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Borelli A, Behr J, Ruggeri M, Han M, Zhou Y, Foster CS. Indications for Magnetic Resonance Imaging in Patients With Behcet Uveitis. J Neuroophthalmol 2023:00041327-990000000-00485. [PMID: 37847219 DOI: 10.1097/wno.0000000000002018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2023]
Abstract
BACKGROUND Behcet disease is a systemic vasculitis, which may involve the eyes and central nervous system. The true prevalence of neurological involvement is not precisely known but may be associated with ocular involvement. This study investigates the association between Behcet uveitis and neuro-Behcet disease. METHODS A retrospective single-center analysis was conducted for consecutive patients with Behcet uveitis at the Massachusetts Eye Research and Surgery Institution. Uveitis characteristics, neurological symptoms, fluorescein fundus angiography, and MRI results were recorded. RESULTS Our population included 108 patients with Behcet uveitis, and 26 (24.1%) were found to have neurological involvement associated with Behcet disease. Optic nerve leakage on fundus angiography and neurological symptoms were associated with an increased risk of neurological involvement. Three cases (11.5%) were nonparenchymal, while 23 (88.5%) were parenchymal with lesions in the cortex, subcortical white matter, thalamus, basal ganglia, and brainstem. CONCLUSIONS There is a high comorbidity between ocular and neurological involvement in Behcet disease. Careful assessment of neurological symptoms and baseline fluorescein fundus angiography are recommended for patients with Behcet disease. MRI has a high diagnostic yield and should be pursued if there is concern for progressive or pre-existing neurological involvement.
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Affiliation(s)
- Anna Borelli
- Massachusetts Eye Research and Surgery Institution (AB, JB, MR, MH, YZ, CSF), Waltham, Massachusetts; The Ocular Immunology and Uveitis Foundation (AB, JB, MR, MH, YZ, CSF), Waltham, Massachusetts; and Department of Ophthalmology (CSF), Harvard Medical School, Boston, Massachusetts
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Pandolfi M, Galli F, Borelli A, Gurgitano M, Liguori A, Carrafiello G. Percutaneous cervical coblation as therapeutic technique in the treatment of algo-dysfunctional pain of discal herniation. Radiol Med 2021; 126:860-868. [PMID: 33620665 PMCID: PMC8154794 DOI: 10.1007/s11547-021-01336-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/16/2019] [Accepted: 02/02/2021] [Indexed: 11/30/2022]
Abstract
OBJECTIVE To confirm the validity of coblation nucleoplasty in reduction of cervical discogenic nature. STUDY DESIGN In a monocentric prospective clinical observational study recruiting 20 patients, treated with percutaneous coblation for cervical discogenic pain in 16 months in our hospital, we have clinically evaluated 18 patients. The pain was scored with the Visual Analogic Scale (VAS) in a pre-procedural questionary, 3/4 monthly follow-up from treatment and, finally, in a long-term follow-up 2 years after procedure. RESULTS The mean pre-procedural VAS score was 7.9 ± 1.6 (95%-Confidence Interval 7.198-8.634), while the mean post-procedural score after 3-4 months has been 2.5 ± 3.1 (95%-Confidence Interval 1.089-3.965) and 2.5 ± 2.5 (95%-Confidence Interval 1.367-3.687) after 2 years. Among 18 patients, in the shortly post-treatment follow-up, nine had a complete pain relief, four had a > 50% VAS reduction, two hada < 50% VAS reduction, three did not have any variation of VAS; after 2 years, six patients had a total pain resolution, eight had a > 50% VAS reduction, two hada < 50% VAS reduction, two did not have any benefit. No peri- and post-procedural complication has been observed. CONCLUSIONS In a spite of a little sample, our results showed coblation as a valid therapeutic option to reduce cervical discogenic pain in medicine-refractory patients, as an alternative or a previous choice before a more invasive surgical treatment.
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Affiliation(s)
- Marco Pandolfi
- Scuola di Specializzazione in Radiodiagnostica, Università degli Studi di Milano, Via Festa del Perdono 7, 20122, Milan, Italy.
- Unità Operativa di Radiologia Diagnostica e Interventistica, ASST Santi Paolo e Carlo, Polo Ospedaliero San Paolo, Università degli studi di Milano, Via Antonio di Rudinì 8, 20142, Milan, Italy.
| | - Federica Galli
- Unità Operativa di Radiologia Diagnostica e Interventistica, ASST Santi Paolo e Carlo, Polo Ospedaliero San Paolo, Università degli studi di Milano, Via Antonio di Rudinì 8, 20142, Milan, Italy
| | - Anna Borelli
- Scuola di Specializzazione in Radiodiagnostica, Università degli Studi di Milano, Via Festa del Perdono 7, 20122, Milan, Italy
| | - Martina Gurgitano
- Scuola di Specializzazione in Radiodiagnostica, Università degli Studi di Milano, Via Festa del Perdono 7, 20122, Milan, Italy
| | - Alessandro Liguori
- Scuola di Specializzazione in Radiodiagnostica, Università degli Studi di Milano, Via Festa del Perdono 7, 20122, Milan, Italy
| | - Gianpaolo Carrafiello
- Scuola di Specializzazione in Radiodiagnostica, Università degli Studi di Milano, Via Festa del Perdono 7, 20122, Milan, Italy
- Unità Operativa di Radiologia Diagnostica e Interventistica, ASST Santi Paolo e Carlo, Polo Ospedaliero San Paolo, Università degli studi di Milano, Via Antonio di Rudinì 8, 20142, Milan, Italy
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Depretto C, Borelli A, Liguori A, Presti G, Vingiani A, Cartia F, Ferranti C, Scaperrotta GP. Contrast-enhanced mammography in the evaluation of breast calcifications: preliminary experience. Tumori 2020; 106:491-496. [PMID: 32515663 DOI: 10.1177/0300891620919170] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
AIM To evaluate the presence of contrast enhancement at the site of calcifications on contrast-enhanced mammography (CEM) and histopathologic results at vacuum-assisted biopsy (VAB), and to examine the association with lesion size and immunohistochemical characteristics, in order to assess disease aggressiveness in malignant lesions. METHODS A total of 34 patients with 36 clusters of suspicious calcifications (BI-RADS 4) were investigated with CEM before the scheduled VAB. We evaluated the presence or absence of enhancement, histologic diagnosis, and, in case of malignant lesions, their size and the expression of Ki-67. RESULTS In our case series, 15/36 (41.7%) lesions were malignant. In 7 cases, contrast enhancement was found at the site of calcifications. Data about size of lesions and immunohistochemical characterization were not available for all malignant cases. In 5 cases with CEM enhancement, all lesions were >5 mm and overexpressing Ki-67 (>20%); in 6 cases with no contrast enhancement, the lesions were <5 mm and with low Ki-67 values (<20%). CONCLUSION Our preliminary study provides indications on the ability of CEM to recognize neoplasms larger than 5 mm, with high proliferative index (Ki-67 >20%), and frequently human epidermal growth factor receptor 2-positive. Our preliminary results suggest that CEM could detect aggressive malignancies. This could be the starting point for planning further studies with larger numbers of cases, in an attempt to reduce overdiagnosis and consequent overtreatment.
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Affiliation(s)
| | | | | | | | - Andrea Vingiani
- Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, Milano, Italy
| | - Francesco Cartia
- Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, Milano, Italy
| | - Claudio Ferranti
- Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, Milano, Italy
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Parr R, Dey A, McCloskey E, Aras N, Balogh A, Borelli A, Krishnan S, Lobo G, Qin L, Zhang Y, Cvijetic S, Zaichick V, Lim-Abraham M, Bose K, Wynchank S, Iyengar G. Contribution of Calcium and Other Dietary Components to Global Variations in Bone Mineral Density in Young Adults. Food Nutr Bull 2018. [DOI: 10.1177/15648265020233s135] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
A research project on comparative international studies of osteoporosis using isotope techniques was organized by the International Atomic Energy Agency (IAEA) with the participation of 12 countries (Brazil, Canada, Chile, China, Croatia, Hungary, Philippines, Russia, Singapore, South Africa, Turkey, and the United Kingdom). Participating centers in 11 countries (all but the UK) made measurements and collected data on men and women aged 15 to 49 years. In addition to studies of bone mineral density (BMD) at the femoral neck and lumbar spine using DEXA, anthropometric, lifestyle, and nutritional data were also collected. The results of the nutritional studies are reviewed in this paper. Overall, about 8% of the observed variability in spine BMD could be attributed to nutritional factors in men and women; in men, no such relationship could be determined. No single nutritional component (not even calcium) stood out as being of particular importance across all participating centers.
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Affiliation(s)
- R.M. Parr
- Department of Nuclear Sciences and Applications, International Atomic Energy Agency in Vienna, Austria
| | - A. Dey
- WHO Collaborating Centre for Metabolic Bone Diseases in Sheffield, UK
| | - E.V. McCloskey
- WHO Collaborating Centre for Metabolic Bone Diseases in Sheffield, UK
| | - N. Aras
- Middle East Technical University in Ankara, Turkey
| | - A. Balogh
- University of Debrecen in Debrecen, Hungary
| | - A. Borelli
- Hospital das Clinicas in Sao Paulo, Brazil
| | | | - G. Lobo
- Clinica Indisa in Santiago, Chile
| | - L.L. Qin
- China-Japan Friendship Hospital in Beijing, China
| | - Y. Zhang
- Institute of Nuclear Research in Shanghai, China
| | - S. Cvijetic
- Institute for Medical Research in Zagreb, Croatia
| | - V. Zaichick
- Medical Radiological Research Centre in Obninsk, Russian Federation
| | | | - K. Bose
- National University Hospital in Singapore
| | - S. Wynchank
- Medical Research Council in Tygerberg, South Africa
| | - G.V. Iyengar
- Department of Nuclear Sciences and Applications, International Atomic Energy Agency in Vienna, Austria
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Liguori A, Galli F, Gurgitano M, Borelli A, Pandolfi M, Caranci F, Magenta Biasina AM, Pompili GGM, Piccolo CL, Miele V, Masciocchi C, Carrafiello G. Clinical and instrumental assessment of herniated discs after nucleoplasty: a preliminary study. Acta Biomed 2018; 89:220-229. [PMID: 29350650 PMCID: PMC6179072 DOI: 10.23750/abm.v89i1-s.7025] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/12/2018] [Accepted: 01/12/2018] [Indexed: 02/06/2023]
Abstract
BACKGROUND AND AIM The therapy for low back pain boasts different approaches; one of these is nucleoplasty. We wanted to assess the effectiveness of nucleoplasty both by clinical response both by MR imaging evaluation, including even extrusions larger than one third of the spinal canal. METHODS Fifty-seven patients were treated with nucleoplasty in our hospital, 11 of these patients accepted both clinical and MRI evaluation after six months from treatment. The clinical evaluation was performed with Visual Analogue Scale (VAS) of pain, scored before and after the procedure. MRI evaluation consisted of analysing some imaging parameters of disc protrusions before and after the treatment. RESULTS In 10 out of 11 (91%) patients, VAS was reduced and only 1 out of 11 (9%) had the same pain after procedure. The mean of decrease of VAS score was 64%. In our population 8/11 (72%) patients had a herniation larger than 1/3 of the sagittal diameter of spinal canal and 100% of them had an improvement with a mean VAS reduction value of 75%. With MRI evaluation, the mean percentage of expulsion before and after treatment was respectively 40% and 34%. The expulsion decreased in 7/13 discs, remained equal in 4/13, and increased in 2/13 discs. Among the 9 larger protrusions, 3 didn't change, 6 reduced with a decrease mean value of 13%. Other MRI parameters didn't change significantly. CONCLUSIONS Our preliminary experience supports the success of coblation on pain relief, aiming to show progressively that this treatment is suitable even in case of great extrusions, which are generally treated only with surgical approach. It's not clear the usefulness of MRI control yet, even if in most of cases we could have found a certain reduction of expulsion degree.
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Morelli F, Sacrini A, Pompili G, Borelli A, Panella S, Masu A, De Pasquale L, Giacchero R, Carrafiello G. Microwave ablation for thyroid nodules: a new string to the bow for percutaneous treatments? Gland Surg 2016; 5:553-558. [PMID: 28149799 DOI: 10.21037/gs.2016.12.07] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
Abstract
BACKGROUND Thyroid nodules are a fairly common finding in general population and, even if most of them are benign, a treatment can be however necessary. In the last years, non surgical minimally invasive techniques have been developed to treat this pathology, starting from percutaneous ethanol injection (PEI), to laser ablation (LA), radiofrequency ablation (RFA) and, most recently, microwave ablation (MWA). METHODS We reviewed all medical literature searching in pubmed.gov the terms "microwave" & "thyroid". We found three original studies concerning MWA treatment, for a total of 263 patients (mean age 51.0 years; range, 15-80 years; male to female ratio 2.55) and 522 nodules. RESULTS A total of 522 nodules (338 solid, 22 cystic, 162 mixed) in 263 patients were treated. Studies have shown a mean reduction in volume of thyroid nodules ranging from 45.9% to 65%. No study reported a significant and definitive change in laboratory parameters, except for one case (Heck et al.). No studies have reported major complications after procedure. CONCLUSIONS MWA is a new, promising technique among the minimally invasive treatments of thyroid nodules. Actually, the larger diameter of MW antenna seems to be the major limiting factor in the use of this technique. More studies are necessary to evaluate feasibility, safety and efficacy of the procedure.
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Affiliation(s)
| | - Andrea Sacrini
- Department of Radiology, San Paolo Hospital, Milan, Italy
| | | | - Anna Borelli
- Department of Radiology, San Paolo Hospital, Milan, Italy
| | - Silvia Panella
- Department of Radiology, San Paolo Hospital, Milan, Italy
| | - Annamaria Masu
- Department of Endocrinology, San Paolo Hospital, Milan, Italy
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Ferraro L, Loche A, Beggiato S, Tomasini M, Antonelli T, Colombo G, Lobina C, Carai M, Porcu A, Castelli M, Clerici F, Borelli A, Cacciaglia R, Tanganelli S. The New Compound GET73, N-[(4-trifluoromethyl)benzyl]4-methoxybutyramide, Regulates Hippocampal Aminoacidergic Transmission Possibly Via an Allosteric Modulation of mGlu5 Receptor. Behavioural Evidence of its “Anti-Alcohol” and Anxiolytic Properties. Curr Med Chem 2013; 20:3339-57. [DOI: 10.2174/09298673113209990167] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2013] [Accepted: 06/23/2013] [Indexed: 11/22/2022]
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8
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Leone R, Minchella P, Nisticò S, Potente G, Borelli A, Caruso V, Piccioli S, Carlei M, Caruso D, Camerino M, Piccoli M, Cerminara M, Mustaro C, Gagliardi B, Nicolazzo A, Luciano A. VALUTAZIONE DI DUE METODI PER LA RICERCA DEL DNA DI Chlamydia t. Microbiol Med 2007. [DOI: 10.4081/mm.2007.2841] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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9
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Piccioli S, Caruso V, Leone R, Minchella P, Nisticò S, Potente G, Borelli A, Carlei M, Caruso D, Camerino M, Piccoli M, Cerminara M, Mustaro C, Gagliardi B, Sacco I, Nicolazzo A, Luciano A. STREPTOCOCCUS agalactiae: PREVALENZA IN UNA POPOLAZIONE DI GRAVIDE. Microbiol Med 2007. [DOI: 10.4081/mm.2007.2742] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
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10
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Nisticò S, Leone R, Minchella P, Potente G, Borelli A, Caruso V, Caruso D, Camerino M, Carlei M, Folino C, Piccoli M, Nicolazzo A, Berardelli G, Petronio A, Luciano A. LEISHMANIOSI VISCERALE IN PAZIENTE IMMUNOCOMPETENTE: CASO CLINICO. Microbiol Med 2006. [DOI: 10.4081/mm.2006.3196] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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11
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Borelli A, Caruso V, Nisticò S, Leone R, Minchella P, Potente G, Folino C, Camerino M, Caruso D, Carlei M, Piccoli M, Cerminara M, Luciano A. ESPOSIZIONE AL VIRUS DI EPSTEIN-BARR IN PAZIENTI DI ETÀ PEDIATRICA: STUDIO RETROSPETTIVO. Microbiol Med 2006. [DOI: 10.4081/mm.2006.3207] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
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12
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Abdallah KA, Jorgetti V, Pereira RC, Reis LMD, Pereira LM, Corrêa PHS, Borelli A, Ianhez LE, Moysés RMA, David-Neto E. Improvement of adynamic bone disease after renal transplantation. Braz J Med Biol Res 2006; 39:31-41. [PMID: 16400462 DOI: 10.1590/s0100-879x2006000100004] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Low bone remodeling and relatively low serum parathyroid hormone (PTH) levels characterize adynamic bone disease (ABD). The impact of renal transplantation (RT) on the course of ABD is unknown. We studied prospectively 13 patients with biopsy-proven ABD after RT. Bone histomorphometry and bone mineral density (BMD) measurements were performed in the 1st and 12th months after RT. Serum PTH, 25-hydroxyvitamin D, 1,25-dihydroxyvitamin D, and osteocalcin were measured regularly throughout the study. Serum PTH levels were slightly elevated at transplantation, normalized at the end of the third month and remained stable thereafter. Bone biopsies performed in the first month after RT revealed low bone turnover in all patients, with positive bone aluminum staining in 5. In the 12th month, second biopsies were performed on 12 patients. Bone histomorphometric dynamic parameters improved in 9 and were completely normalized in 6, whereas no bone mineralization was detected in 3 of these 12 patients. At 12 months post-RT, no bone aluminum was detected in any patient. We also found a decrease in lumbar BMD and an increase in femoral BMD. Patients suffering from ABD, even those with a reduction in PTH levels, may present partial or complete recovery of bone turnover after successful renal transplantation. However, it is not possible to positively identify the mechanisms responsible for the improvement. Identifying these mechanisms should lead to a better understanding of the physiopathology of ABD and to the development of more effective treatments.
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Affiliation(s)
- K A Abdallah
- Unidade de Transplante Renal, Alergia e Imunologia Clínica, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil
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Borelli A, Caruso V, Berardelli G, Luciano A, Petronio A. PREVALENZA DI MALATTIA INFLUENZALE IN PZ AFFERENTI A UN REPARTO DI M.I. Microbiol Med 2005. [DOI: 10.4081/mm.2005.3610] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
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14
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Parr RM, Dey A, McCloskey EV, Aras N, Balogh A, Borelli A, Krishnan S, Lobo G, Qin LL, Zhang Y, Cvijetic S, Zaichick V, Lim-Abraham M, Bose K, Wynchank S, Iyengar GV. Contribution of calcium and other dietary components to global variations in bone mineral density in young adults. Food Nutr Bull 2002; 23:180-4. [PMID: 12362791] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/26/2023]
Abstract
A research project on comparative international studies of osteoporosis using isotope techniques was organized by the International Atomic Energy Agency (IAEA) with the participation of 12 countries (Brazil, Canada, Chile, China, Croatia, Hungary, Philippines, Russia, Singapore, South Africa, Turkey, and the United Kingdom). Participating centers in 11 countries (all but the UK) made measurements and collected data on men and women aged 15 to 49 years. In addition to studies of bone mineral density (BMD) at the femoral neck and lumbar spine using DEXA, anthropometric, lifestyle, and nutritional data were also collected. The results of the nutritional studies are reviewed in this paper. Overall, about 8% of the observed variability in spine BMD could be attributed to nutritional factors in men and women; in men, no such relationship could be determined. No single nutritional component (not even calcium) stood out as being of particular importance across all participating centers.
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Affiliation(s)
- R M Parr
- Department of Nuclear Sciences and Applications, International Atomic Energy Agency, Vienna, Austria
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Abstract
We investigated 30 consecutive Brazilian patients with definite ankylosing spondylitis (AS) fulfilling the New York and the European spondyloarthropathy study group classification criteria. The mean age at study was 37 years old and the mean disease duration was 17 years. Bone densitometry employed the dual-energy X-ray absorptiometry (DEXA) technique, using a Hologic QDR-1000/W densitometer. Axial bone mineral density (BMD) was measured in the lumbar spine (L1-L4) and appendicular BMD was measured in the total proximal femur and sub-regions (neck, greater trochanter, intertrochanter and Ward's triangle). Based on World Health Organisation criteria, the lumbar spine showed osteopenia or osteoporosis in 50% of the patients, while 86% had osteopenia or osteoporosis in the total proximal femur. When compared with the normal population, the patients showed a significant BMD decrease in the lumbar spine and total proximal femur with sub-regions, except for the femoral neck. A comparison of BMD between patients with active and inactive disease did not reveal a significant effect of clinical disease activity on the lumbar spine and total proximal femur with sub-regions, except for Ward's triangle. Concerning disease chronicity, there were significant positive correlations between disease duration and lumbar spine, total proximal femur, greater trochanter and intertrochanteric regional BMD. This false increase in lumbar spine BMD found mostly in patients with long standing AS was due to the presence of paravertebral calcification and ossification. We conclude that the bone mass loss in AS is better evaluated in the proximal femur, because of the greater sensitivity of bone densitometry in this region, which is almost free of artefacts.
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Affiliation(s)
- E S Meirelles
- Department of Orthopaedics, School of Medicine, University of São Paulo, Brazil.
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Abstract
The instrumental neutron activation analysis method was used for the determination of trace elements in rib bone samples taken from autopsies of accident victims. The elements Br, Ca, Cl, Cr, Fe, Mg, Mn, Na, P, Sr, Rb, and Zn were determined in cortical tissues by using short and long irradiations with thermal neutron flux of the IEA-R1m nuclear reactor. The reference materials NIST SRM 1400 Bone Ash and NIST SRM 1486 Bone Meal were also analyzed in order to evaluate the precision and the accuracy of the results. It was verified that lyophilization is the most convenient process for drying bone samples because it does not cause any element losses. Comparisons were made between the results obtained for rib samples and the literature values as well as between the results obtained for different ribs from a single individual and for bones from different individuals.
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Affiliation(s)
- M Saiki
- Instituto de Pesquisas Energéticas e Nucleares, IPEN-CNEN/SP, Radiochemistry Division, Brazil
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Mechica JB, Leite MO, Mendonca BB, Frazzatto ES, Borelli A, Latronico AC. A novel nonsense mutation in the first zinc finger of the vitamin D receptor causing hereditary 1,25-dihydroxyvitamin D3-resistant rickets. J Clin Endocrinol Metab 1997; 82:3892-4. [PMID: 9360557 DOI: 10.1210/jcem.82.11.4384] [Citation(s) in RCA: 40] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
Hereditary 1,25-dihydroxyvitamin D3 [1,25-(OH)2D3]-resistant rickets (HVDRR) is a rare autosomal recessive disorder resulting in target organ resistance to the active form of vitamin D [1,25-(OH)2D3]. Point mutations in the vitamin D receptor (VDR) gene have been identified in HVDRR. We investigated the molecular basis of HVDRR in a Brazilian family with two affected siblings. The propositus is a 12-yr-old boy born to first cousin parents who exhibited the classical pattern of the HVDRR, including early-onset rickets, total alopecia, convulsions, hypocalcemia, secondary hyperparathyroidism, and elevated 1,25-(OH)2D3 serum levels. His younger sister also developed clinical and biochemical features of HVDRR at 1 month of age and died at 4 yr of age. Genomic DNA was isolated from peripheral blood of the boy and from dried umbilical cord tissue of his affected sister. We amplified exons 2 and 3 of the VDR gene, which encode the zinc finger DNA-binding domain by PCR. Direct sequencing of the PCR products revealed a homozygous substitution of cytosine for thymine at nucleotide position 88 in exon 2 of the VDR gene in both affected siblings. This point mutation determined the substitution of a stop codon (TGA) for arginine (CGA) at amino acid position 30 at the first zinc finger of the DNA-binding domain of the VDR. This substitution generated a truncated receptor missing 397 residues. The parents and a normal sister were heterozygous for this mutation. In conclusion, we describe a novel nonsense mutation in the first zinc finger of the VDR that generated a severely truncated form of this receptor.
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Affiliation(s)
- J B Mechica
- Division of Endocrinology, Hospital das Clínicas, University of Sao Paulo, Brazil
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18
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Pentimone F, Del Corso L, Meola M, Giuliano G, Borelli A, Riccioni S. [Aging of the aorta: a morphological study]. Clin Ter 1994; 144:413-8. [PMID: 7924179] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
Abstract
Aim of this study was to evaluate the aging of aorta with respect to atherosclerotic modifications: abdominal aorta echotomography is the preferred approach for this study. In 354 elderly patients, 65 and over, we have evaluated the diameter and the course of the aorta, the presence of atherosclerotic plaques in the aorta and iliac vessels, and the presence of aneurysms. Two kinds of findings could be identified by echotomography: age-related physiologic modifications, represented essentially by an increase of the aortic diameter; pathologic changes, characteristic for atherosclerosis, of which aneurysms are the most dangerous complications.
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Affiliation(s)
- F Pentimone
- Istituto di Clinica Medica II, Università degli Studi di Pisa
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Jorgetti V, Soeiro NM, Mendes V, Pereira RC, Crivellari ME, Coutris G, Borelli A, Leite MO, Nussenzweig I, Marcondes M. Aluminium-related osteodystrophy and desferrioxamine treatment: role of phosphorus. Nephrol Dial Transplant 1994; 9:668-74. [PMID: 7970094 DOI: 10.1093/ndt/9.6.668] [Citation(s) in RCA: 12] [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] [Indexed: 01/28/2023] Open
Abstract
We investigated (1) the prevalence of aluminium overload among 96 patients with symptomatic bone disease haemodialysed from 1987 to 1989 in the Sao Paulo area, Brazil; (2) the effect of 6 months desferrioxamine (DFO) treatment (1-2g/week). All patients underwent a first bone biopsy. Aluminium overload (extent of stainable bone aluminium more than 20% trabecular surface) was observed in 74 of 96 patients. Forty overloaded patients were divided into patients with high bone formation rate (BFR) (group 1; n = 17) and patients with low BFR (group 2; n = 23), and had a second biopsy after DFO therapy. In both groups aluminium surface was reduced after treatment (P < 0.001), osteoblast surface (P < 0.02-P < 0.01) and plasma parathyroid hormone (iPTH) (P < 0.01) increased. In group 1 BFR remained high. In group 2 BFR remained low in 16 patients (2a) and increased in seven (P < 0.02) (2b). In group 2a plasma phosphorus was below that in group 2b patients, before (P < 0.03) and after (P < 0.01) DFO. The histological features of group 2a patients resembled hypophosphataemic osteomalacia, those of group 2b patients aluminium osteodystrophy. These data show a high prevalence of aluminium overload in Brazilian patients. Low-dose DFO therapy was safe, decreased bone pain, prevented fractures, and reduced stainable bone aluminium. Bone lesions only partially improved, suggesting that low phosphorus intake and/or plasma calcitriol concentrations may have prevented improvement of bone formation and mineralization.
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Affiliation(s)
- V Jorgetti
- Laboratorie de Fisiopatologia Renal, Facultade de Medicina, Universidade de Sao Paulo, Brazil
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20
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David-Neto E, Jorgetti V, Soeiro NM, Pereira RC, Borelli A, Ianhez LE, Sabbaga E, Wajchemberg BL, Arap S. Reversal of aluminum-related bone disease after renal transplantation. Am J Nephrol 1993; 13:12-7. [PMID: 8322836 DOI: 10.1159/000168583] [Citation(s) in RCA: 11] [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] [Indexed: 01/29/2023]
Abstract
We evaluated the course of severe aluminum-related bone disease (ARBD) after the first year of a successful renal transplantation (RTx) in 11 adult patients. Bone pain and muscle weakness, presented in all patients previously to RTx, subsided, and all were able to walk, even the ones who were confined to wheelchairs. Bone necrosis developed in 6 patients, but none required surgical repair. Serum alkaline phosphatase activity increased 2.5 times the upper normal level, up to the 5th month and then declined to normal levels up the 12th month (p < 0.05). The inverse profile was observed in both serum calcium and phosphorus levels. In bone biopsies, there was a significant decrease in all of the following histomorphometric static parameters: osteoid volume, thickness and surface and also in aluminum surface. Also, there was a significant increase in all the dynamic parameters of mineralization: mineral apposition rate, mineralization surface, bone formation rate and adjusted apposition rate. In conclusion, ARBD remarkably improves after 1 year of successful RTx.
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Affiliation(s)
- E David-Neto
- Transplantation Unit, Hospital das Clínicas, Faculdade de Medicina, University of Sao Paulo, Brazil
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21
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Abstract
Bone involvement is a common finding in Cushing's syndrome. The actions of corticosteroids on bone have been studied quite intensively but only a few studies of bone histomorphometry in this syndrome have been published. In this paper we present histomorphometric measurements of bone activity in 7 patients with a postoperative reevaluation in two. The results show irregular alterations on histomorphometric parameters with an increased bone resorption and decreased bone formation rate. After surgery the abnormalities changed towards normal.
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Affiliation(s)
- A Borelli
- Endocrine Service, 1st Medical Clinics Hospital das Clínicas, University of São Paulo, Brazil
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22
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Corrêa PH, Leite MO, Borelli A, Wajchenberg BL. Effect of testosterone on bone mineralization of the hypophosphataemic rat. Acta Endocrinol (Copenh) 1992; 126:510-4. [PMID: 1642086 DOI: 10.1530/acta.0.1260510] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
Clinical observations in patients with X-linked hypophosphataemic rickets, that bone changes can be corrected during puberty, suggest that androgen can participate actively in the process of bone mineralization. In the present study we investigated the role of testosterone on the bone mineralization of male rats placed on a low phosphorus and vitamin D diet and kept in complete darkness after weaning. After 15 days the animals presented hypophosphataemia, rickets and osteomalacia, as assessed by histomorphometry of the tibia and seventh caudal vertebra calcification fronts respectively. Testosterone propionate administration for five days, while the animals were kept on the same rachitogenic diet, induced an improvement in the bone mineralization process of the hypophosphataemic rat independently of serum phosphate levels. Testosterone-treated rats were cured of rickets but not of osteomalacia, despite the reduction in osteoid seam area.
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Affiliation(s)
- P H Corrêa
- Laboratory of Medical Investigation No. 25, Hospital das Clinicas, University of São Paulo Medical School, Brazil
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23
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Carani C, Salvioli V, Scuteri A, Borelli A, Baldini A, Granata AR, Marrama P. [Urological and sexual evaluation of treatment of benign prostatic disease using Pygeum africanum at high doses]. Arch Ital Urol Nefrol Androl 1991; 63:341-5. [PMID: 1723220] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
This clinical study has been designed to evaluate the efficacy of an extract of Pygeum Africanum (Tadenan) (Roussel-Pharma) in patients suffering from prostatic hypertrophy or chronic prostatitis. The drug has been administrated to 18 patients, for 60 days, as double of standard dosage (200 mg/die per os, instead of 100 mg/die). Because of the high frequency of association of sexual disorders with those two pathologies, we have extended the study also to sexual disorders selecting patients suffering from prostatic hypertrophy or chronic prostatitis and, simultaneously, from sexual disturbances. No side effects have been observed during the treatment. The urinary disturbances have been evaluated by anamnesis and prostatic transrectal echography; sexual disorders have been evaluated by anamnesis and nocturnal penile tumescence and rigidity (NPTR) monitoring. Furthermore, dosage of serum levels of the hormones LH, FSH, Prolactin, 17 beta-Estradiol and Testosterone has been performed before and after therapy. Pygeum Africanum extract administration improved all the urinary parameters we investigated; prostatic echography relieved reduction of peri-urethral edema. Also an improvement of sexual behaviour has been obtained; but we have not found significant differences between serum hormonal levels before and after therapy, as well as for NPTR.
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Affiliation(s)
- C Carani
- Cattedra di Endocrinologia, Università degli Studi di Modena
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24
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Pentimone F, Del Corso L, Borelli A, Riccioni S, Salvatore L. [Destructive endocarditis caused by Streptococcus sanguis on normal valves after gastroduodenoscopy]. Minerva Cardioangiol 1991; 39:245-9. [PMID: 1961444] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Abstract
In recent years, epidemiological and clinical patterns in infective endocarditis are changed: mean age of patients, sex, underlying cardiac diseases, source of bacteremia, availability of better diagnostic methods--specially two-dimensional and doppler echocardiography--and surgical options. The Authors report a paradigmatic case of a young man without cardiac disease, who developed a destructive endocarditis complicated by refractory congestive heart failure; the cause was an organism of low pathogenicity, Streptococcus sanguis, that entered the bloodstream after gastroduodenoscopy.
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Affiliation(s)
- F Pentimone
- Istituto di Clinica Medica II, Università di Pisa
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25
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Ezabella MC, Hayashida CY, Bisi H, Leite MO, Borelli A, Abelin NM, Cordeiro AC, Camargo RY, Toledo SP. [Early detection of medullary thyroid carcinoma in multiple endocrine neoplasia type II]. Rev Hosp Clin Fac Med Sao Paulo 1990; 45:105-9. [PMID: 1983764] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Abstract
The early diagnosis of medullary thyroid carcinoma was made in two among six examined siblings belonging to two sibships that were offsprings of multiple endocrine neoplasia type II parents. The calcitonin secretory reserve was determined by a combined test using Ca++ (2 mg/kg) and pentagastrin (0.5 mcg/kg), intravenously. Two abnormal tests made on different days supported the diagnosis. Basal calcitonin levels were moderately high (90-500 pg/ml; NL = 15-85 pg/ml) and peak levels were also abnormal (480-1500 pg/ml; NL less than 320 pg/ml), in both cases. Total thyroidectomy associated to prophylactic resection of lymph nodes from central neck region were performed in both. A small nodule (3-5 mm) was found in each lobe in both cases. Pathological and immunocytochemical data supported the diagnosis of medullary thyroid carcinoma. C-cell hyperplasia was present in the peritumoral zones. Pheochromocytoma and definite hyperparathyroidism were not detected in these cases. Two years after surgery, basal and stimulated serum calcitonin levels remained normal. Carcinoembryonic antigen levels were and continue to be normal, in both. These seem to be the first cases published in this country in which this early diagnosis was made.
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Affiliation(s)
- M C Ezabella
- Departamento de Clínica Médica-Endocrinologia, Faculdade de Medicina, Universidade de São Paulo
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26
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Noronha IL, Andriolo A, Lucon AM, Wroclawski ER, Chade J, Borelli A, Leite MO, Sabbaga E, Arap S. [Rice bran in the treatment of idiopathic hypercalciuria in patients with urinary calculosis]. Rev Paul Med 1989; 107:19-24. [PMID: 2616974] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
Ten patients with recurrent nephrolithiasis and hypercalciuria were given rice bran during 60 days. Hypercalciuria was reduced in all patients in an average of 40%. Urinary magnesium was reduced in 28% and oxalate excretion was increased in 28%. The rate of decrease of urinary calcium was 65% in the absorptive type and 33% in the renal type of hypercalciuria.
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27
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Filoni A, Botti C, Bertoni U, Olmi R, Borelli A, Zanetti G, Botticelli A, Criscuolo M. Su Di Un Caso Di Adenoma Oncocitario Renale Associato a Ipertensione Reno-Vascolare. Urologia 1985. [DOI: 10.1177/039156038505200215] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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28
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Borelli A, Roversi P, Palmieri B, Saponati G, Gallo M. [Medical therapy of ureteral colic. A comparative clinical study of 3 spasmolytics, 1 of which is combined with an analgesic]. MINERVA UROL NEFROL 1984; 36:253-60. [PMID: 6152502] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/18/2023]
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29
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Botti C, Olmi R, Borelli A, Filoni A, Zanetti GC, Nasi G. Ricostruzione Del Collo Vescicale E Dell'Uretra in Una Donna Con Incontinenza Totale. Urologia 1984. [DOI: 10.1177/039156038405100222] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
| | | | | | | | | | - G. Nasi
- Servizio di Radiologia e Fisioterapia
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30
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Zanetti GC, Berri G, Bertoni V, Bianchi M, Borelli A, Botti C, Olmi R, Filoni A, Baisi B, Barbolini G. In Tema Di Carcinoma Della Prostata: Il Problema Del « Left behind ». Urologia 1984. [DOI: 10.1177/039156038405100125] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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31
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Borelli A, Olmi R, Berri G, Botti C, Filoni A. Lombotomia Minima per Dissociazione Muscolare per La Chirurgia Dell'Uretere Lombare. Urologia 1982. [DOI: 10.1177/039156038204900415] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- A. Borelli
- Divisione di Urologia dell'Ospedale Sant'Agostino Via Sant'Agostino, 18 41100 Modena
| | - R. Olmi
- Divisione di Urologia dell'Ospedale Sant'Agostino Via Sant'Agostino, 18 41100 Modena
| | - G. Berri
- Divisione di Urologia dell'Ospedale Sant'Agostino Via Sant'Agostino, 18 41100 Modena
| | - C. Botti
- Divisione di Urologia dell'Ospedale Sant'Agostino Via Sant'Agostino, 18 41100 Modena
| | - A. Filoni
- Divisione di Urologia dell'Ospedale Sant'Agostino Via Sant'Agostino, 18 41100 Modena
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32
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Zanetti G, Olmi R, Botti C, Borelli A, Bertoni V, Berri G. Il Cgp 9000, Antibiotico per Uso Orale, in Urologia: Relazione Clinica. Urologia 1982. [DOI: 10.1177/039156038204900409] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- G. Zanetti
- Divisione di Urologia Istituti Ospedalieri Via S. Agostino, 18 - 41100 Modena
| | - R. Olmi
- Divisione di Urologia Istituti Ospedalieri Via S. Agostino, 18 - 41100 Modena
| | - C. Botti
- Divisione di Urologia Istituti Ospedalieri Via S. Agostino, 18 - 41100 Modena
| | - A. Borelli
- Divisione di Urologia Istituti Ospedalieri Via S. Agostino, 18 - 41100 Modena
| | - V. Bertoni
- Divisione di Urologia Istituti Ospedalieri Via S. Agostino, 18 - 41100 Modena
| | - G. Berri
- Divisione di Urologia Istituti Ospedalieri Via S. Agostino, 18 - 41100 Modena
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33
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34
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Borelli A, Botti C, Olmi R, Zanetti G. La Nostra Esperienza Nella Terapia Chirurgica Del Varicocele Primitivo Con La Tecnica Di O. Ivanissevich. Urologia 1979. [DOI: 10.1177/039156037904600216] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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35
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Zanetti G, Olmi R, Botti C, Borelli A. La Terapia Conservativa Dell'Idronefrosi Gigante Mediante Nefrocistostomia Con Ansa Ileale Interposta. Urologia 1979. [DOI: 10.1177/039156037904600213] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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36
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Zanetti GC, Olmi R, Berri G, Borelli A, Botti C. Terapia Chirurgica Di Un Caso Di Duplicita’ Pieloureterale Completa Sinistra Con Idronefrosi Da Patologia Congenita Della Giunzione Pieloureterale Dell'Emidistretto Inferiore. Urologia 1978. [DOI: 10.1177/039156037804500512] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- G. C. Zanetti
- Istituti Ospedalieri di Modena, Sezione Autonoma di Urologia - Aiuto Dirigente
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37
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Leite MO, Borelli A, Cintra AB. [Hypophosphatemic osteomalacia associated with hemangiofibroma. Etiopathogenic considerations]. Rev Hosp Clin Fac Med Sao Paulo 1978; 33:65-7. [PMID: 663511] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
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38
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Botti C, Borelli A, Olmi R, Zanetti G. [Evaluation split renal function and compensatory hypertrophy using a radio-isotopic technique]. J Urol Nephrol (Paris) 1977; 83:397-403. [PMID: 915986] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
Using a new method for the determination of split renal function with a radio-isotopic technique (FG Hipaque I131 and PRP Hippuran I131) we sought to determine residual renal function with pre-operative studies, especially in preparation for nephrectomy, and secondly with postoperative studies of compensatory renal hypertrophy after total or partial nephrectomy and the restoration of function in the kidneys following surgery of the urinary tract. A total of 20 cases was studied. We noted marked compensatory hypertrophy after total and partial nephrectomy and the prompt return of function after procedures involving the urinary tract, on condition that any acute infection be prevented.
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39
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Borelli A, Botti C, Olmi R, Zanetti G. [Pseudo-urinary incontinence caused by ectopic outlet of the ureter in adolescents. Observations on 3 cases]. Minerva Urol 1977; 29:121-32. [PMID: 916992] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
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40
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Borelli A, Leite MO, Cintra AB. [Osteomalacia: clinico-therapeutic considerations]. Rev Hosp Clin Fac Med Sao Paulo 1977; 32:77-9. [PMID: 601412] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
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41
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Ianhez LE, Borelli A, Leite MO, Sabbaga E. Kidney transplant from a patient with idiopathic hypercalciuria. Urol Int 1976; 31:198-204. [PMID: 785744 DOI: 10.1159/000280052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
A case of renal transplantation is presented in which the donor had idiopathic hypercalciuria. The hypercalciuria persisted in the donor, but was not observed in the recipient. This fact suggests that, in this case, the cause of the hypercalciuria is the intestinal hyperabsorption of calcium ions.
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42
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Leme CE, Wajchenberg BL, Leite MO, Borelli A. The dissociation of urinary sodium and calcium excretions. Horm Metab Res 1974; 6:90. [PMID: 4819298 DOI: 10.1055/s-0028-1095697] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
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43
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Toledo SP, Saldanha PH, Borelli A, Cintra AB. Further data on acheiropody. J Genet Hum 1972; 20:253-8. [PMID: 4659166] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
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44
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Belair E, Kaiser F, Van Denburg B, Borelli A, Lawlor R, Panasevich R, Yelnosky J. Pharmacology of SR 720-22. Arch Int Pharmacodyn Ther 1969; 177:71-87. [PMID: 4982115] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
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45
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Borelli A, Leite MO, de Ulhôa Cintra AB. [Post-thyroidectomy hypoparathyroidism. Clinical and therapeutic considerations]. Arq Bras Endocrinol Metabol 1966; 15:209-18. [PMID: 5998211] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
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46
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47
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