منابع مشابه
A 74-year-old woman with diabetes.
Ms M, a 74-year-old woman with type 2 diabetes of 6 years' duration, has a glycated hemoglobin (HbA1C) value of 7.4% despite taking 3 oral antidiabetic medications, as well as coexistent hypertension and abdominal obesity. She has no known microvascular or macrovascular complications of diabetes and is otherwise healthy. She is reluctant to commence insulin treatment as she dislikes the idea of...
متن کاملA 50-year-old woman with new-onset seizure.
doi:10.3949/ccjm.85a.16050 A 50-year-old woman presented to the emergency department after a witnessed loss of consciousness and seizurelike activity. She reported that she had been sitting outside her home, drinking coffee in the morning, but became very lightheaded when she went back into her house. At that time she felt could not focus and had a sense of impending doom. She sat down in a cha...
متن کاملAutoimmune Polyendocrine Syndrome 3 Onset with Severe Ketoacidosis in a 74-Year-Old Woman
Type 1 diabetes mellitus (T1D), autoimmune thyroid disease, and autoimmune gastritis often occur together forming the so-called autoimmune polyendocrine syndrome type 3 (APS3). We here report a clinical case of a 74-year-old woman who presented for the first time with severe hyperglycemia and ketoacidosis diagnosed as T1D. Further clinical investigations revealed concomitant severe hypothyroidi...
متن کاملA 68-year-old woman with sleep-onset insomnia.
68-year-old woman, who smokes 1 package of cigarettes daily, presents with fatigue, daytime sleepiness and difficulty falling asleep at night. She reports that, for as long as she can remember , her legs " absolutely needed to move " at bedtime. She has not experienced leg pain or cramps but describes a " prickly feeling under the skin. " Examinations, including neurologic evaluation, reveal no...
متن کاملA 52-year-old woman with asymptomatic annular erythematous plaques
A 52-year-old woman sought medical attention because of several annular erythematous lesions with central clearing on her body since seven months ago. No pruritus or burning sensations were noted. Her medical and family history was unremarkable. Her Fitzpatrick skin photo-type was II. On dermatological physical examination, there were several annular erythematous plaques with raised borders and...
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ژورنال
عنوان ژورنال: Mayo Clinic Proceedings
سال: 2010
ISSN: 0025-6196
DOI: 10.4065/mcp.2009.0572