Student, DNB Medicine; Corresponding Author.
DrNB Endocrinology Student, DNB Medicine.
J Assoc Physicians India. 2023 May;71(5):11-12. doi: 10.5005/japi-11001-0227.
We describe the case of a patient who came with features suggestive of diabetic ketoacidosis. On further evaluation of DKA, we found that it was caused by acute pancreatitis. This acute pancreatitis was found to be caused by hypercalcemia, which was in turn due to primary hyperparathyroidism. Imaging studies done for hyperparathyroidism revealed a thyroid nodule which later turned out to be malignant. This patient was also incidentally found to have hypertrophic obstructive cardiomyopathy.
我们描述了一位具有糖尿病酮症酸中毒特征的患者。进一步评估 DKA 后，我们发现其是由急性胰腺炎引起的。这种急性胰腺炎是由高钙血症引起的，而高钙血症又是原发性甲状旁腺功能亢进引起的。为甲状旁腺功能亢进症做的影像学研究显示甲状腺有一个结节，后来证实是恶性的。该患者还意外地被发现患有肥厚型梗阻性心肌病。
