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1.
Journal of Korean Diabetes ; : 152-155, 2013.
Artigo em Coreano | WPRIM | ID: wpr-726949

RESUMO

Patients with diabetes who experience a stroke can face sudden physical and mental changes after the stroke occurs. Also, these changes not only aggravate from the family feeling of responsibility for care burden to patient, but also affect the patient's blood sugar control. The social welfare approach to this disease-related issue, psychosocial issue, economic issue and rehabilitation issue is for the diabetic patient with stroke to improve their self management ability, and to ultimately lead to integrated health management and a healthy life.


Assuntos
Humanos , Glicemia , Autocuidado , Seguridade Social , Acidente Vascular Cerebral
2.
Journal of Korean Diabetes ; : 156-161, 2013.
Artigo em Coreano | WPRIM | ID: wpr-726948

RESUMO

Pheochromocytoma is a rare neuroendocrine tumor that is usually derived from adrenal medulla or chromaffin cells along with sympathetic ganglia. In Western countries, the prevalence of pheochromocytoma is estimated to be between 1:6,500 and 1:2,500, compared with an incidence in the United States of 500 to 1,100 cases per year. Despite this low incidence, pheochromocytoma should always be considered for differential diagnoses because previous studies have shown that this condition can be cured in approximately 90% of cases. However, an untreated tumor is likely to be fatal due to catecholamine-induced malignant hypertension, heart failure, myocardial infarction, stroke, ventricular arrhythmias or metastatic disease. Symptoms that result primarily from excess circulating catecholamines and hypertension include severe headaches, generalized inappropriate sweating and palpitations (with tachycardia or occasionally bradycardia). Pheochromocytoma, however, has highly variable and heterogeneous clinical manifestations, including fever, general weakness and dyspepsia, and can be observed in patients who are suffering from infectious diseases. Several of such case reports have been presented, but most of these included infectious patients with high blood pressure and severe fluctuations. In this study, we presented the case of a 53-year-old male who showed normal blood pressure, but had a sustained fever. He was diagnosed with diabetic ketoacidosis, infective endocarditis and asymptomatic adrenal incidentaloma. Despite treatment with antibiotics and valve replacement, the fever persisted. After the patient underwent evaluation for the fever, adrenal incidentaloma was identified as pheochromocytoma. After removal of the abdominal mass, his fever improved.


Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , Neoplasias das Glândulas Suprarrenais , Medula Suprarrenal , Antibacterianos , Arritmias Cardíacas , Pressão Sanguínea , Catecolaminas , Células Cromafins , Doenças Transmissíveis , Cetoacidose Diabética , Diagnóstico Diferencial , Dispepsia , Endocardite , Febre , Gânglios Simpáticos , Cefaleia , Insuficiência Cardíaca , Hipertensão , Hipertensão Maligna , Incidência , Infarto do Miocárdio , Tumores Neuroendócrinos , Feocromocitoma , Prevalência , Estresse Psicológico , Acidente Vascular Cerebral , Suor , Sudorese , Taquicardia , Estados Unidos
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