Revista médica de Chile
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Revista médica de Chile · Jan 2022
Case ReportsRecurrent hypoglycemic coma and diabetic ketoacidosis caused by insulin antibody. A rare case of type 1 diabetes mellitus.
Insulin antibodies (IAs) induced by exogenous insulin rarely cause hypoglycemia. However, insulin autoantibodies (IAAs) in insulin autoimmune syndrome (IAS) can cause hypoglycemia. The typical manifestations of IAS are fasting or postprandial hypoglycemia, elevated insulin level, decreased C-peptide levels, and positive IAA. ⋯ IA titers were 61.95% (normal: < 5%), and the concentrations of insulin and C-peptide were > 300 mU/L and < 0.02 nmol/L when hypoglycemia occurred. Based on his clinical symptoms and other examinations, he was diagnosed with hyperinsulinemic hypoglycemia caused by IA. His symptoms improved after changing insulin regimens from insulin lispro plus insulin detemir to recombinant human insulin (Gensulin R) and starting prednisone.
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Revista médica de Chile · Jan 2022
[Risk factors for the development of osteoarthritis in middle-aged women].
Osteoarthritis (OA) is a health problem affecting millions of individuals worldwide. ⋯ Obesity and the type of job are the most relevant risk factors found for OD: both may be modified with proper care.
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Revista médica de Chile · Jan 2022
Case Reports[Severe metabolic disorder associated with an enterovesical fistula. Report of one case].
Enterovesical fistula (EVF) is a fistulous communication between the intestine and the bladder. It is uncommon and its classic clinical manifestations are the presence of pneumaturia, fecaluria, suprapubic pain and recurrent urinary infections. ⋯ She presented with diarrhea, vomiting, impaired consciousness and metabolic acidosis. She developed hypernatremia, hypokalemia, hypocalcemia, and hypophosphatemia, which were successfully corrected.
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Revista médica de Chile · Jan 2022
Case Reports[Guillain Barre syndrome associated with coronavac vaccine. Report of one case].
We report a 50-year-old woman with a history of celiac disease, who presented with lumbar pain and progressive flaccid tetraparesis 48 hours after the inoculation of the first dose of CoronaVac inactivated SARS-CoV-2 vaccine. CSF was normal and electrodiagnostic studies showed an axonal motor polyneuropathy. No other triggers were identified, and other etiologies were ruled out. ⋯ To date no cases of inactivated SARSCoV-2 vaccine related GBS have been reported. Thus, description of its clinical presentation is relevant. We discuss the current evidence relating GBS with vaccines, highlighting that vaccine associated GBS is a controversial entity and causality must be interpreted cautiously given the actual COVID-19 pandemic context.
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Revista médica de Chile · Jan 2022
[Effectiveness of a multidimensional therapeutic program for aged people attending senior centers].
It is imperative to have effective programs to improve or maintain the health of aged people. ⋯ A multidimensional program for aged people lasting one month, improved the physical health dimension and literacy by the fifth month of evaluation.