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Hemiballismus in Uncontrolled Diabetes Mellitus
Juhaida Jaafar,Razlina Abdul Rahman,Nani Draman,Nor Akma Yunus 대한가정의학회 2018 Korean Journal of Family Medicine Vol.39 No.3
Hemiballismus, a subtype of chorea, is a rare movement disorder, and is most commonly found secondary to stroke. Movements are involuntary, violent, coarse, and have a wide amplitude. There is increasing report of hemi-ballismus occurring in non-ketotic hyperglycemia. Spontaneous improvements or remissions were observed in many patients, and treatment should be directed towards the cause of hemiballismus. There is no randomized control trial to guide clinicians in deciding the best treatment option when managing hemiballismus. Symptomatic treatment includes the use of drugs such as dopamine receptor blocker and tetrabenazine. Surgical treatment is re-served for severe, persistent, and disabling hemiballismus. This case is of an elderly woman with long standing un-controlled diabetes who presented with abnormal movement in her left upper limb for 2 months, which resolved slowly with good control of her glucose levels. Treating physicians need to have a high index of suspicion to prevent mismanagement of the condition.
A Case Report of Steroid Withdrawal Syndrome
Faziana Wahab,Razlina Abdul Rahman,Lili Husniati Yaacob,Norhayati Mohd Noor,Nani Draman 대한가정의학회 2020 Korean Journal of Family Medicine Vol.41 No.5
We report a case of steroid withdrawal syndrome in a 74-year-old woman who was suspected of having an occult exogenous Cushing’s syndrome secondary to prolonged traditional complementary medicine use. She presented with non-specific symptoms of lethargy, malaise, and poor oral intake with weight loss for 1 month, and investigations showed suboptimal 9 AM cortisol level. She has responded well to steroid replacement.