Non-Ketotic Hyperglycemic Hemichorea-Hemiballismus in the Setting of Antipsychotics and Methamphetamine

The management of common chronic conditions presenting in uncommon ways is an important facet of medical education and patient care. We report a 54-year-old patient who developed left arm dystonia precipitated by several potential factors. These include laboratory findings notable for significant hy...

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Detalles Bibliográficos
Autores principales: Nelson, Colbert C, Ohnoutka, Cole, Ulen, Michael
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2021
Materias:
Family/General Practice
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8614164/
https://www.ncbi.nlm.nih.gov/pubmed/34858747
http://dx.doi.org/10.7759/cureus.19094
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author Nelson, Colbert C
Ohnoutka, Cole
Ulen, Michael
author_facet Nelson, Colbert C
Ohnoutka, Cole
Ulen, Michael
author_sort Nelson, Colbert C
collection PubMed
description The management of common chronic conditions presenting in uncommon ways is an important facet of medical education and patient care. We report a 54-year-old patient who developed left arm dystonia precipitated by several potential factors. These include laboratory findings notable for significant hyperglycemia, methamphetamine positive on urine drug testing and patient history consistent with bipolar II managed with Lurasidone, a second-generation antipsychotic medication. The potential etiology of this uncommon presentation is discussed below.
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spelling pubmed-86141642021-12-01 Non-Ketotic Hyperglycemic Hemichorea-Hemiballismus in the Setting of Antipsychotics and Methamphetamine Nelson, Colbert C Ohnoutka, Cole Ulen, Michael Cureus Family/General Practice The management of common chronic conditions presenting in uncommon ways is an important facet of medical education and patient care. We report a 54-year-old patient who developed left arm dystonia precipitated by several potential factors. These include laboratory findings notable for significant hyperglycemia, methamphetamine positive on urine drug testing and patient history consistent with bipolar II managed with Lurasidone, a second-generation antipsychotic medication. The potential etiology of this uncommon presentation is discussed below. Cureus 2021-10-28 /pmc/articles/PMC8614164/ /pubmed/34858747 http://dx.doi.org/10.7759/cureus.19094 Text en Copyright © 2021, Nelson et al. https://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 Family/General Practice
Nelson, Colbert C
Ohnoutka, Cole
Ulen, Michael
Non-Ketotic Hyperglycemic Hemichorea-Hemiballismus in the Setting of Antipsychotics and Methamphetamine
title Non-Ketotic Hyperglycemic Hemichorea-Hemiballismus in the Setting of Antipsychotics and Methamphetamine
title_full Non-Ketotic Hyperglycemic Hemichorea-Hemiballismus in the Setting of Antipsychotics and Methamphetamine
title_fullStr Non-Ketotic Hyperglycemic Hemichorea-Hemiballismus in the Setting of Antipsychotics and Methamphetamine
title_full_unstemmed Non-Ketotic Hyperglycemic Hemichorea-Hemiballismus in the Setting of Antipsychotics and Methamphetamine
title_short Non-Ketotic Hyperglycemic Hemichorea-Hemiballismus in the Setting of Antipsychotics and Methamphetamine
title_sort non-ketotic hyperglycemic hemichorea-hemiballismus in the setting of antipsychotics and methamphetamine
topic Family/General Practice
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8614164/
https://www.ncbi.nlm.nih.gov/pubmed/34858747
http://dx.doi.org/10.7759/cureus.19094
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