Aung Nay Linn, Vakani Vishal, Wassel Mario
Family Medicine Residency/Primary Care Diabetology, Mohawk Valley Health System, Utica, USA.
Hospital Medicine, Mohawk Valley Health System, Utica, USA.
Cureus. 2022 Apr 28;14(4):e24560. doi: 10.7759/cureus.24560. eCollection 2022 Apr.
We present the case of a 70-year-old Caucasian female who presented to the emergency department with acute pancreatitis and ketoacidosis. An extensive workup for ketoacidosis showed that the patient had hyperglycemic ketoacidosis with findings similar to diabetic ketoacidosis (DKA). However, the patient did not have a history of diabetes, and no diagnosis of diabetes could be made on the current admission as well. Ketoacidosis was determined to be induced by acute hyperglycemia secondary to pancreatitis, which suppresses insulin secretion transiently. It is important to note that DKA can be seen in patients with different types of diabetes and is not just limited to type 1 diabetes.
我们报告一例70岁的白种女性患者，她因急性胰腺炎和酮症酸中毒就诊于急诊科。针对酮症酸中毒进行的全面检查显示，该患者患有高血糖性酮症酸中毒，其表现与糖尿病酮症酸中毒（DKA）相似。然而，该患者既往无糖尿病史，此次入院也无法确诊糖尿病。酮症酸中毒被确定为由胰腺炎继发的急性高血糖所致，胰腺炎会短暂抑制胰岛素分泌。需要注意的是，DKA可见于不同类型糖尿病的患者，并非仅局限于1型糖尿病。
