Our alternative hypothesis proposes environmentally (e.g., viral or toxin) induced initial autoimmune β-cell damage with progressively declining ability to meet the increased insulin demands of obesity-related insulin resistance and consequent presentation of clinical diabetes with less severe β-cell loss and fewer β-cell autoantibodies at onset (19, 20).
In conclusion, this case confirms that sarcoidosis is a pathology characterized by a wide variability of clinical presentation, tissues involvement and evolution, since our patient presented an isolated hepatosplenic localization at onset with a consequent atypical lung involvement, and finally, during an apparent recovery stage, she presented a plausible inflammatory bowel disease.
The introduction we read definitely suggested an information revolution, and a consequent shifting social structure.
Increased public awareness of the disease along with more willingness to report symptoms to the family doctor may be a significant factor, with consequent earlier presentation of cases.
So here we have a predicate, a consequent, and an alternative.
Rough equality, a tendency to want what others also want, and a consequent state of war.
And there's a consequent, which is the thing you do if the predicate is true.
There has been a consequent surge in botched operations, with some patients sustaining irreparable damage.
"We were experiencing a drop in students and a consequent drop in faculty members.
Social mobility is blocked, and there is a consequent waste of human capabilities.
Tardigrades evolved toward small size, with a consequent simplification of body organization.
