Laboratorial - October 5, 2018 Category: Pathology Source Type: research

Evaluation of MALDI-TOF mass spectrometry (VITEK-MS) compared to the ANC card (VITEK 2) for the identification of clinically significant anaerobes
Conclusion: Both methodologies showed an ex cellent performance for the identification of the strains tested with great differences in relation to cost-benefit. MALDI-TOF MS allowed 35 additional identifications and a saving of BRL$ 7,786 with the release of culture positive result five days ahead of the ANC (VITEK 2). TAT reduction may contr ibute to a successful clinical resolution.RESUMO Introdu ção: A identificação das bactérias anaeróbias por métodos convencionais empregados nos laboratórios clínicos demanda muito trabalho e um longo tempo de resposta (TAT...
Source: Jornal Brasileiro de Patologia e Medicina Laboratorial - October 5, 2018 Category: Pathology Source Type: research

Transference of CALIPER total alkaline phosphatase reference interval to a Brazilian pediatric population
(Source: Jornal Brasileiro de Patologia e Medicina Laboratorial)
Source: Jornal Brasileiro de Patologia e Medicina Laboratorial - October 5, 2018 Category: Pathology Source Type: research

Palisaded encapsulated neuroma clinically mimicking a mucocele: report of a case
We report the case of a 21-year-old female patient with the chief complaint of a small tumor on the lower left lip. Intraoral examination revealed a two-month evolution nodular lesion on the left labial mucosa, of resilient consistency and asymptomatic. A history of prior trauma was reported by the patient. A provisional diagnosis of mucocele was established, and an excisional biopsy was performed. The diagnosis was palisaded encapsulated neuroma (PEN). As PEN is considered underdiagnosed by many authors, a discussion on the morphologic diagnostic criteria of this lesion will be provided.RESUMO Relatamos o caso de uma paci...
Source: Jornal Brasileiro de Patologia e Medicina Laboratorial - August 13, 2018 Category: Pathology Source Type: research

Quantification of bone gain in central giant cell granuloma of the jaws submitted to intralesional corticotherapy
Conclusion: The tools for analysis of pixel values were useful in the quantification of bone gain in patients submitted to intralesional corticosteroid therapy, and these tools should be f urther explored and used during treatment as auxiliary methods in the evaluation of its efficacy.RESUMO Introdu ção: A lesão central de células gigantes (LCCG) é uma alteração óssea de etiologia desconhecida e comportamento clínico variado, que pode acometer os maxilares. Objetivo: Analisar radiografias provenientes de pacientes portadores de LCCG submetidos à corticot...
Source: Jornal Brasileiro de Patologia e Medicina Laboratorial - August 13, 2018 Category: Pathology Source Type: research

Sediment examination of urine without physical-chemical alterations
ABSTRACT Introduction: It is from the urine sediment examination that many conclusions are drawn by the professional responsible for diagnosis. Because that is a test frequently run in laboratories, it is desirable to reduce costs and time to exam sediment in urine samples considered normal. Objectives: To evaluate the importance of sediment microscopy in urine without physical and chemical alterations. Material and method: This is an epidemiological study of a cross-sectional design developed at a college laboratory based on reports of urine tests performed from January to July, 2017. For comparison between means, Student...
Source: Jornal Brasileiro de Patologia e Medicina Laboratorial - August 13, 2018 Category: Pathology Source Type: research

The importance of homocysteine levels in the prognosis of patients with chronic renal disease and in hemodialysis patients
Conclusion: Hcy could be an important biomarker of renal disease progression mainly in hemodialysis patients. We emphasize the importance of normalizing plasma levels of this amino acid to ensure a better prognosis in kidney disease.RESUMO Introdu ção: A homocisteína (Hcy) é um dos metabólitos da metionina (Met), um aminoácido essencial proveniente da dieta. Existe uma estreita relação entre os altos níveis plasmáticos de Hcy e o declínio da função renal. A Hcy plasmática e urinária tem sido alvo de estudos como um biom...
Source: Jornal Brasileiro de Patologia e Medicina Laboratorial - August 13, 2018 Category: Pathology Source Type: research

TNFA gene in Brazilian patients with hemorrhagic stroke or cerebral aneurysm
Conclusion: The TNFA -308 AG genotype is associated with a decreased risk of aneurysm or hemorrhagic stroke in a population from the capital of Brazil, Distrito Federal.RESUMO Introdu ção: Muitas doenças cerebrovasculares relacionam-se com processos inflamatórios, portanto, a influência de vários polimorfismos em doenças tem sido estudada para melhorar o conhecimento sobre os mecanismos fisiológicos do sistema nervoso. Objetivo: Identificar a associação entre um polimo rfismo na posição -308 do gene TNFA e o desenvolvimento de acidente vascu...
Source: Jornal Brasileiro de Patologia e Medicina Laboratorial - August 13, 2018 Category: Pathology Source Type: research

Harmonization study of results between biochemical analyzers Labmax 240® and Labmax 240 Premium®
Conclusion: The process of harmonization of multiple devices that perform the same laboratory parameters is essential for ensuring quality and reliability of laboratory results and should be standardized and included in routine clinical analysis laboratories.RESUMO Introdu ção: No laboratório clínico, é recomendável a harmonização de equipamentos que visem à homogeneidade dos resultados, quando analisadores similares ou equivalentes são utilizados para desempenho da rotina de realização dos testes. Objetivos: Realizar um estudo de equival&e...
Source: Jornal Brasileiro de Patologia e Medicina Laboratorial - August 13, 2018 Category: Pathology Source Type: research

Models for releasing the lupus anticoagulant test
Conclusion: ICA aided in identifying the weak antibodies that were probably diluted in the mixing step. There is no gold standard test for the diagnosis of APS, and LAC detection still requires standardization of technique and interpretation.RESUMO Introdu ção: Trombofilia é a suscetibilidade à trombose, de natureza genética, adquirida ou mista. Entre as causas adquiridas, destaca-se a síndrome do anticorpo antifosfolípide (SAF) - doença autoimune caracterizada por anticorpos antifosfolípides, eventos trombóticos ou perda gestacional recorre nte. O diagn...
Source: Jornal Brasileiro de Patologia e Medicina Laboratorial - August 13, 2018 Category: Pathology Source Type: research

Evaluation of relationship between hematocrit and lipid profile in adults
This study was carried out to analyze the relationship between hematocrit and lipid profile in adults. Material and method: A sample composed of complete blood counts and lipid profiles from the database of Hospital das Cl ínicas da Universidade de São Paulo (HCUSP), São Paulo, Brazil, was used in the analysis. Hematocrit was organized in five groups that were compared with total cholesterol (TC), low-density-lipoprotein cholesterol (LDL-C), non-high-density-lipoprotein cholesterol (NHDL-C) and high-density-lipopro tein cholesterol (HDL-C) by means of chi-squared and Kruskal-Wallis tests. Results: Both...
Source: Jornal Brasileiro de Patologia e Medicina Laboratorial - August 13, 2018 Category: Pathology Source Type: research

Apolipoprotein E and PAI-1 gene polymorphisms and no association with arterial ischemic stroke and peripheral arterial disease manifestations
Conclusion: No significant difference was observed by comparing patients and controls. In this study, no association was found between the presence of the evaluated polymorphisms and the occurrence of thrombotic events.RESUMO Introdu ção: A trombose arterial é considerada uma doença multifatorial, resultante da interação de fatores de risco genéticos e adquiridos. Objetivos: O objetivo deste estudo foi investigar a presença dos polimorfismos nos genes do inibidor da ativação do plasminogênio tipo 1 (PAI-1) e da apoli poproteína E (ApoE), bem...
Source: Jornal Brasileiro de Patologia e Medicina Laboratorial - August 13, 2018 Category: Pathology Source Type: research

Analysis of BCL11A gene polymorphisms and hemolysis parameters in patients with sickle-cell disease
Conclusion: Polymorphisms in the rs7557939 region of the BCL11A gene appear to somehow interfere in the clinical setting of patients with SCD, suggesting relation with the concentration of MetHb and LDH. This study pioneered an investigation into the association of hemolysis biomarkers with BCL11A gene polymorphisms in SCD.RESUMO Introdu ção: Pacientes com anemia falciforme (AF) apresentam hemólise crônica com biomarcadores séricos aumentados. Os polimorfismos genéticos do gene BLC11A modulam a hemoglobina fetal (HbF), reduzindo, assim, a hemólise. Objetivo: Associar os polim...
Source: Jornal Brasileiro de Patologia e Medicina Laboratorial - August 13, 2018 Category: Pathology Source Type: research

Harmonization efforts add value to clinical laboratory and improve patient safety
(Source: Jornal Brasileiro de Patologia e Medicina Laboratorial)
Source: Jornal Brasileiro de Patologia e Medicina Laboratorial - August 13, 2018 Category: Pathology Source Type: research

D2-40/podoplanin expression in chronic villitis of the placenta
ABSTRACT D2-40/podoplanin (D2-40/PDPN) is a multifunctional protein that can be expressed in lymphatic endothelium and immune cells. D2-40/ PDPN expression in chronic villitis (CV) has not been studied. In 22 cases of CV, we analyzed both D2-40/PDPN expression as well as its coexpression with immune cells markers, and the relationship with stromal cells. In the non-inflamed villi, the D2-40/PDPN positive plexiform pattern has a lymphatic-like conductive network. In the inflamed villi, the D2-40/PDPN expression, predominantly restricted to stromal cells forming a cellular network, is likely related to a phase of the inflamm...
Source: Jornal Brasileiro de Patologia e Medicina Laboratorial - June 7, 2018 Category: Pathology Source Type: research

Chondroblastic osteosarcoma of the mandible: case report
We report the case of a 32-year-old male patient, who was subjected to cone-beam tomography for planning the removal of an unerupted tooth. Cone-beam CT scans revealed the presence of a mixed lesion with poorly defined limits in the left posterior mandibular region, with "sun-ray" periosteal reaction. An incisional biopsy was performed and the diagnosis was chondroblastic osteosarcoma. In this paper, a discussion of the differential diagnosis criteria and treatment of this unusual malignant neoplasm is performed. Thus, it is intended to provide information that will help in the study of management protocols for t...
Source: Jornal Brasileiro de Patologia e Medicina Laboratorial - June 7, 2018 Category: Pathology Source Type: research

Autopsy findings of a child with left atrial isomerism associated with pulmonary agenesis
ABSTRACT Isomerism is a rare laterality defect. Our aim was to describe the autopsy findings of a child with left atrial isomerism (LAI) and pulmonary agenesis (PA), an association still not described in the literature. Fetal ultrasound revealed right renal agenesis, single umbilical artery and polyhydramnios. Echocardiography revealed a complex heart defect with LAI. The child died minutes after birth. Autopsy confirmed the prenatal findings and revealed the presence of unilateral PA, complex vascular abnormalities and polysplenia. Despite its rarity, health professionals should be aware for the possibility of such an ass...
Source: Jornal Brasileiro de Patologia e Medicina Laboratorial - June 7, 2018 Category: Pathology Source Type: research

Adipose metaplasia of the thyroid associated with Hashimoto's thyroiditis with nodular hyperplasia and oncocytic cells adenoma: case report and literature review
ABSTRACT Lesions involving adipose tissue and the thyroid gland are usually rare. In the present report, adipose metaplasia is associated with Hashimoto's thyroiditis with nodular hyperplasia and oncocytic adenoma in a 40-years-old female patient, which is one of the first reported cases of this association. The main clinical finding is the diffuse goiter, and the differential diagnosis must be performed to exclude the possibility of malignancies. The treatment is performed through total thyroidectomy. Thus, it is important the physicians be aware of this pathology with a view to a more effective clinical reasoning and to ...
Source: Jornal Brasileiro de Patologia e Medicina Laboratorial - June 7, 2018 Category: Pathology Source Type: research

Cytopathologic follow-up of women with cervical cancer post-radiotherapy: case series
In this study, we report eight cases of cytopathologic follow-up of women with cervical cancer post-radiotherapy, assisted by a Center of Oncology in Pernambuco. The main cytological findings post-treatment were described,as well as the histopathological characteristics at diagnosis and the treatments performed.RESUMO A citopatologia, al ém de seu papel nos programas de rastreio do câncer cervical, é uma importante ferramenta para o controle da eficácia do tratamento em mulheres com câncer de colo do útero, monitorando e detectando precocemente neoplasias residuais, recorrentes ou al...
Source: Jornal Brasileiro de Patologia e Medicina Laboratorial - June 7, 2018 Category: Pathology Source Type: research

Prevalence of carbapenemase in Enterobacteriaceae with decreased susceptibility to carbapenems isolated in a tertiary referral hospital
ABSTRACT Infections caused by carbapenem-resistant Enterobacteriaceae are a serious public health issue. This work aims to analyze the resistance mechanisms related to Enterobacteriaceae with decreased susceptibility to carbapenems isolated at the Hospital J úlia Kubitschek (HJK) of the Minas Gerais State Founding Hospital [Fundação Hospitalar do Estado de Minas Gerais (FHEMIG)], Brazil. Seventy-one strains with reduced susceptibility to carbapenems were found, and 45/71 (63.4%) were Klebsiella pneumoniae carbapenems (KPC) producers.RESUMO As infec ções causadas por enterobactérias...
Source: Jornal Brasileiro de Patologia e Medicina Laboratorial - June 7, 2018 Category: Pathology Source Type: research

Hereditary thrombophilia by factor V Leiden G1691A (heterozygous) and FII prothrombin G20210A (homozygous) mutations in a patient with ischemic cerebrovascular accident
ABSTRACT Mutations related to Factor V Leiden (G1691A) and prothrombin (G20210A) are associated with a significantly increased risk of venous thromboembolism. The identification of a patient affected by episodes of venous thromboembolism and carrier of G1691A (heterozygous) and G20210A (homozygous) polymorphisms was determined by molecular tests [real-time polymerase chain reaction (PCR) methodology, Genexpert system] during attendance at the Base Hospital of S ão José do Rio Preto-SP, Brazil.RESUMO Muta ções relacionadas com o fator V de Leiden (G1691A) e a protrombina (G20210A) estão as...
Source: Jornal Brasileiro de Patologia e Medicina Laboratorial - June 7, 2018 Category: Pathology Source Type: research

The role of cytogenetics and molecular biology in the diagnosis, treatment and monitoring of patients with chronic myeloid leukemia
ABSTRACT Chronic myeloid leukemia (CML) is the most common myeloproliferative disorder among chronic neoplasms. The history of this disease joins with the development of cytogenetic analysis techniques in human. CML was the first cancer to be associated with a recurrent chromosomal alteration, a reciprocal translocation between the long arms of chromosomes 9 and 22 - Philadelphia chromosome. This work is an updated review on CML, which highlights the importance of cytogenetics analysis in the continuous monitoring and therapeutic orientation of this disease. The search for scientific articles was carried out in the PubMed ...
Source: Jornal Brasileiro de Patologia e Medicina Laboratorial - June 7, 2018 Category: Pathology Source Type: research

Prevalence and antimicrobial susceptibility profile of microorganisms in a university hospital from Vitória (ES), Brazil
ABSTRACT INTRODUCTION: Healthcare associated infections (HAIs) occur during the hospital stay as a result of underlying morbidity, invasive procedures, acute pathology or medical treatment. They lead prolonged stay and, consequently, to an increase in financial charges. The main tool to control these infections is the use of antimicrobials. However, the increase in resistance and the low frequency of discovery of new drugs justify the research that evaluates the resistance profile of microorganisms to antimicrobials. OBJECTIVE: To evaluate the prevalence and antimicrobial susceptibility profile of HAIs at a philanthropic r...
Source: Jornal Brasileiro de Patologia e Medicina Laboratorial - June 7, 2018 Category: Pathology Source Type: research

Comparison of DNA extraction using proteinase K and extraction kit: analysis of the quality of the genetic material
CONCLUSION: Both methodologies studied can be used, and the PKM is cheap but a time-consuming method, while the co mmercial kit is more expensive, however DNA extraction is faster.RESUMO INTRODU ÇÃO: O ácido desoxirribonucleico (DNA) é a matéria-prima para os estudos genéticos, por isso são desenvolvidas técnicas laboratoriais para sua obtenção, com concentração e integridades adequadas. OBJETIVO: Comparar dois métodos de extração de DNA em relação à concentração e à i ntegridad...
Source: Jornal Brasileiro de Patologia e Medicina Laboratorial - June 7, 2018 Category: Pathology Source Type: research

Standards for the diagnosis and treatment of chronic myeloid leukemia
(Source: Jornal Brasileiro de Patologia e Medicina Laboratorial)
Source: Jornal Brasileiro de Patologia e Medicina Laboratorial - June 7, 2018 Category: Pathology Source Type: research

Oral pigmentations in Laugier-Hunziker syndrome: a case report and review of diagnostic criteria
We report a case of a 34-year-old male patient, presenting with hyperpigmented macules on the lips, buccal mucosa and palate, as well as mild dark striations on toenails. After careful clinical and laboratorial investigations, the diagnosis of LHS was established. Given the lack of aesthetic complaints and symptoms, no treatment was necessary.RESUMO A s índrome de Laugier-Hunziker (SLH) é uma rara desordem mucocutânea, de etiologia indeterminada, caracterizada por múltiplas máculas hiperpigmentadas, dispersas principalmente na mucosa oral, por vezes associadas a estrias longitudinais nas u...
Source: Jornal Brasileiro de Patologia e Medicina Laboratorial - April 16, 2018 Category: Pathology Source Type: research

Human papillomavirus and coinfections with Chlamydia trachomatis, Gardnerella vaginalis, and Trichomonas vaginalis in self-collected samples from female sex workers in the Central-Western region of Brazil
Conclusion: The results highlight the importance of more comprehensive studies among vulnerable populations, aiming to establish measures to raise awareness about the risks of contracting sexually transmitted infections, as well as to support future studies for introducing HPV vaccines with wider coverage of viral types.RESUMO Introdu ção: O papilomavírus humano (HPV) está intimamente associado ao câncer cervical, e a presença de coinfecções, como por Chlamydia trachomatis, Gardnerella vaginalis e Trichomonas vaginalis, pode potencializar ou facilitar a infecç&a...
Source: Jornal Brasileiro de Patologia e Medicina Laboratorial - April 16, 2018 Category: Pathology Source Type: research

Cell block specimens applied to diagnostic routine of thyroid fine-needle aspiration biopsy
Conclusion: CB can be routinely used as additional specimen in material obtained from thyroid nodules FNAB, without adversely affecting LBP specimens, enabling the conduction of further immunohistochemical and molecular studies.RESUMO Introdu ção: Vários preparados podem ser utilizados na citologia diagnóstica, como esfregaços (SM), preparados do tipo meio líquido (ML) e emblocado em parafina ou cell block (CB). Objetivo: Avaliar a qualidade do CB, além dos espécimes citológicos convencionais, em casos de biópsia aspirativa po r agulha fina (BAAF) de n&o...
Source: Jornal Brasileiro de Patologia e Medicina Laboratorial - April 16, 2018 Category: Pathology Source Type: research

Increased levels of chitotriosidase in a patient with Alagille syndrome: association or coincidence?
We describe a case of a patient with Alagille syndrome (AS) presenting an increased level of the enzyme chitotriosidase (ChT), evaluating factors that could justify the relationship between AS and ChT. He was a male patient with cholestatic jaundice, facial dysmorphia and congenital heart disease who presented a brief septicemia. He underwent liver biopsy and analyses for inborn errors of metabolism that respectively showed ductopenia and increased levels of ChT. This increase could be potentially explained by inflammatory and infectious processes, or even by AS itself.RESUMO Descrevemos o caso de um paciente do sexo mascu...
Source: Jornal Brasileiro de Patologia e Medicina Laboratorial - April 16, 2018 Category: Pathology Source Type: research

Activity of carbapenems and tigecycline against ESBL-producing Escherichia coli and Klebsiella spp.
ABSTRACT The indiscriminate use of carbapenems in the fight against multidrug resistant Gram-negative bacteria leads to the emergence of resistance to these antimicrobial agents. We examine the in vitro activity of carbapenems and tigecycline against ESBL-producing E. coli and Klebsiella spp. isolated in a single hospital at two different periods eight years apart. Overall resistance to carbapenems ranged from 18.7% in 2007 to 19.1% in 2015/2016. We found no isolates resistant to tigecycline, but two intermediary profiles in the 2015/2016 period. Tigecycline is an important option for treating multidrug resistant Gram-nega...
Source: Jornal Brasileiro de Patologia e Medicina Laboratorial - April 16, 2018 Category: Pathology Source Type: research

Genotypic analysis of secreted aspartyl proteinases in vaginal Candida albicans isolates
Conclusion: High frequency of SAP genes was observed in vulvovaginal C. albicans. The results suggest SAP1 participation in vulvovaginal candidiasis infection.RESUMO Introdu ção: Candida albicans é o principal agente etiológico das vaginites fúngicas. Essas leveduras produzem aspartil proteases secretórias que são codificadas por uma família de 10 genes (SAP1-10). Objetivo: O objetivo deste estudo foi avaliar a presença dos genes SAP1-7 em linhagens vulvovagin ais de C. albicans. Materiais e método: O estudo incluiu 26 isolados vaginais de C. albicans. O...
Source: Jornal Brasileiro de Patologia e Medicina Laboratorial - April 16, 2018 Category: Pathology Source Type: research

Serum uric acid in children and adolescents
ABSTRACT Introduction: Uric acid (UrA) is a product of purine catabolism, and hyperuricemia (hUrA) is associated with risk factors for cardiometabolic diseases. Objective: To evaluate the concentration of UrA in children and adolescents. Methods: Cross-sectional study with 623 eutrophic students (5 to 15 years old, aged 9.9 ± 2.7 years, 52% girls). Blood was collected (fasting 12-14 h) for analysis of laboratory parameters, and blood pressure and anthropometric measures were verified. UrA was stratified according to sex and age ranges (5 to
Source: Jornal Brasileiro de Patologia e Medicina Laboratorial - April 16, 2018 Category: Pathology Source Type: research

Evaluation of lipid profile, high-sensitivity C-reactive protein and D-dimer in users of oral contraceptives of different types
Conclusion: The use of combined oral contraceptives was associated with an unfavorable lipid profile and a chronic subclinical inflammation, with atherogenic potential. Furthermore, medium-dose contraceptives induced a higher thrombogenic potential, since they were associated with increased D-dimer levels in comparison to low-dose ones.RESUMO Introdu ção: O uso de anticoncepcionais orais aumenta o risco de desenvolvimento de doenças cardiovasculares e tromboembólicas devido a alterações no perfil lipídico e hemostático. Objetivo: Analisar a associação en...
Source: Jornal Brasileiro de Patologia e Medicina Laboratorial - April 16, 2018 Category: Pathology Source Type: research

Biochemical and hematological evaluation in subjects with intellectual disability associated or not to Down syndrome
ABSTRACT Down syndrome (DS) is one of the most leading causes of intellectual disability. The aim of this study was to compare biochemical and hematological parameters, triglyceride/high-density lipoprotein cholesterol (HDL-C) and neutrophil/lymphocyte ratios in individuals with intellectual disabilities (ID) associated or not with DS. The main result is the lower HDL-C level in individuals with DS than in the ID group, suggesting a modification in the lipid profile whose origin would lie in genetic alterations. However, further researches are important to analyze if there is any link between trisomy 21 and the reduction o...
Source: Jornal Brasileiro de Patologia e Medicina Laboratorial - April 16, 2018 Category: Pathology Source Type: research

Frequency and carbapenems susceptibility profile of non-fermenting Gram-negative bacilli isolated from clinical samples between 2007 and 2012
ABSTRACT Introduction: One of the major problems in health services is the occurrence of healthcare-associated infections (HAIs) by microorganisms resistant to various antimicrobials. Objectives: To describe the frequency and susceptibility profile of Pseudomonas aeruginosa and Acinetobacter baumannii to carbapenems in the hospital from Funda ção Santa Casa de Franca, São Paulo, Brazil. Methods: The susceptibility of P. aeruginosa and A. baumannii to carbapenems from 304 clinical isolates between 2007 and 2012 was retrospectively analyzed from a microbiology database at the clinical laboratory of the h...
Source: Jornal Brasileiro de Patologia e Medicina Laboratorial - April 16, 2018 Category: Pathology Source Type: research

The paradigm for cardiovascular effects of hormonal contraceptives
(Source: Jornal Brasileiro de Patologia e Medicina Laboratorial)
Source: Jornal Brasileiro de Patologia e Medicina Laboratorial - April 16, 2018 Category: Pathology Source Type: research

Nasopalatine duct cyst - diagnosis, treatment and postoperative complications: report of two cases
The objectives of this study were to report two cases of nasopalatine duct cyst and to review the relevant literature. In the first case, the lesion was approximately 1.5 cm in size and in the second case 3 cm, both characterized by localized swelling in the hard palate. The two cases presented a radiolucent unilocular image in the region of the incisive foramen. The diagnosis was nasopalatine duct cyst, established by excisional biopsy and anatomopathological examination. The second patient presented a late postoperative infection, four weeks after surgery, and was submitted to antibiotic therapy and drainage. Both patien...
Source: Jornal Brasileiro de Patologia e Medicina Laboratorial - February 8, 2018 Category: Pathology Source Type: research

Conservative therapy for central giant cell lesion: case report
ABSTRACT Case report of central giant cell lesion (CGCL) in a 32-year-old female patient, who exhibited asymptomatic increase in mandible volume and integrity of the adjacent alveolar mucosa, she was submitted to conservative treatment. The imaging exams showed radiolucent and multilocular lesion with displacement and discrete root resorption of the teeth 34 and 35. An incisional biopsy was performed and the final diagnosis of CGCL was established. The patient was submitted to biweekly applications of triamcinolone hexacetonide, showing no recurrence and exhibiting bone reintegration. Treatment of extensive lesions with in...
Source: Jornal Brasileiro de Patologia e Medicina Laboratorial - February 8, 2018 Category: Pathology Source Type: research

Analysis of 18 bp Ins/Del at -2549 polymorphism of the vascular endothelial growth factor gene in patients with systemic lupus erythematosus
ABSTRACT Systemic lupus erythematosus (SLE) is considered an autoimmune disease characterized by the action of autoantibodies, which cause chronic inflammation in various tissues of the body. Considering the vascular endothelial growth factor (VEGF) participation in the development of inflammation, this study aimed to evaluate the frequency of the polymorphism at the -2549 position (Ins/Del 18pb, rs35569394) in patients with SLE and in healthy individuals. No statistical differences were found when comparing the allele and genotype frequencies between patients and controls, suggesting that there is no association between t...
Source: Jornal Brasileiro de Patologia e Medicina Laboratorial - February 8, 2018 Category: Pathology Source Type: research

Spontaneous chromatid break as clonal evolution in myelodysplastic syndrome patients
We report the case of a patient with MDS whose cytogenetic analysis showed spontaneous chromatid breakage (chrb): 46,XY,add(13)(q34),chtb(15)(q24) [3]/47,XY,chtb(2)(q22),del(5)(q35),del(7)(q32),+8,del(11q)(q23),del(q22)[cp17]. He was considered a high-risk patient due to the complex karyotype and the presence of chtb. We suggest that this chromosomal abnormality may be considered as a marker of genomic instability in MDS.RESUMO A s índrome mielodisplásica (SMD) é uma desordem clonal das células-tronco hematopoiéticas caracterizada por citopenias periféricas devido à hematopo...
Source: Jornal Brasileiro de Patologia e Medicina Laboratorial - February 8, 2018 Category: Pathology Source Type: research

Laboratory diagnosis of chronic kidney disease in adults: an overview of hospitals inserted in the Portuguese National Health System
Conclusion: There is great variability among laboratories in relation to the methodology of measuring serum creatinine, albumin and total protein in the urine. There are wide variations in the release of results. Most laboratories do not follow the guidelines recommended by the KDIGO 2012. This work indicates that there is a need to develop education and alignment processes in the laboratory diagnosis of CKD in the laboratories installed in hospitals inserted in the Portuguese National Health System.RESUMO Introdu ção: O diagnóstico laboratorial de doença renal crônica (DRC) é simpl...
Source: Jornal Brasileiro de Patologia e Medicina Laboratorial - February 8, 2018 Category: Pathology Source Type: research

Pseudothrombocytopenia: incidence and strategy for resolution in clinical laboratory
This study aims to study the resolution of pseudothrombocytopenia in the laboratory routine of clinical laboratory by standardizing the use of vortexer. Methods: This is a cross-sectional, analytical, quantitative study based on experimental approach, involving 45 pseudothrombocytopenia samples divided into three groups and submitted to vortexing for 1, 2 and 3 minutes. Results: During the study, 28,435 blood counts were performed, and 56 (0.196%) of these samples confirmed platelet aggregates. The 2 and 3 minute times normalized the platelet count (greater than 150,000/ µl) in two thirds of the samples tested. Plate...
Source: Jornal Brasileiro de Patologia e Medicina Laboratorial - February 8, 2018 Category: Pathology Source Type: research