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Endocrinology and Metabolism International Journal
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Prevalence of celiac autoimmunity in children and adolescents with type 1 diabetes mellitus in a high complexity hospital in Colombia / Carolina Jaramillo Arango ; Carlos Enrique Yepes Delgado ; Verónica Abad Londoño
Título : Prevalence of celiac autoimmunity in children and adolescents with type 1 diabetes mellitus in a high complexity hospital in Colombia Tipo de documento : documento electrónico Autores : Carolina Jaramillo Arango, ; Carlos Enrique Yepes Delgado, ; Verónica Abad Londoño, Fecha de publicación : 2018 Títulos uniformes : Endocrinology and Metabolism International Journal Idioma : Inglés (eng) Palabras clave : celiac disease type 1 diabetes tissue transglutaminase autoantibody autoimmunity and prevalence Resumen : Background: The prevalence of celiac disease in patients with type 1 diabetes mellitus is 5 to 10 times higher than in the general population. However, diagnosis is difficult given that patients are asymptomatic or with nonspecific symptoms and are confused with poor glycemic control or thyroid comorbidity. Objective: To assess the prevalence of celiac autoimmunity in children and adolescents diagnosed with type 1 diabetes mellitus and to identify the clinical profile of patients with celiac autoimmunity. Methods: One hundred patients with type 1 diabetes mellitus under 18 years, who consulted the department of pediatric endocrinology at Hospital Pablo Tobón Uribe – Medellin, between May and December 2015, were included. The concentration of antibodies, anti-tissue transglutaminase IgA, and total immunoglobulin A were measured in all patients; also a survey of signs and symptoms of celiac disease was applied. Results: Patients were aged between 3 and 17 years. Four had celiac autoimmunity evidenced by positive anti-tissue transglutaminase IgA. The clinical profile of patients with celiac autoimmunity was patient Mención de responsabilidad : Carolina Jaramillo Arango, Yúrika López-Alarcón, Alejandro Marín-Agudelo, Carlos Yepes Delgado, Verónica Abad-Londoño DOI (Digital Object Identifier) : 10.15406/emij.2018.06.00172 Derechos de uso : CC BY-NC En línea : https://medcraveonline.com/EMIJ/prevalence-of-celiac-autoimmunity-in-children-an [...] Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=4734 Prevalence of celiac autoimmunity in children and adolescents with type 1 diabetes mellitus in a high complexity hospital in Colombia [documento electrónico] / Carolina Jaramillo Arango, ; Carlos Enrique Yepes Delgado, ; Verónica Abad Londoño, . - 2018.
Obra : Endocrinology and Metabolism International Journal
Idioma : Inglés (eng)
Palabras clave : celiac disease type 1 diabetes tissue transglutaminase autoantibody autoimmunity and prevalence Resumen : Background: The prevalence of celiac disease in patients with type 1 diabetes mellitus is 5 to 10 times higher than in the general population. However, diagnosis is difficult given that patients are asymptomatic or with nonspecific symptoms and are confused with poor glycemic control or thyroid comorbidity. Objective: To assess the prevalence of celiac autoimmunity in children and adolescents diagnosed with type 1 diabetes mellitus and to identify the clinical profile of patients with celiac autoimmunity. Methods: One hundred patients with type 1 diabetes mellitus under 18 years, who consulted the department of pediatric endocrinology at Hospital Pablo Tobón Uribe – Medellin, between May and December 2015, were included. The concentration of antibodies, anti-tissue transglutaminase IgA, and total immunoglobulin A were measured in all patients; also a survey of signs and symptoms of celiac disease was applied. Results: Patients were aged between 3 and 17 years. Four had celiac autoimmunity evidenced by positive anti-tissue transglutaminase IgA. The clinical profile of patients with celiac autoimmunity was patient Mención de responsabilidad : Carolina Jaramillo Arango, Yúrika López-Alarcón, Alejandro Marín-Agudelo, Carlos Yepes Delgado, Verónica Abad-Londoño DOI (Digital Object Identifier) : 10.15406/emij.2018.06.00172 Derechos de uso : CC BY-NC En línea : https://medcraveonline.com/EMIJ/prevalence-of-celiac-autoimmunity-in-children-an [...] Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=4734 Reserva
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Código de barras Número de Ubicación Tipo de medio Ubicación Sección Estado DD001208 AC-2018-152 Archivo digital Producción Científica Artículos científicos Disponible Documentos electrónicos
2018-152.pdfAdobe Acrobat PDF Colombian multicentric study on epidemiology of diabetic ketoacidosis in children with type 1 diabetes mellitus / Carolina Jaramillo Arango ; Mauricio Fernández Laverde
Título : Colombian multicentric study on epidemiology of diabetic ketoacidosis in children with type 1 diabetes mellitus Tipo de documento : documento electrónico Autores : Carolina Jaramillo Arango, ; Mauricio Fernández Laverde, Fecha de publicación : 2017 Títulos uniformes : Endocrinology and Metabolism International Journal Idioma : Inglés (eng) Palabras clave : Type 1 diabetes mellitus Diabetic ketoacidosis Risk factors Pediatric intensive care units Epidemiology Multicenter studies Resumen : Background: Type 1 diabetes is a growing disease worldwide, where ketoacidosis is a serious cause commonly resulting in hospitalization. Little is known regarding the epidemiology of the development of ketoacidosis in Colombian children with a known diagnosis of diabetes. Objective: To describe the epidemiological profile of children with type 1 diabetes and ketoacidosis diagnosis. Settings: Using the online survey, http://www.e-encuesta.com/answer.do?testid=cRctXSlVSLk, seven pediatric intensive care units of the four main cities throughout the country reported epidemiological data of the patients that were admitted with episodes of ketoacidosis other than diabetes debut, between May of 2014 and May of 2016. Measurement and main results: Fifty-two events of diabetic ketoacidosis in 47 patients between ages 3 and 17 were included. The patients had mean glycosylated hemoglobin of 12% (SD: 2.9) and the median insulin dose used was 0.91 (IQR 0.74 – 1.2 UI/kg). One hundred percent of patients belonged to middle and low socioeconomic classes, 98.1% of patients were insured by the health care system, and 27.4% of patients did not have the necessary supplies for glucose control. Conclusion: The glycosylated hemoglobin levels can evidence that diabetic ketoacidosis patients were generally not well controlled prior to admission. The most common precipitating factors of diabetic ketoacidosis were the low adherence to treatment and infections. Patients must be informed about the importance of adherence to treatment and how to adjust insulin on sick days; the health care system must ensure patients have the supplies necessary for optimal diabetes control. Mención de responsabilidad : Carolina Jaramillo Arango, Yúrika P López-Alarcón, Juan C Jaramillo Bustamante, Mauricio Fernández-Laverde, Rosalba Pardo Carrero, Alejandro Marín-Agudelo Referencia : Endocrinol Metab Int J. 2017;5(2):205-9 DOI (Digital Object Identifier) : 10.15406/emij.2017.05.00118 Derechos de uso : CC BY-NC En línea : https://medcraveonline.com/EMIJ/EMIJ-05-00118.php Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=4057 Colombian multicentric study on epidemiology of diabetic ketoacidosis in children with type 1 diabetes mellitus [documento electrónico] / Carolina Jaramillo Arango, ; Mauricio Fernández Laverde, . - 2017.
Obra : Endocrinology and Metabolism International Journal
Idioma : Inglés (eng)
Palabras clave : Type 1 diabetes mellitus Diabetic ketoacidosis Risk factors Pediatric intensive care units Epidemiology Multicenter studies Resumen : Background: Type 1 diabetes is a growing disease worldwide, where ketoacidosis is a serious cause commonly resulting in hospitalization. Little is known regarding the epidemiology of the development of ketoacidosis in Colombian children with a known diagnosis of diabetes. Objective: To describe the epidemiological profile of children with type 1 diabetes and ketoacidosis diagnosis. Settings: Using the online survey, http://www.e-encuesta.com/answer.do?testid=cRctXSlVSLk, seven pediatric intensive care units of the four main cities throughout the country reported epidemiological data of the patients that were admitted with episodes of ketoacidosis other than diabetes debut, between May of 2014 and May of 2016. Measurement and main results: Fifty-two events of diabetic ketoacidosis in 47 patients between ages 3 and 17 were included. The patients had mean glycosylated hemoglobin of 12% (SD: 2.9) and the median insulin dose used was 0.91 (IQR 0.74 – 1.2 UI/kg). One hundred percent of patients belonged to middle and low socioeconomic classes, 98.1% of patients were insured by the health care system, and 27.4% of patients did not have the necessary supplies for glucose control. Conclusion: The glycosylated hemoglobin levels can evidence that diabetic ketoacidosis patients were generally not well controlled prior to admission. The most common precipitating factors of diabetic ketoacidosis were the low adherence to treatment and infections. Patients must be informed about the importance of adherence to treatment and how to adjust insulin on sick days; the health care system must ensure patients have the supplies necessary for optimal diabetes control. Mención de responsabilidad : Carolina Jaramillo Arango, Yúrika P López-Alarcón, Juan C Jaramillo Bustamante, Mauricio Fernández-Laverde, Rosalba Pardo Carrero, Alejandro Marín-Agudelo Referencia : Endocrinol Metab Int J. 2017;5(2):205-9 DOI (Digital Object Identifier) : 10.15406/emij.2017.05.00118 Derechos de uso : CC BY-NC En línea : https://medcraveonline.com/EMIJ/EMIJ-05-00118.php Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=4057 Reserva
Reservar este documentoEjemplares(1)
Código de barras Número de Ubicación Tipo de medio Ubicación Sección Estado DD000657 AC-2017-046 Archivo digital Producción Científica Artículos científicos Disponible Documentos electrónicos
2017-046.pdfAdobe Acrobat PDF