Neurogenic orthostatic hypotension after diabetic ketoacidosis in a Mazahua patient

María F. Aguirre-Villegas, Internal Medicine Service, Hospital General San Felipe del Progreso, Instituto de Salud del Estado de México, San Felipe del Progreso, Ixtlahuaca, State of Mexico, Mexico
Karla Cárdenas-Soto, Department of Neurology and Psychiatry, Thin Nerve Fiber Laboratory, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City. Mexico
Eduardo Arguelles-González, Clinical Laboratory of Neurodegenerative Diseases, Instituto Nacional de Neurología y Neurocirugía Manuel Velasco Suárez. Secretaría de Salud, Mexico City, Mexico
Daniel Rebolledo-García, Department of Neurology, NYU Dysautonomia Center, NYU Langone Hospital, New York University School of Medicine, New York, USA

Introduction: Diabetes is a significant worldwide health issue. In Mexico, it was described as the second major cause of death, affecting 12.8 million individuals. In the Mazahua Indian communities, the incidence of diabetes is 20% higher than in other indigenous communities nationwide. The prevalence of neurogenic orthostatic hypotension (OH) and autonomic failure in these patients is unknown. Case description: A 56-year-old female with diabetes who developed neurogenic OH after a diabetic ketoacidosis episode. Conclusions: Recognition of neurogenic OH in hospitalized patients will help address the early diagnosis and assessment of autonomic failure.

Keywords: Neurogenic orthostatic hypotension. Diabetes. Autonomic failure. Hospitalized patients.