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      Enfermedad de willis-ekbom a propósito de un caso Translated title: Willis-ekbom's disease a case report

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          Abstract

          Resumen Los trastornos del sueño REM, son de alta prevalencia en nuestro medio, se manifiestan por lo general en comorbilidad con trastornos afectivos como la ansiedad y la depresión. Dependiendo de la sintomatología del paciente la afectación puede afectar su calidad de vida, en nuestro medio son frecuentes las crisis de pánico y trastornos del sueño reconocidos culturalmente como provenientes de embrujos o maleficios, que al no ser tratados con buenos resultados, buscan una respuesta en el ámbito médico postergando la intervención en el caso evaluado. El presente caso describe los síntomas experimentados por un adulto de sexo masculino, con un cuadro que impresiona por su descripción sintomatológica de origen netamente urológico, que fue valorado en integridad con sus respectivos resultados laboratoriales y de gabinete es referido a diferentes especialidades y finalmente a psiquiatría donde se llega a la conclusión diagnostica de enfermedad de Willis-Ekbom, trastorno del sueño REM y Trastorno de ansiedad generalizada con crisis de pánico, se realiza tratamiento específico, con resultados favorables y seguimientos periódicos. Se presenta el caso clínico de un paciente de sexo masculino de 61 años como se describe en la presentación.

          Translated abstract

          Abstract REM sleep disorders, are of high prevalence in our environment, are usually manifested in comorbidity with affective disorders such as anxiety and depression. Depending on the symptomatology of the patient, the affectation can affect their quality of life, in our environment there are frequent panic crises and sleep disorders culturally recognized as coming from spells or curses, which, when not being treated with good results, seek an answer in the medical field postponing the intervention in the case evaluated. The present case describes the symptoms experienced by a male adult, with a picture that impresses with his symptomatic description of a purely urological origin, which was assessed in integrity with their respective laboratory and laboratory results. It refers to different specialties and finally to psychiatry. where the diagnostic conclusión of Willis-Ekbom disease, REM sleep disorder and generalized anxiety disorder with panic crisis is reached, specific treatment is performed, with favorable results and periodic follow-up.

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          The Latin American guide for psychiatric diagnosis

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            Síndrome de piernas inquietas/Willis Ekbom desde la mirada del psiquiatra

            Restless Legs Syndrome (RLS) or Willis-Ekbom Disease is an under-diagnosed chronic and progressive primary sensory-motor disorder. It can lead to severe sleep disturbances, a usual cause of consultation. It is characterized by an urgent need to move the legs in resting situations, a cardinal symptom that is usually accompanied by an unpleasant sensation in legs. These symptoms appear or aggravate at the end of the day and in resting situations and are alleviated with movement. Based on these clinical characteristics, it has been defined as a quiescegenic focal akathisia. The diagnosis is essentially clinical. As a guide, there are five cardinal diagnostic criteria. The treatment consists of non-pharmacological measures and the use of medications such as dopamine agonists. Despite the treatment, the symptoms persist in 40% of patients. Psychiatrists should be aware of the syndrome since many drugs used by them such as antipsychotics, antidepressants and anxiolytics can worsen the symptoms. Moreover, the syndrome may be associated with depressive and anxiety diseases.
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              Author and article information

              Journal
              chc
              Cuadernos Hospital de Clínicas
              Cuad. - Hosp. Clín.
              Universidad Mayor de San Andrés, Facultad de Medicina (La Paz, , Bolivia )
              1562-6776
              July 2020
              : 61
              : 1
              : 107-113
              Affiliations
              [01] orgnameIINSAD
              [02] orgnameIINSAD orgdiv1Universidad Mayor De San Andrés
              Article
              S1652-67762020000100009 S1652-6776(20)06100100009
              cf354a78-8c92-4797-a5f4-3af742980907

              This work is licensed under a Creative Commons Attribution 4.0 International License.

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              Figures: 0, Tables: 0, Equations: 0, References: 5, Pages: 7
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              SciELO Bolivia

              Categories
              CASOS CLÍNICOS

              Comorbilidad psiquiátrica,Trastornos del sueño REM,Enfermedad de Willis-Ekbom,Psychiatric comorbidity,REM sleep disorders,Willis-Ekbom disease

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