糖尿病酮症酸中毒的一个“日益常见的病因”
A "growing cause" of diabetic ketoacidosis.
作者信息
Waterhouse Mona, Sabin Ian, Plowman Nick, Akker Scott, Chowdhury Tahseen A
机构信息
The Royal London Hospital, Diabetes and Metabolism, Whitechapel, London E1 1BB, UK.
出版信息
BMJ Case Rep. 2009;2009. doi: 10.1136/bcr.11.2008.1226. Epub 2009 Apr 3.
The progress of a young woman presenting with diabetic ketoacidosis is described. She was managed as for a new presentation of type 1 diabetes, but was subsequently diagnosed with acromegaly due to a large pituitary tumour. Following treatment for this, and relative normalisation of growth hormone levels, she was able to stop insulin completely. Subsequently, an oral glucose tolerance test showed no evidence of abnormal glucose tolerance and she remains non-diabetic.
描述了一名患有糖尿病酮症酸中毒的年轻女性的病情进展。她最初按照1型糖尿病新发病例进行治疗，但随后因垂体大腺瘤被诊断为肢端肥大症。对此进行治疗并使生长激素水平相对正常化后，她能够完全停用胰岛素。随后，口服葡萄糖耐量试验显示没有糖耐量异常的证据，她仍未患糖尿病。
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