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New-Onset Diabetes Presenting as Monoballism Secondary to a Mixed Hyperglycemic Crisis
Monoballism secondary to a mixed hyperglycemic crisis is a rare initial symptom of new-onset diabetes, which commonly affects the elderly and Asian women having inadequate glycemic control. In hyperglycemic states, the elevated serum glucose levels raise the viscosity of the blood reducing cerebral...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6110419/ https://www.ncbi.nlm.nih.gov/pubmed/30155384 http://dx.doi.org/10.7759/cureus.2882 |
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author | Garcia-Grimshaw, Miguel A Jimenez-Ruiz, Amado Ornelas-Velazquez, Alberto Luna-Armenta, Adrian Gutierrez-Manjarrez, Francisco A |
author_facet | Garcia-Grimshaw, Miguel A Jimenez-Ruiz, Amado Ornelas-Velazquez, Alberto Luna-Armenta, Adrian Gutierrez-Manjarrez, Francisco A |
author_sort | Garcia-Grimshaw, Miguel A |
collection | PubMed |
description | Monoballism secondary to a mixed hyperglycemic crisis is a rare initial symptom of new-onset diabetes, which commonly affects the elderly and Asian women having inadequate glycemic control. In hyperglycemic states, the elevated serum glucose levels raise the viscosity of the blood reducing cerebral perfusion, decreasing gamma-aminobutyric acid levels, the latter being an inhibitory neurotransmitter of thalamocortical stimuli. In this case, we report a previously healthy 41-year-old male who attended the emergency department because of an abrupt onset movement disorder of the left arm, this being compatible with monoballism. He was diagnosed with a mixed hyperglycemic crisis. |
format | Online Article Text |
id | pubmed-6110419 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-61104192018-08-28 New-Onset Diabetes Presenting as Monoballism Secondary to a Mixed Hyperglycemic Crisis Garcia-Grimshaw, Miguel A Jimenez-Ruiz, Amado Ornelas-Velazquez, Alberto Luna-Armenta, Adrian Gutierrez-Manjarrez, Francisco A Cureus Internal Medicine Monoballism secondary to a mixed hyperglycemic crisis is a rare initial symptom of new-onset diabetes, which commonly affects the elderly and Asian women having inadequate glycemic control. In hyperglycemic states, the elevated serum glucose levels raise the viscosity of the blood reducing cerebral perfusion, decreasing gamma-aminobutyric acid levels, the latter being an inhibitory neurotransmitter of thalamocortical stimuli. In this case, we report a previously healthy 41-year-old male who attended the emergency department because of an abrupt onset movement disorder of the left arm, this being compatible with monoballism. He was diagnosed with a mixed hyperglycemic crisis. Cureus 2018-06-26 /pmc/articles/PMC6110419/ /pubmed/30155384 http://dx.doi.org/10.7759/cureus.2882 Text en Copyright © 2018, Garcia-Grimshaw et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Internal Medicine Garcia-Grimshaw, Miguel A Jimenez-Ruiz, Amado Ornelas-Velazquez, Alberto Luna-Armenta, Adrian Gutierrez-Manjarrez, Francisco A New-Onset Diabetes Presenting as Monoballism Secondary to a Mixed Hyperglycemic Crisis |
title | New-Onset Diabetes Presenting as Monoballism Secondary to a Mixed Hyperglycemic Crisis |
title_full | New-Onset Diabetes Presenting as Monoballism Secondary to a Mixed Hyperglycemic Crisis |
title_fullStr | New-Onset Diabetes Presenting as Monoballism Secondary to a Mixed Hyperglycemic Crisis |
title_full_unstemmed | New-Onset Diabetes Presenting as Monoballism Secondary to a Mixed Hyperglycemic Crisis |
title_short | New-Onset Diabetes Presenting as Monoballism Secondary to a Mixed Hyperglycemic Crisis |
title_sort | new-onset diabetes presenting as monoballism secondary to a mixed hyperglycemic crisis |
topic | Internal Medicine |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6110419/ https://www.ncbi.nlm.nih.gov/pubmed/30155384 http://dx.doi.org/10.7759/cureus.2882 |
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