Olsen E M, Krabbe S
Centralsygehuset i Naestved, paediatrisk afdeling.
Ugeskr Laeger. 2001 Oct 1;163(40):5542-3.
A 14-year-old girl presented with cataract as an initial sign of IDDM. Before the diagnosis of DM, she showed no acute symptoms, including ketoacidosis. Retrospectively, there had been faint signs of polyuria, polydipsia, and nycturia. Diabetic cataract is a rare complication in young diabetics and is usually associated with long-standing DM and poor metabolic control. Previous cases have a striking resemblance to our patient, thus suggesting that a small group of young diabetics have weak symptoms, but are nevertheless at great risk of developing diabetic complications.
一名14岁女孩以白内障作为胰岛素依赖型糖尿病(IDDM)的首发症状就诊。在糖尿病确诊之前,她没有出现包括酮症酸中毒在内的急性症状。回顾性分析发现,此前已有多尿、烦渴和夜尿的轻微症状。糖尿病性白内障在年轻糖尿病患者中是一种罕见的并发症,通常与病程较长的糖尿病及代谢控制不佳有关。既往病例与我们的患者有显著相似之处,这表明一小部分年轻糖尿病患者症状轻微,但仍有发生糖尿病并发症的巨大风险。