误导性表现：胸痛掩盖了可能由恩格列净诱发的正常血糖性糖尿病酮症酸中毒。
Misleading Presentation: Chest Pain Masking Euglycemic Diabetic Ketoacidosis Possibly Induced by Empagliflozin.
作者信息
Tiwari Kripa, Sharma Nava R, Pokhrel Madalasa, Basnet Arjun, Kaplan Michael
机构信息
Internal Medicine, Maimonides Medical Center, Brooklyn, USA.
Medicine, Manipal College of Medical Science, Pokhara, NPL.
出版信息
Cureus. 2023 Nov 25;15(11):e49402. doi: 10.7759/cureus.49402. eCollection 2023 Nov.
Diabetic ketoacidosis (DKA) is a life-threatening metabolic emergency traditionally associated with Type 1 diabetes but is increasingly recognized in Type 2 diabetes, particularly with the use of sodium-glucose cotransporter-2 (SGLT-2) inhibitors. Euglycemic DKA, characterized by near-normal blood glucose levels, is a distinct variant that has gained attention. This case report highlights a unique presentation of euglycemic DKA in a 56-year-old female with a past medical history of Type 2 Diabetes Mellitus who presented to the emergency department with a one-week history of chest pain.
糖尿病酮症酸中毒（DKA）是一种危及生命的代谢急症，传统上与1型糖尿病相关，但在2型糖尿病中越来越多地被认识到，尤其是在使用钠-葡萄糖协同转运蛋白2（SGLT-2）抑制剂的情况下。血糖正常的DKA以血糖水平接近正常为特征，是一种已受到关注的独特变体。本病例报告强调了一名56岁女性出现血糖正常的DKA的独特表现，该女性有2型糖尿病病史，因胸痛一周就诊于急诊科。
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