Determinar la epidemiología de la influenza A/H1N1 en la población de Chepén, entre enero y septiembre 2013. MATERIAL Y MÉTODO: Se realizó un estudio descriptivo retrospectivo, que evaluó 12 casos confirmados de influenza A/H1N1. RESULTADOS: Se observó un predominio de casos de influenza A/H1N1N en los adultos de 20 a 59 años con 41.7%, el 58.3% fueron varones. El 33.3% fueron estudiantes, el 25% empleados y el 16.7% amas de casa. En cuanto al cuadro clínico hubo fiebre 100%, malestar general 100%, tos 91.7%, dolor de garganta 91.7%, rinorrea 83.3%, faringitis 83.3%, cefalea 75%. El 50% presentaron dificultad respiratoria y el 25% de los casos fueron hospitalizados. El 66.7% requirieron el uso de antibióticos, y el 50% antivirales. CONCLUSIONES: Entre las características sociodemográficas más frecuentes se halló la edad de 20 a 59 años, afecto más a los varones y a los es...

Background: Primary aldosteronism is a disorder due to excessive aldosterone production in the presence of low renin levels. It is an underdiagnosed pathology despite its simple screening. Establishing the unilateral or bilateral location represents the greatest diagnostic challenge and is crucial to define the therapeutic approach. Adrenal venous catheterization (AVC) is the best test to establish the location, but it is invasive and expensive. New predictive markers of laterality are being developed. Case series presentation: We present a case series of 8 patients diagnosed with primary aldosteronism due to arterial hypertension with hypokalaemia, elevated aldosterone-renin ratio and compatible computed tomography. 4 patients underwent adrenal venous catheterization. Conclusion: In patients who underwent catheterization as well as in those who did not, the Küpers score adequately pred...

Background: Primary aldosteronism is a disorder due to excessive aldosterone production in the presence of low renin levels. It is an underdiagnosed pathology despite its simple screening. Establishing the unilateral or bilateral location represents the greatest diagnostic challenge and is crucial to define the therapeutic approach. Adrenal venous catheterization (AVC) is the best test to establish the location, but it is invasive and expensive. New predictive markers of laterality are being developed. Case series presentation: We present a case series of 8 patients diagnosed with primary aldosteronism due to arterial hypertension with hypokalaemia, elevated aldosterone-renin ratio and compatible computed tomography. 4 patients underwent adrenal venous catheterization. Conclusion: In patients who underwent catheterization as well as in those who did not, the Küpers score adequately pred...

Background: A sedentary lifestyle and an unhealthy diet have considerably increased the incidence of diabetes mellitus worldwide in recent decades, which has generated a high rate of associated chronic complications. Methods: A narrative review was performed in MEDLINE, EMBASES and SciELO databases, including 162 articles. Results: Diabetic neuropathy (DN) is the most common of these complications, mainly producing two types of involvement: sensorimotor neuropathy, whose most common form is symmetric distal polyneuropathy, and autonomic neuropathies, affecting the cardiovascular, gastrointestinal, and urogenital system. Although hyperglycemia is the main metabolic alteration involved in its genesis, the presents of obesity, dyslipidemia, arterial hypertension, and smoking, play an additional role in its appearance. In the pathophysiology, three main phenomena stand out: oxidative stress,...