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C. Popescu, Violeta Bojincă, Daniela Opriş and Ruxandra Ionescu

alternative perspective . Am J ClinNutr 1996; 63 : 448S-451S. 27. ARMSTRONG T, BULL F. Development of the World Health Organization Global Physical Activity Questionnaire (GPAQ) . Journal of Public Health 2006; 14 : 66-70. 28. BULL FC, MASLIN TS, ARMSTRONG T. Global physical activity questionnaire (GPAQ): nine country reliability and validity study. J Phys Act Health 2009; 6: 790-804. 29. WESTHOVENS R, NIJS J, TAELMAN V, DEQUEKER J. Body composition in rheumatoid arthritis. Br J Rheumatol 1997; 36 : 444-448. 30. AKAR S, SARI I, COMLEKCI A

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Mariana Mihăilă, V. Herlea, Camelia Dobrea, Ioana Lupescu, Gina Rusu Munteanu, Grethi Chiriac, L. Micu, R. Serescu and I. Copaci

Abstract

We present the case of a 76 year old female patient admitted in the Department of Cardiology for physical asthenia, profuse sweating and dyspnea with orthopnea for about one month. Clinical and paraclinical assessments performed at admission confirmed the diagnosis of cardiac tamponade. Surgical intervention was performed and 400 mL of clear effusion were drained. Post-operative evolution was marked by recurrence of symptoms, requiring after 3 weeks a new drainage of 600 mL of clear effusion, and biopsy of the pericardium was performed. Pathological exam described serous pericarditis with chronic inflammatory infiltrate, xanthogranulomatous reaction intricated in the pericardium and mesothelial hyperplasia. The patient was subsequently transferred to the Department of Internal Medicine for further investigations. Physical examination showed a patient with altered general status, pallor, vesicular murmur absent in both bases, presenting cutaneous hyperpigmentation at the level of the right hemi-abdomen and hip with posterior extension, and a peripheral indurated erythematous plaque. The patient presented nodular masses of 3 cm in the right latero-cervical and bilateral axillary regions, non-adherent to the superficial structures, as well as adenopathic blocks in both inguinal regions. CT scan of the thorax and abdomen showed moderate bilateral pleuresia, minimal pericardial effusion (15 mm) and multiple adenopathies on both sides of the diaphragm. Skin biopsy was performed, as well as bone marrow aspirate and excision of a right axillary lymph node. Pathological exams and immunohistochemistry tests confirmed the diagnosis of Plasma Cells Castleman disease.

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Seyed Reza Hosseini, Naghi Baghitabar, Ali Mirzapour, Farshid Oliaei, Hajighorban Nooreddini, Ali Bijani and Simin Mouodi

with fracture occurrence . Clin J Am Soc Nephrol. 2010; 5 (2):275-80. 13. AFSHINNIA F., SUNDARAM B., ACKERMANN RJ., WONG KK. Hyponatremia and osteoporosis: reappraisal of a novel association . Osteoporos Int. 2015; 26 (9):2291-8. 14. HOSSEINI SR., CUMMING RG., KHEIRKHAH F., NOOREDDINI H., BAIANI M., MIKANIKI E., et al . Cohort profile: the Amirkola Health and Ageing Project (AHAP) . International Journal of Epidemiology. 2014; 43:1393–1400. 15. PICKENBROCK HM., DIEL A., ZAPF A. A comparison between the Static Balance Test and the Berg Balance

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Ionel Copaci, Ioana Lupescu, Elena Caceaune, Grethi Chiriac and G. Ismail

:50-55. 14. BIDDINGER SB, HERNANDEZ-ONO A, RASK-MADSEN C, HAAS JT, ALEMAN JO, SUZUKI R, SCAPA EF, AGARWAL C, CAREY MC, STEPHANOPOULOS G, COHEN DE, KING GL, GINSBERG HN, KAHN CR. Hepatic insulin resistance is sufficient to produce dyslipidemia and susceptibility to atherosclerosis. Cell Metab 2008; 7:125-134. 15. IRWIN ML, AINSWORTH BE, MAYER-DAVIS EJ, ADDY CL, PATE RR, DURSTINE JL. Physical activity and the metabolic syndrome in a tri-ethnic sample of women. Obes Res 2002; 10:1030. 16. KATZMARZYK PT, CHURCH TS, BLAIR SN. Cardiorespiratory