Pre-analytical variables evaluation in laboratory tests of patients attended at the Vitória da Conquista Central laboratory, Bahia, Brazil
Conclusion: The findings indic ate that pre-analytical variables remain an important focus for attention to the clinical laboratory. The correct data collection of patients ’ conditions is critical to support the post-analytical phase with useful information for the production of reliable exams and serve as a useful interpretation to diagnosis.RESUMEN Introducci ón: Las pruebas de laboratorio tienen como objetivo proporcionar información necesaria a la aclaración de diagnósticos o situaciones específicas que no se pueden esclarecer por otros modos. Los análisis de laboratorio están sujetos a diversos interferent...
Source: Jornal Brasileiro de Patologia e Medicina Laboratorial - March 17, 2020 Category: Pathology Source Type: research

Martin's, Friedewald's and Cordova's formulas compared to LDL-C directly measured in Southern Brazil
Conclusion: Martin ’ s equation is not accurate for estimating LDL-C in our sample, unless TG is between 300 and 400 mg/dl. We recommend using the Cordova& Cordova formula as an alternative to determine LDL-C when its direct measurement is not available, and not applying the Martin ’ s Formula indiscriminately to other populations before it is properly evaluated and compared with other available equations.RESUMEN Introducci ón: Recientemente, se ha recomendado la flexibilización del ayuno para la determinación del perfil lipídico. Cuando los triglicéridos (TG) estén por encima de 400 mg/dl, se debe utilizar ...
Source: Jornal Brasileiro de Patologia e Medicina Laboratorial - March 17, 2020 Category: Pathology Source Type: research

Oral glucose tolerance test: unnecessary requests and suitable conditions for the test
Conclusion: The high prevalence of unnecessary OGTT requests underscores the need of criteria for OGTT requesting and the standardization of procedures for screening in the exam.RESUMEN Introducci ón: La prueba de tolerancia a la glucosa oral (PTGO) es un importante examen para diagnóstico de la diabetes mellitus (DM) que requiere criterios de solicitud y estandarización en su consecución. Objetivos: Establecer la prevalencia de solicitudes innecesarias de PTGO y analizar los criterios d e aptitud del paciente para una sobrecarga de glucosa. Método: Estudio de corte transversal, descriptivo y analítico, llevado a ...
Source: Jornal Brasileiro de Patologia e Medicina Laboratorial - March 17, 2020 Category: Pathology Source Type: research

Fascin overexpression in nasal mucosa in patients with chronic rhinosinusitis with and without nasal polyps
Conclusion: CRSwNP and CRSsNP are associated with fascin overexpression, which makes fascin a promising target for therapeutic interventions.RESUMEN Objetivo: El objetivo de esta investigaci ón fue evaluar la expresión de fascina en los tejidos nasales de pacientes con rinosinusitis crónica con (RSCcPN) y sin pólipos nasales (RSCsPN). Métodos: La expresión de fascina en los tejidos nasales de 11 pacientes con RSCcPN y 10 pacientes con RSCsPN fue analizada por inmunohistoquímica y comparada con los individuos control. Resultados: Fascina fue encontrada por ser fuertemente expresada en células epiteliales de póli...
Source: Jornal Brasileiro de Patologia e Medicina Laboratorial - March 17, 2020 Category: Pathology Source Type: research

Clinical difference between identical twins with sickle cell anemia
This study shows that SCA presents, in addition to genetic factors, non-genetic factors involved in the severity of the disease and its clinical manifestations. Studies are needed that may contribute to the understanding of the clinical heterogeneity of SCA.RESUMEN La anemia de c élulas falciformes (ACF) es una enfermedadgenética que causa importantes manifestaciones clínicas debido a la anemia hemolítica crónica y a la oclusión vascular. El objetivo de este estudio fue reportar un caso raro de gemelas monocigóticas con diagnóstico de ACF, presentando una caracterís tica clínica diferente. Se realizó una entrevi...
Source: Jornal Brasileiro de Patologia e Medicina Laboratorial - March 2, 2020 Category: Pathology Source Type: research

Investigation of Chagas disease within the same family: case study
ABSTRACT Chagas disease (CD) is a neglected endemic disease. Its classic form of transmission occurs through hematophagous triatomine insects. Its classic form of transmission occurs through hematophagous triatomine insects. There are cases of the disease in non-endemic regions that occur through alternative transmissions, as this possibility also exists. The aim of this study was to report a case among members of a same family (born and resident in Taquarituba, S ão Paulo, Brazil) diagnosed with CD. The family matriarch lived in a mud house in the countryside and reported contact with the triatomine during childhood. Two...
Source: Jornal Brasileiro de Patologia e Medicina Laboratorial - March 2, 2020 Category: Pathology Source Type: research

Glandular odontogenic cyst: report of an unusual case in the posterior mandible
This report proposes to describe a clinical case of GOC diagnosed at the Service of Pathological Anatomy of a university in the northeast of Brazil, in the posterior region of the mandible, which was treated with mandibular resection and bone graft with iliac crest. One may conclude that clinical, microscopic and radiographic parameters were crucial tools for treatment choice.RESUMEN El quiste odontog énico glandular (QOG) es un quiste del desarrollo poco frecuente que presenta diferenciación glandular y es propenso a la recurrencia. Clinicamente, es asintomático y de crecimiento lento. El presente trabajo tiene como ob...
Source: Jornal Brasileiro de Patologia e Medicina Laboratorial - March 2, 2020 Category: Pathology Source Type: research

Choroid plexus papilloma: case report
We report the case of a 49-year-old woman who underwent neurosurgical evaluation for chronic headache and emotional stress. CPP is a rare central nervous system tumor in the adult population. We present, therefore, a case in an adult female, whose diagnosis was confirmed by histopathology methods. Surgical treatment is the gold standard, showing full resolution in almost all cases.RESUMEN Los papilomas de los plexos coroideos (PPC) son una condici ón oncológica bastante rara. Acometen mayormente la población pediátrica; su diagnóstico implica un análisis clínico asociado a los métodos de imagen y anatomopatológico...
Source: Jornal Brasileiro de Patologia e Medicina Laboratorial - March 2, 2020 Category: Pathology Source Type: research

Bloodstream infection by Acinetobacter radioresistens: the first case report in Brazil
This report is the description of the first case in Brazil of community-acquired bloodstream infection caused byAcinetobacter radioresistens. A 73-year-old male patient with Alzheimer ’ s and Parkinson ’ s disease was hospitalized and diagnosed with pneumonia at a general hospital. MacConkey agar pure culture was obtained from blood cultures. Conventional tests identified the isolate as Acinetobacter baumannii complex. However, the matrix-assisted laser desorption ionization-time of flight (MALDI-TOF) technique identified it as Acinetobacter radioresistens. The isolate was sensitive to all antibiotics tested by the dis...
Source: Jornal Brasileiro de Patologia e Medicina Laboratorial - March 2, 2020 Category: Pathology Source Type: research

Juvenile ossifying fibroma: series of seven cases focusing on clinical and pathological aspects
ABSTRACT Juvenile ossifying fibroma (JOF) is an uncommon benign fibro-osseous lesion that affects young individuals and deserves attention because it presents an aggressive clinical behavior and high rates of recurrence. This paper aims to report seven cases diagnosed as JOF - age ranging from 11 to 39 years - in a referral center, correlating our findings with clinical and pathological aspects in the literature. The mandible was the most common location, and in three cases, painful symptoms were reported. Regarding the histopathological findings, the majority of cases exhibited a cellularized pattern, and the trabecular s...
Source: Jornal Brasileiro de Patologia e Medicina Laboratorial - March 2, 2020 Category: Pathology Source Type: research

Results of laboratory tests not accessed in Brazilian private laboratories
Conclusion: Due to the relevance of the theme, Sociedade Brasileira de Patologia Cl ínica/Medicina Laboratorial (SBPC/ML), will keep encouraging the monitoring and utilization of adequate laboratory resources, in order to enable sustainable health care systems.RESUMEN Introducci ón: La medicina de laboratorio es una parte importante del sistema de salud y contribuye directamente a las acciones preventivas, diagnósticos, tratamiento y manejo de enfermedades. Elnivel y la calidadde la utilización de los recursos de laboratorio se han cuestionado con frecuencia. Se observa una diseminación de datos contradictorios so...
Source: Jornal Brasileiro de Patologia e Medicina Laboratorial - March 2, 2020 Category: Pathology Source Type: research

Medical Residency Training in Clinical Pathology/ Laboratory Medicine at the Paulista School of Medicine, Federal University of São Paulo
This study shows that SCA presents, in addition to genetic factors, non-genetic factors involved in the severity of the disease and its clinical manifestations. Studies are needed that may contribute to the understanding of the clinical heterogeneity of SCA.RESUMEN La anemia de c élulas falciformes (ACF) es una enfermedad genética que causa importantes manifestaciones clínicas debido a la anemia hemolítica crónica y a la oclusión vascular. El objetivo de este estudio fue reportar un caso raro de gemelas monocigóticas con diagnóstico de ACF, presentando una caracterí stica clínica diferente. Se realizó una entrev...
Source: Jornal Brasileiro de Patologia e Medicina Laboratorial - March 2, 2020 Category: Pathology Source Type: research

Method of histopathological diagnosis of mammary nodules through deep learning algorithm
Conclusion: The present software presented promising results in the histopathological analysis of mammary nodules. It reinforced the idea that in the future the presence of diagnostic support systems in breast pathologies may play a crucial role in health care.RESUMEN Introducci ón: Los sistemas de inteligencia artificial son tecnologiasprometedoras en asistencia en salud, principalmente en áreas médicas como la patologia; pueden ser usados para el diagnóstico histopatológico de nódulos mamarios. Objetivo: Este estudio presenta el método y los resultados de la con strucción de un software de inteligencia artif...
Source: Jornal Brasileiro de Patologia e Medicina Laboratorial - March 2, 2020 Category: Pathology Source Type: research

Anticancer drug screening: standardization of in vitro wound healing assay
Conclusion: Under standardized conditions, colchicine and paclitaxel proved to be efficient positive controls into the in vitro wound healing assay.RESUMEN Introducci ón: Gliomas se caracterizan por rápida proliferación e invasion agresiva del tejido cerebral normal circundante. En laboratorios médicos, el ensayo de cierre de herida - una prueba in vitro - se destaca por ser un método simple, fácil, de bajo costo y accesiblepara evaluar la migración y la proliferación celular. Objetivo: Estandarizar el ensayo de cierre de herida usando agentes anti-microtúbulos como control positivo. Métodos: Las células ...
Source: Jornal Brasileiro de Patologia e Medicina Laboratorial - March 2, 2020 Category: Pathology Source Type: research

Prevalence of inversions in introns 1 and 22 of the factor VIII gene and inhibitors in patients from southern Brazil
Conclusion: Due to the small number of patients with inversions in intron 1, it was not possible to perform a statistical test for the correlation with risk of inhibitor development. Inversions in intron 22 of the factor VIII gene were not associated with an increased risk of inhibitor development in the analyzed samples (p = 1).RESUMEN Introducci ón: El desarrollo de anticuerpos (inhibidores) contra elfactor exógeno es la principal complicación del tratamiento de hemofilias. Tanto factores genéticos como no genéticos están relacionados con la aparición de los inhibidores. Entre los factores genéticos, el tipo d...
Source: Jornal Brasileiro de Patologia e Medicina Laboratorial - March 2, 2020 Category: Pathology Source Type: research