<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1816-8949</journal-id>
<journal-title><![CDATA[Anales de la Facultad de Ciencias Médicas (Asunción)]]></journal-title>
<abbrev-journal-title><![CDATA[An. Fac. Cienc. Méd. (Asunción)]]></abbrev-journal-title>
<issn>1816-8949</issn>
<publisher>
<publisher-name><![CDATA[EFACIM. Editorial de la Facultad de Ciencias Médicas - Universidad Nacional de Asunción]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1816-89492019000200059</article-id>
<article-id pub-id-type="doi">10.18004/anales/2019.052(02)59-064</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Insuficiencia suprarrenal en paciente con dificultad respiratoria y úlceras en miembros inferiores]]></article-title>
<article-title xml:lang="en"><![CDATA[Suprarrenal insufficiency in patient with respiratory difficulty and ulcers in lower members]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Aldama Caballero]]></surname>
<given-names><![CDATA[Arnaldo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Centurión Medina]]></surname>
<given-names><![CDATA[Ingrid]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fornerón Viera]]></surname>
<given-names><![CDATA[Laura]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Ministerio de Salud Pública y Bienestar Social Hospital Nacional Itaugua Servicio de Dermatología]]></institution>
<addr-line><![CDATA[Itaugua ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2019</year>
</pub-date>
<volume>52</volume>
<numero>2</numero>
<fpage>59</fpage>
<lpage>64</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S1816-89492019000200059&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S1816-89492019000200059&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S1816-89492019000200059&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN La Insuficiencia Suprarrenal es un cuadro grave que presenta numerosas manifestaciones clínicas secundarias a la depresión de la producción hormonal de dicha glándula. Las causas son varias e incluso depende de las regiones y épocas. En América Latina se debe considerar al Paracoccidioides como probable causa. Presentamos el caso de un hombre campesino, ingresado al Hospital por Insuficiencia Suprarrenal, con dificultad respiratoria y lesiones ulcerosas en piernas debidas a paracoccidioidomicosis, que también fue la causa del trastorno respiratorio y posiblemente suprarrenal.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Adrenal insufficiency is a serious condition that presents numerous clinical manifestations secondary to the depression of the hormonal production of said gland. The causes are several and even depend on the regions and times. In Latin America, Paracoccidioides must be considered as a probable cause. We present the case of a peasant man, admitted to the Hospital for Adrenal Insufficiency, with respiratory distress and ulcerous leg injuries due to paracoccidioidomycosis, which was also the cause of the respiratory and possibly adrenal disorder.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Insuficiencia suprarrenal]]></kwd>
<kwd lng="es"><![CDATA[Enfermedad de Addison]]></kwd>
<kwd lng="es"><![CDATA[paracoccidioidomicosis.]]></kwd>
<kwd lng="en"><![CDATA[Adrenal insufficiency]]></kwd>
<kwd lng="en"><![CDATA[Addison's disease]]></kwd>
<kwd lng="en"><![CDATA[paracoccidioidomycosis.]]></kwd>
</kwd-group>
</article-meta>
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