000			01936nam a2200313 4500
001			ESSALUD
005			20260902162130.0
007			ta
008			t pe ||||| |||| 00| 0 spa d
040			_aBMG
041			_aeng
100			_aZiperstein, Joshua C. _954484
245			_aCase 14-2026: A 50-year-old woman with vaginal bleeding and anemia
300			_apáginas: 1940-1951
520			_aA 50-year-old woman was admitted to this hospital because of vaginal bleeding and anemia. The patient had been in her usual state of health, with leg edema that was attributed to chronic venous insufficiency, until 6 months before the current presentation, when increased swelling and new weakness developed in the legs. Before the onset of these symptoms, she had been physically active. She first noted that her legs felt more tired and sore than usual after normal physical activity, and the symptoms were accompanied by increased swelling and a feeling of heaviness in the legs. Over the course of the next 2 months, the leg weakness progressed to the point that she was unable to rise from a seated position or climb stairs. The patient also noted that her arms felt heavy, and she had difficulty reaching and holding them above her head. During this time, she had intermittent fever that resolved with the use of acetaminophen.
650			_aALERGIA _97055
650			_aINMUNOLOGÍA GENERAL _953664
650			_aANEMIA _97417
650			_aREUMATOLOGÍA GENERAL _954450
650			_aENFERMEDAD GLOMERULAR _954474
650			_aHEMATOLOGÍA _97422
650			_aONCOLOGÍA GENERAL _954224
700			_aBarnawi, Rashid A. _954485
700			_aAl-Samkari, Hanny _954486
700			_aBolster, Marcy B. _954487
700			_aHeusinkveld, Lauren E. _954488
773	0		_022717 _922669 _dMassachusetts NEJM Group _oNEJM014 _tThe New England Journal of Medicine _wESSALUD _x0028-4793
942			_cARTICULOS _e2026-08-31 _zsqb
999			_c22906 _d22906