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Diabetes mellitus in the elderly.

Oliveira, M; Malheiro, F

The authors discuss the pathogenesis of glucose intolerance occurring in advanced age and the importance of peripheral insulin resistance due to deficiency of post receptor mechanisms. Prevalence of diabetes increases with age and its diagnosis should not be overlooked as it can cause considerable morbidity and mortality in this age group. Acute and chronic complications are discussed as well as the aggravating...

Data: 1989   |   Origem: Acta Médica Portuguesa

Hyperthyroidism caused by non-neoplastic inappropriate TSH secretion.

Agapito, A; Unidade de Endocrinologia, Hospital Curry Cabral, Lisboa.; Guerra, L; Afonso, A; Fonseca, F; Malheiro, F; da Costa, C

We report a case of hyperthyroidism due to non-neoplastic inappropriate thyrotrophin secretion in a 31 year old woman. Increased T3 and THS levels after thyroidectomy led us to suspect the diagnose. Serum levels were further increased by TRH and only partially suppressed by triiodothyronine and computerised axial tomography showed a normal sellar region. These features are characteristic of inappropriate TSH se...

Data: 1970   |   Origem: Acta Médica Portuguesa

Myxedema coma.

Fonseca, F; Unidade de Endocrinologia, H. Curry Cabral, Lisboa.; Cortez, L; Guerra, L; Afonso, A; Agapito, A; Malheiro, F; da Costa, C

Five patients, 4 female and 1 male, aged 45 to 73, were observed in myxedema coma between 1984 and 1992. In three patients hypothyroidism was not known. Depressed consciousness, hypothermia, bradycardia and no goiter were common to all and a precipitating factor could be identified in 3 of them. Therapy included L-thyroxine and/or triiodothyronine by nasogastric tube, hydrocortisone and supportive measures. Out...

Data: 1970   |   Origem: Acta Médica Portuguesa

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