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Article ; Online: Screening for hidden human immunodeficiency virus infection in the emergency department: one hospital's experience.

Del Palacio-Tamarit, Marta / Sanz-Lorente, Rodrigo / Álvarez-Álvarez, Beatriz / Cabello-Úbeda, Alfonso / García-Cañete, Joaquín / Blanco-García, Antonio

Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias

2023 Volume 35, Issue 1, Page(s) 74–75

Title translation	Experiencia de cribado de infección oculta del virus de la inmunodeficiencia humana en un servicio de urgencias.
MeSH term(s)	Humans ; Emergency Service, Hospital ; HIV Infections/complications ; HIV Infections/diagnosis ; HIV Infections/epidemiology ; Hospitals
Language	Spanish
Publishing date	2023-02-19
Publishing country	Spain
Document type	Journal Article
ZDB-ID	2127173-2
ISSN	2386-5857 ; 2386-5857
ISSN (online)	2386-5857
ISSN	2386-5857
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Article ; Online: Chagas' heart disease: Descriptive analysis of 141 patients in a hospital of Madrid, Spain.

Acosta, Irene Carrillo / Pérez-Tanoira, Ramón / Prieto-Pérez, Laura / Úbeda, Alfonso Cabello / Álvarez Álvarez, Beatriz / Antoranz, Patricia Atencio / Fernández Guerrero, Manuel / Fernández Roblas, Ricardo / Orejas, Miguel / Tomás, Marta / Cariñanos, Irune / Górgolas, Miguel

Travel medicine and infectious disease

2020 Volume 37, Page(s) 101690

Abstract: Background: Spain is the European country with the highest number of Trypanosoma cruzi infected patients. Due to the cardiac complications that these patients can develop, it is of paramount importance to evaluate the value of the different heart ... ...

Abstract	Background: Spain is the European country with the highest number of Trypanosoma cruzi infected patients. Due to the cardiac complications that these patients can develop, it is of paramount importance to evaluate the value of the different heart diagnostic tools. Method: In this observational study, we describe the main characteristics and data from electrocardiogram, chest X-ray, echocardiogram and cardiac magnetic resonance imaging (MRI) of 141 patients with Chagas' disease attended in a tertiary university hospital in Madrid from 2009 to 2018. Results: A total of 50 patients (35.4%) had at least one abnormal cardiac test: 34.2% altered electrocardiogram (40/117), 24.5% altered echocardiogram (27/110) and 9.2% abnormal cardiac MRI (13/41). Of those 13 with a pathological MRI, 53.8% had normal results for any other test. The most frequent alterations observed were hypokinesia with decreased LVEF (left ventricular ejection fraction), dilatation of cavities and cardiac fibrosis. Two thirds of patients with abnormal cardiac test were asymptomatic. Altered echocardiogram was found in 43.8% of patients ≥50 years compared to 16.6% under 50 years (p = 0.003). Conclusions: A transthoracic echocardiogram and a MRI of the heart added a 23.8% increment in diagnosing cardiac pathological findings.
MeSH term(s)	Chagas Cardiomyopathy ; Chagas Disease ; Europe ; Heart Diseases ; Hospitals ; Humans ; Spain ; Stroke Volume ; Ventricular Function, Left
Language	English
Publishing date	2020-04-22
Publishing country	Netherlands
Document type	Journal Article ; Observational Study
ZDB-ID	2170891-5
ISSN	1873-0442 ; 1477-8939
ISSN (online)	1873-0442
ISSN	1477-8939
DOI	10.1016/j.tmaid.2020.101690
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Article ; Online: Initiation of antiretroviral therapy in treatment-naive adults with HIV infection at the first specialist appointment.

Al-Hayani, Aws Waleed M / Cabello-Úbeda, Alfonso / Del Palacio-Tamarit, Marta / Rodríguez-Alonso, Blanca / Carrillo-Acosta, Irene / Álvarez-Álvarez, Beatriz / Prieto-Pérez, Laura / Fernández Quintela, Laura / Fuensalida, Gema / Téllez, Raquel / Luis-Castaño, Ángel / Hernández-Segurado, Marta / Becares, Javier / Benito, José Miguel / Rallón, Norma / Górgolas, Miguel

The Journal of antimicrobial chemotherapy

2022 Volume 77, Issue 6, Page(s) 1741–1747

Abstract: Background: Fast initiation of ART has been associated with higher rates of retention in HIV care and viral suppression at 48 weeks and with lower mortality rates. However, scarce evidence exists in our setting, where diagnosis and treatment are carried ...

Abstract	Background: Fast initiation of ART has been associated with higher rates of retention in HIV care and viral suppression at 48 weeks and with lower mortality rates. However, scarce evidence exists in our setting, where diagnosis and treatment are carried out in different contexts. Methods: An observational retrospective study evaluating efficacy and safety of ART prescribed at the first specialist appointment, without baseline laboratory data, in a tertiary hospital in downtown Madrid. Individuals with a new diagnosis of HIV infection who initiated treatment at their first appointment with an infectious diseases specialist before receiving baseline laboratory results were included, irrespective of the ART regimen chosen. Results: One hundred and eight participants were included. The majority (99.1%) were MSM who had acquired infection during sexual intercourse. The efficacy of ART, without baseline laboratory results at the time of initiation, was 85.2% (92/108) in the ITT analysis and 91.7% (99/108) in the treatment-related discontinuation equals failure analysis. All but nine patients presented an undetectable viral load (<50 copies/mL) at 48 weeks from starting ART. No serious adverse effects associated with the strategy were observed. In total, 101 participants continued care at 48 weeks with retention in HIV care rate of 93.5% (101/108). Conclusions: Initiating ART at the first available opportunity without baseline laboratory data does not reduce efficacy or safety of ART and achieves rapid virological control with high rates of retention in HIV care.
MeSH term(s)	Adult ; Anti-HIV Agents/adverse effects ; CD4 Lymphocyte Count ; Cognition ; Drug-Related Side Effects and Adverse Reactions ; HIV Infections/drug therapy ; Humans ; Retrospective Studies ; Viral Load
Chemical Substances	Anti-HIV Agents
Language	English
Publishing date	2022-03-15
Publishing country	England
Document type	Journal Article ; Observational Study ; Research Support, Non-U.S. Gov't
ZDB-ID	191709-2
ISSN	1460-2091 ; 0305-7453
ISSN (online)	1460-2091
ISSN	0305-7453
DOI	10.1093/jac/dkac079
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Zs.A 1197: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (1.OG) ab Jg. 2022: Lesesaal (EG)
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Article ; Online: Influence of metabolic syndrome on risk stratification in hypertensive patients: differences between 2003 and 2007 ESH-ESC guidelines.

Martell, Nieves / Alvarez-Alvarez, Beatriz / Fernandez-Cruz, Arturo

Therapeutic advances in cardiovascular disease

2010 Volume 4, Issue 2, Page(s) 97–103

Abstract: Objective: To investigate the influence of metabolic syndrome (MS) on risk stratification and ulterior classification in hypertensive patients at entry into a hypertension unit by comparing the criteria of ESH-ESC 2003 and 2007 guidelines.: Methods: ... ...

Abstract	Objective: To investigate the influence of metabolic syndrome (MS) on risk stratification and ulterior classification in hypertensive patients at entry into a hypertension unit by comparing the criteria of ESH-ESC 2003 and 2007 guidelines. Methods: 720 consecutive patients attending a hospital-located hypertension unit were included in the study. They were classified with or without MS according to the ATP-III 2005 report. Patients underwent repeated office BP measurements and routine blood/urine examinations. In addition ultrasensitive CRP (uCRP), echocardiogram, fasting insulin, urinary albumin excretion were determined and HOMA index was calculated. Results: The prevalence of MS was 58.8 %. Abdominal obesity and fasting glucose were the most prevalent components of MS, and HDL-cholesterol the least prevalent. MS group had higher levels of LDL-cholesterol and higher prevalence of left ventricular hypertrophy and microalbuminuria. Patients with MS also presented a significant elevation in uCRP, fasting insulin and HOMA. BP was controlled in 55.6%. When we applied the 2003 guideline, 48.9% patients showed a high or very high added cardiovascular risk. With the applications of the 2007 guide the prevalence of this two categories reach 73.9%. Conclusions: A significant difference in the risk pattern distribution is found when MS is considered in risk stratification in our hypertensive population. The accompanying increase in the levels of other cardiovascular risk factors and in the prevalence of target organ damage justifies the global intervention on cardiovascular risk recommended by 2007 ESH-ESC guidelines.
MeSH term(s)	Abdominal Fat/physiopathology ; Adult ; Aged ; Albuminuria/physiopathology ; Blood Glucose/metabolism ; C-Reactive Protein/metabolism ; Cardiovascular Diseases/etiology ; Cholesterol, LDL/blood ; Cross-Sectional Studies ; Fasting ; Female ; Humans ; Hypertension/complications ; Hypertrophy, Left Ventricular/epidemiology ; Insulin/metabolism ; Male ; Metabolic Syndrome/complications ; Metabolic Syndrome/physiopathology ; Middle Aged ; Obesity/physiopathology ; Practice Guidelines as Topic ; Prevalence ; Risk Factors
Chemical Substances	Blood Glucose ; Cholesterol, LDL ; Insulin ; C-Reactive Protein (9007-41-4)
Language	English
Publishing date	2010-04
Publishing country	England
Document type	Journal Article
ZDB-ID	2485062-7
ISSN	1753-9455 ; 1753-9447
ISSN (online)	1753-9455
ISSN	1753-9447
DOI	10.1177/1753944709341304
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Article ; Online: Análisis del proceso de derivación del paciente hipertenso en España: Estudio DERIVA.

Martell-Claros, Nieves / Abad-Cardiel, María / Álvarez-Álvarez, Beatriz / García-Donaire, Jose Antonio / Galgo-Nafría, Alberto

Atencion primaria

2015 Volume 47, Issue 10, Page(s) 636–643

Abstract: Introduction: An adequate communication between levels of medical attention is the key point for optimal treatment and outcomes of the hypertensive population.: Aims: The aim of this study was to evaluate the adequacy of the hypertensive patients' ... ...

Title translation	Evaluation of referral process of the hypertensive patient in Spain: DERIVA study.
Abstract	Introduction: An adequate communication between levels of medical attention is the key point for optimal treatment and outcomes of the hypertensive population. Aims: The aim of this study was to evaluate the adequacy of the hypertensive patients' derivation from Primary Care to Specialized Care. As secondary objectives, the information registered on the derivation report was assessed and concordance between derivation reason and final diagnosis was analysed. Design: This is an observational, descriptive, multicentre study. SITE: Study conducted at the national level. Participants: Specialty Care Physicians receiving hypertensive patients referred from primary care. Principal measurements: On the baseline visit, the specialist physicians assessed the quality of the derivation records and attended the patient. After the study, final diagnosis and treatment is suggested on the final visit. Results: 1769 subjects were included, mean aged 62,4 (13,6) years, 45% female. Time of diagnosis of hypertension was 8,0 (7,7) years. More than the half of the derivation records contained very good information (5,4%; CI4,3-6,5) or sufficient (50,7%; CI48,4-53,0). In 7,1% (IC5,9-8,3) derivation cause was not specified. 74,7% of the derivations were considered as appropriate, though 30% were late. Concordance between derivation reasons and final diagnosis was low (kappa index 0,208). Conclusions: A quarter of the hypertensive population is unnecessary derived to Secondary Care and 30% of the appropriately derived was late. We should improve the interrelation of attention in the hypertension and cardiovascular area between the both attention levels.
MeSH term(s)	Aged ; Female ; Humans ; Hypertension/therapy ; Male ; Middle Aged ; Primary Health Care ; Referral and Consultation ; Spain ; Specialization
Language	Spanish
Publishing date	2015-02-17
Publishing country	Spain
Document type	Journal Article ; Multicenter Study ; Observational Study
ZDB-ID	1200787-0
ISSN	1578-1275 ; 0212-6567
ISSN (online)	1578-1275
ISSN	0212-6567
DOI	10.1016/j.aprim.2015.01.001
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Article ; Online: Primary aldosteronism and its various clinical scenarios.

Martell-Claros, Nieves / Abad-Cardiel, María / Alvarez-Alvarez, Beatriz / García-Donaire, José A / Pérez, Cristina Fernández

Journal of hypertension

2015 Volume 33, Issue 6, Page(s) 1226–1232

Abstract: Background: Primary aldosteronism is the most frequent endocrine cause of secondary hypertension. Aldosterone excess damages the cardiovascular system.: Objectives: We compared biochemical; morphological, and cardiovascular risk differences among ... ...

Abstract	Background: Primary aldosteronism is the most frequent endocrine cause of secondary hypertension. Aldosterone excess damages the cardiovascular system. Objectives: We compared biochemical; morphological, and cardiovascular risk differences among hypokalemic and normokalemic primary aldosteronism. We evaluated either both presentations correspond to two different entities or a unique disease in different evolutive stage. Material and methods: This is a retrospective study including 157 patients with primary aldosteronism divided into two groups: typical presentation (serum potassium < 3.5 mmol/l, n = 87) and atypical presentation (serum potassium > 3.5 mmol/l, n = 70). Results: The typical presentation group showed higher family background of ischemic heart disease (P = 0.028), plasmatic aldosterone levels (P = 0.001), and cardiovascular added risk (P = 0.013). Although kalemia was corrected in the hypokalemic group after specific treatment, typical presentation maintained lower levels. Predictors of typical presentation were the highest tertile of aldosterone level, baseline DBP, and a longer evolution of hypertension. Aldosterone serum levels increased along time in primary aldosteronism and it can be considered as the most discriminative factor for the type of presentation. Conclusion: Primary aldosteronism presentation along with normokalemia or hypokalemia could be the same disease at different evolution stages. Adequate detection of normokalemic primary aldosteronism deserves an early and intentional diagnostic attitude.
MeSH term(s)	Adult ; Aged ; Aldosterone/blood ; Cardiovascular Diseases/diagnosis ; Cardiovascular Diseases/epidemiology ; Female ; Humans ; Hyperaldosteronism/complications ; Hyperaldosteronism/diagnosis ; Hyperaldosteronism/epidemiology ; Hypertension/diagnosis ; Hypertension/epidemiology ; Hypertension/etiology ; Hypokalemia/diagnosis ; Hypokalemia/epidemiology ; Male ; Middle Aged ; Myocardial Ischemia/diagnosis ; Myocardial Ischemia/epidemiology ; Potassium/blood ; Retrospective Studies ; Risk Factors
Chemical Substances	Aldosterone (4964P6T9RB) ; Potassium (RWP5GA015D)
Language	English
Publishing date	2015-06
Publishing country	England
Document type	Journal Article
ZDB-ID	605532-1
ISSN	1473-5598 ; 0263-6352 ; 0952-1178
ISSN (online)	1473-5598
ISSN	0263-6352 ; 0952-1178
DOI	10.1097/HJH.0000000000000546
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Zs.A 1885: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (1.OG) ab Jg. 2022: Lesesaal (EG)
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Article ; Online: Valoración desde atención primaria del manejo del hipertenso en atención especializada (estudio DERIVA-DOS).

Martell-Claros, Nieves / Galgo Nafría, Alberto / Abad-Cardiel, María / Álvarez-Álvarez, Beatriz / García Donaire, José Antonio / Márquez-Contreras, Emilio / Molino-González, Ángel

Atencion primaria

2017 Volume 50, Issue 7, Page(s) 406–413

Abstract: Introduction: To know the opinion/evaluation of the primary care physicians (PCPH) of the received information about patients that were attended in specialized care (SC).: Design: Cross-sectional study.: Location: Performed nationwide in primary ... ...

Title translation	Primary care evaluation of the hypertensive patient management in specialized care after derivation (DERIVA-2 Study).
Abstract	Introduction: To know the opinion/evaluation of the primary care physicians (PCPH) of the received information about patients that were attended in specialized care (SC). Design: Cross-sectional study. Location: Performed nationwide in primary care centers. Participants: Researchers from the primary care network. Methods: We used the SEH-LELHA derivation criteria guidelines, plus an ad hoc survey that included demographic and anthropometric data, blood pressure levels, and the main reason for derivation to SC at the baseline and final (post-derivation) visit. In addition, time deployed for the study of every patient, changes in diagnosis and treatment, type of follow-up, issues throughout the derivation process and assessment of the medical referred to the PCPH were evaluated. Results: With participation of 578 researchers from primary, the study included 1715 patients aged 60.7±13.3years, 62.7% male. Patients were taking 2.3±1.2 (range 0-10) antihypertensive drugs pre-referral and 2.5±1.2 (0-9) after derivation. Blood pressure levels changed from 166±21.6 /97.7±12.6mmHg to 143±14.4 /85.5±10.5mmHg. The number of controlled patients (BP<140 and <90mmHg) increased from 5.8% to 32.2%. Time between pre- and post-derivation visit was 72±64days (median 57days, IQ26-99). The PCPH received a medical report in 80.3% of cases, 76.9% with an explanation of the results of the complementary tests, 75.8% with additional information or a reasoning of treatment and in 71% of cases information about the patient future management. 63% of PCPH were fully agreed with the management of the specialist, 29% agree and 2% strongly disagree. The derivation was evaluated as effective or very effective in 86% of patients and no effective in 9%. Conclusions: Communication between AE and SC in HTA is valued satisfactorily by MAP. However there is still room for improvement in the process.
MeSH term(s)	Adult ; Aged ; Aged, 80 and over ; Antihypertensive Agents/therapeutic use ; Blood Pressure ; Consensus ; Cross-Sectional Studies ; Female ; Humans ; Hypertension/drug therapy ; Male ; Middle Aged ; Physicians, Primary Care/statistics & numerical data ; Polypharmacy ; Prospective Studies ; Referral and Consultation/statistics & numerical data ; Spain ; Specialization/statistics & numerical data ; Time Factors ; Young Adult
Chemical Substances	Antihypertensive Agents
Language	Spanish
Publishing date	2017-10-14
Publishing country	Spain
Document type	Journal Article ; Multicenter Study ; Observational Study
ZDB-ID	1200787-0
ISSN	1578-1275 ; 0212-6567
ISSN (online)	1578-1275
ISSN	0212-6567
DOI	10.1016/j.aprim.2017.02.015
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Article ; Online: Management of resistant arterial hypertension: role of spironolactone versus double blockade of the renin-angiotensin-aldosterone system.

Alvarez-Alvarez, Beatriz / Abad-Cardiel, María / Fernandez-Cruz, Arturo / Martell-Claros, Nieves

Journal of hypertension

2010 Volume 28, Issue 11, Page(s) 2329–2335

Abstract: Background: Currently there is no consensus regarding which add-on therapy to use in resistant hypertension. This study was designed to compare two treatment options, spironolactone (SPR) versus dual blockade of the renin-angiotensin-aldosterone system ( ...

Abstract	Background: Currently there is no consensus regarding which add-on therapy to use in resistant hypertension. This study was designed to compare two treatment options, spironolactone (SPR) versus dual blockade of the renin-angiotensin-aldosterone system (RAAS). Methods: Forty-two patients with true resistant hypertension were included in the study. An open-label prospective crossover design was used to add a second RAAS blocker to previous treatment and then SPR following 1 month of wash-out. BP was measured in the office and by ambulatory blood pressure monitoring (ABPM). Changes in laboratory tests were also studied for both treatments. The predictive values of aldosterone-renin ratio (ARR) and serum potassium of determining the antihypertensive response were analyzed for both arms. Results: Following the first stage of dual blockade, SBP dropped significantly both in office (reduction of 12.9 ± 19.2 mmHg)) and by ABPM (reduction of 7.1 ± 13.4 mmHg). Office DBP was unchanged but was significantly reduced as measured by ABPM (3.4 ± 6.2 mmHg). On SPR treatment, office BP was reduced 32.2 ± 20.6/10.9 ± 11.6 mmHg. By ABPM the reduction was 20.8 ± 14.6/8.8 ± 7.3 mmHg (P < 0.001). The BP control was achieved by 25.6% of patients in dual blockade and 53.8% in SPR with office blood pressure. By ABPM, 20.5% were controlled on dual blockade and up to 56.4% with SPR. Serum potassium was a weak inverse predictor of the blood pressure-lowering effect of SPR. Conclusion: SPR has a greater antihypertensive effect than dual blockade of the RAAS in resistant hypertension. SPR at daily doses of 25-50 mg shows a potent antihypertensive effect when added to prior regimes of single RAAS axis blockade in patients with resistant arterial hypertension.
MeSH term(s)	Aged ; Antihypertensive Agents/pharmacology ; Blood Pressure ; Cross-Over Studies ; Female ; Humans ; Hypertension/drug therapy ; Male ; Middle Aged ; Mineralocorticoid Receptor Antagonists/pharmacology ; Potassium/blood ; Prospective Studies ; Renin-Angiotensin System/drug effects ; Spironolactone/pharmacology ; Treatment Outcome
Chemical Substances	Antihypertensive Agents ; Mineralocorticoid Receptor Antagonists ; Spironolactone (27O7W4T232) ; Potassium (RWP5GA015D)
Language	English
Publishing date	2010-11
Publishing country	England
Document type	Journal Article
ZDB-ID	605532-1
ISSN	1473-5598 ; 0263-6352 ; 0952-1178
ISSN (online)	1473-5598
ISSN	0263-6352 ; 0952-1178
DOI	10.1097/HJH.0b013e32833d4c99
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Article ; Online: Hypertension caused by primary hyperaldosteronism: increased heart damage and cardiovascular risk.

Abad-Cardiel, María / Alvarez-Álvarez, Beatriz / Luque-Fernandez, Loreto / Fernández, Cristina / Fernández-Cruz, Arturo / Martell-Claros, Nieves

Revista espanola de cardiologia (English ed.)

2013 Volume 66, Issue 1, Page(s) 47–52

Abstract: Introduction and objectives: Primary hyperaldosteronism is the most common cause of secondary hypertension. Elevated aldosterone levels cause heart damage and increase cardiovascular morbidity and mortality. Early diagnosis could change the course of ... ...

Abstract	Introduction and objectives: Primary hyperaldosteronism is the most common cause of secondary hypertension. Elevated aldosterone levels cause heart damage and increase cardiovascular morbidity and mortality. Early diagnosis could change the course of this entity. The objective of this report was to study the clinical characteristics, cardiac damage and cardiovascular risk associated with primary hyperaldosteronism. Methods: We studied 157 patients with this diagnosis. We analyzed the reason for etiological investigation, and the routinely performed tests, including echocardiography. We used a cohort of 720 essential hypertensive patients followed in our unit for comparison. Results: Compared with essential hypertensive patients, those with hyperaldosteronism were younger (56.9 [11.7] years vs 60 [14.4] years; P<.001), had higher blood pressure prior to the etiological diagnosis (136 [20.6] mmHg vs 156 [23.2] mmHg), more frequently had a family history of early cardiovascular disease (25.5% vs 2.2%; P<.001), and had a higher prevalence of concentric left ventricular hypertrophy (69% vs 25.7%) and higher cardiovascular risk. Specific treatment resulted in optimal control of systolic and diastolic blood pressures (from 150.7 [23.0] mmHg and 86.15 [14.07] mmHg to 12.69 [15.3] mmHg and 76.34 [9.7] mmHg, respectively). We suspected the presence of hyperaldosteronism because of resistant hypertension (33.1%), hypokalemia (38.2%), and hypertensive crises (12.7%). Only 4.6% of these patients had been referred from primary care with a suspected diagnosis of hyperaldosteronism. Conclusions: Hyperaldosteronism should be suspected in cases of resistant hypertension, hypokalemia and hypertensive crises. The diagnosis of hyperaldosteronism allows better blood pressure control. The most prevalent target organ damage is left ventricular hypertrophy.
MeSH term(s)	Aged ; Aldosterone/blood ; Blood Pressure/physiology ; Cardiovascular Diseases/epidemiology ; Cardiovascular Diseases/etiology ; Cohort Studies ; Female ; Heart Diseases/epidemiology ; Heart Diseases/etiology ; Humans ; Hyperaldosteronism/complications ; Hyperaldosteronism/epidemiology ; Hypertension/complications ; Hypertension/epidemiology ; Hypertension/etiology ; Male ; Middle Aged ; Renin/blood ; Retrospective Studies ; Risk Assessment
Chemical Substances	Aldosterone (4964P6T9RB) ; Renin (EC 3.4.23.15)
Language	Spanish
Publishing date	2013-01
Publishing country	Spain
Document type	Journal Article
ISSN	1885-5857
ISSN (online)	1885-5857
DOI	10.1016/j.recesp.2012.07.025
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Article: Hipo incoercible y trastornos de conducta: una presentación atípica de leucoencefalopatía multifocal progresiva por virus de la inmunodeficiencia humana.

Negueruela-López, Mónica / Alvarez-Alvarez, Beatriz / López-Castroman, Jorge / Baca-García, Enrique

Enfermedades infecciosas y microbiologia clinica

2009 Volume 27, Issue 10, Page(s) 608–609

Title translation	Persistent hiccups and conduct disorder: an atypical clinical presentation of HIV-associated progressive multifocal leukoencephalopathy.
MeSH term(s)	AIDS-Related Opportunistic Infections/complications ; AIDS-Related Opportunistic Infections/diagnosis ; Adult ; Anti-HIV Agents/therapeutic use ; Antiretroviral Therapy, Highly Active ; Brain/pathology ; Conduct Disorder/etiology ; Gait Disorders, Neurologic/etiology ; HIV Infections/diagnosis ; HIV Infections/drug therapy ; Hiccup/etiology ; Humans ; Leukoencephalopathy, Progressive Multifocal/complications ; Leukoencephalopathy, Progressive Multifocal/diagnosis ; Magnetic Resonance Imaging ; Male ; Substance-Related Disorders/complications
Chemical Substances	Anti-HIV Agents
Language	Spanish
Publishing date	2009-12
Publishing country	Spain
Document type	Case Reports ; Letter
ZDB-ID	1070941-1
ISSN	1578-1852 ; 0213-005X
ISSN (online)	1578-1852
ISSN	0213-005X
DOI	10.1016/j.eimc.2009.03.006
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Order via subito

Inter-library loan at ZB MED

More links

Kategorien

In stock of ZB MED Cologne/Königswinter

Order via subito