<?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>1561-3194</journal-id>
<journal-title><![CDATA[Revista de Ciencias Médicas de Pinar del Río]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Ciencias Médicas]]></abbrev-journal-title>
<issn>1561-3194</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1561-31942022000500017</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Sangramiento uterino excesivo en adolescentes con diabetes mellitus]]></article-title>
<article-title xml:lang="en"><![CDATA[Excessive uterine bleeding in adolescents with diabetes mellitus]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Moreno-González]]></surname>
<given-names><![CDATA[Iraisy]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cabrera-Gámez]]></surname>
<given-names><![CDATA[Maité]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Campo-Díaz]]></surname>
<given-names><![CDATA[Mirta Caridad]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de Pinar del Río Hospital Municipal Augusto César Sandino ]]></institution>
<addr-line><![CDATA[Pinar del Río ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Nacional de Endocrinología Facultad de Ciencias Médicas Manuel Piti Fajardo, ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad de Ciencias Médicas de Pinar del Río Hospital Provincial Pediátrico Pepe Portilla ]]></institution>
<addr-line><![CDATA[Pinar del Río ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>10</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>10</month>
<year>2022</year>
</pub-date>
<volume>26</volume>
<numero>5</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1561-31942022000500017&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1561-31942022000500017&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1561-31942022000500017&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  las alteraciones del ciclo menstrual son frecuentes en adolescentes con diabetes, la oligomenorrea y amenorrea son las más observadas, mientras que el sangramiento uterino excesivo no es frecuente en estas pacientes. El sangramiento uterino excesivo puede obedecer a múltiples causas, con una repercusión biológica y social que representa una preocupación para familiares y profesionales.  Objetivo:  actualizar la temática de las alteraciones en la sangre que pueden ser causa y/o aparecer como consecuencia del sangramiento uterino excesivo, así como el tratamiento en adolescentes con diabetes mellitus.  Métodos:  se realizó una revisión bibliográfica actualizada, nacional e internacional para la confección de un documento que recoja las alteraciones hematológicas que pueden estar asociadas en adolescentes con diabetes y sangramiento uterino excesivo, así como el manejo integral. La revisión quedó estructurada por acápites según lo obtenido como parte de la investigación realizada.  Desarrollo:  el sangramiento uterino excesivo en pacientes con diabetes puede ser causado por diversos trastornos hematológicos en particular las diátesis hemorrágicas, la anemia es su principal consecuencia, lo que implica que la evaluación diagnóstica debe tener en cuenta ambas enfermedades al enfrentar este problema. La conducta terapéutica, si bien no difiere de lo indicado para las pacientes no diabéticas, siempre necesita de algunas consideraciones particulares.  Conclusiones:  el sangramiento uterino excesivo es menos frecuente en adolescentes diabéticas que en las que no lo son y su principal consecuencia hematológica es la anemia. El tratamiento no difiere de las no diabéticas, excepto la necesidad de un adecuado control metabólico de la enfermedad de base.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ ABSTRACT  Introduction:  menstrual cycle alterations are frequent in adolescents with diabetes, being oligomenorrhea and amenorrhea the most observed, while excessive uterine bleeding is not frequent in these patients. Excessive uterine bleeding may be due to multiple causes, with biological and social repercussions that represent a concern for family members and professionals.  Objective:  to update the subject of blood alterations that may be the cause and/or appear as a consequence of excessive uterine bleeding, as well as the treatment in adolescents with diabetes mellitus.  Methods:  an updated national and international bibliographic review was carried out to prepare a document that includes the hematological alterations that may be associated in adolescents with diabetes and excessive uterine bleeding, as well as the integral management. The review was structured by sections according to what was obtained as part of the research carried out.  Development:  excessive uterine bleeding in patients with diabetes can be caused by various hematological disorders, particularly hemorrhagic diathesis, with anemia being its main consequence, which implies that the diagnostic evaluation should take into account both diseases when facing this problem. The therapeutic conduct, although it does not differ from that indicated for non-diabetic patients, always requires some particular considerations.  Conclusions:  excessive uterine bleeding is less frequent in diabetic adolescents than in non-diabetic adolescents and its main hematological consequence is anemia. Treatment does not differ from that of non-diabetics, except for the need for adequate metabolic control of the underlying disease.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[TRASTORNOS MENSTRUALES]]></kwd>
<kwd lng="es"><![CDATA[HEMORRAGIA UTERINA]]></kwd>
<kwd lng="es"><![CDATA[ADOLESCENCIA]]></kwd>
<kwd lng="es"><![CDATA[DIABETES MELLITUS]]></kwd>
<kwd lng="es"><![CDATA[ANTICONCEPCIÓN]]></kwd>
<kwd lng="en"><![CDATA[MENSTRUATION DISTURBANCES]]></kwd>
<kwd lng="en"><![CDATA[UTERINE HEMORRHAGE]]></kwd>
<kwd lng="en"><![CDATA[ADOLESCENT]]></kwd>
<kwd lng="en"><![CDATA[DIABETES MELLITUS]]></kwd>
<kwd lng="en"><![CDATA[CONTRACEPTION]]></kwd>
</kwd-group>
</article-meta>
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