<?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>0120-0011</journal-id>
<journal-title><![CDATA[Revista de la Facultad de Medicina]]></journal-title>
<abbrev-journal-title><![CDATA[rev.fac.med.]]></abbrev-journal-title>
<issn>0120-0011</issn>
<publisher>
<publisher-name><![CDATA[Universidad Nacional de Colombia]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0120-00112016000300565</article-id>
<article-id pub-id-type="doi">10.15446/revfacmed.v64n3.53769</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Case report: sleep alterations associated with hypothyroidism]]></article-title>
<article-title xml:lang="es"><![CDATA[Reporte de un caso de alteraciones en el sueño asociadas a hipotiroidismo]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Chica-Urzola]]></surname>
<given-names><![CDATA[Heydy Luz]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Nacional de Medicina Legal y Ciencias Forenses  ]]></institution>
<addr-line><![CDATA[Armenia ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Clínica Montserrat Instituto Colombiano del Sistema Nervioso ]]></institution>
<addr-line><![CDATA[Bogotá D.C]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2016</year>
</pub-date>
<volume>64</volume>
<numero>3</numero>
<fpage>565</fpage>
<lpage>569</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0120-00112016000300565&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0120-00112016000300565&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0120-00112016000300565&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract This paper presents a case report of a perimenopausal woman who repeatedly attended health care institutions due to chronic insomnia, and underwent pharmacological treatments and psychiatric hospitalizations without achieving any positive result for nearly three years. After compiling all the information of the case, as well as analyzing previous and recent paraclinical studies, the patient was diagnosed with hypothyroidism. The purpose of this paper is to draw attention on the adequate use of clinical diagnostic tools and processes to optimize the medical practice and to offer a better service to patients.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen Se presenta el caso de una mujer adulta perimenopáusica quien consultó múltiples veces al sistema de salud por presentar insomnio crónico y, durante cerca de tres años, recibió tratamientos médicos farmacológicos e incluso hospitalizaciones psiquiátricas sin lograr mejoría. Tras la integración de la información de la cual se dispuso, así como la toma y revisión de paraclínicos previos, se documentó hipotiroidismo. En este estudio se intenta hacer un llamado a la utilización de las herramientas clínicas y a la implementación de adecuados procesos diagnósticos con el fin de optimizar la práctica médica y ofrecer un mejor servicio a los pacientes.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Sleep Disorders]]></kwd>
<kwd lng="en"><![CDATA[Hypothyroidism]]></kwd>
<kwd lng="en"><![CDATA[Diagnosis]]></kwd>
<kwd lng="en"><![CDATA[Sleep Iniciation and Maintenance Disorders (MeSH).]]></kwd>
<kwd lng="es"><![CDATA[Trastornos del sueño]]></kwd>
<kwd lng="es"><![CDATA[Hipotiroidismo]]></kwd>
<kwd lng="es"><![CDATA[Diagnóstico]]></kwd>
<kwd lng="es"><![CDATA[Trastornos del inicio y del mantenimiento del sueño (DeCS).]]></kwd>
</kwd-group>
</article-meta>
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