Lwo F S, Lee Y J
Department of Pediatrics, Mackay Memorial Hospital, Taipei, Taiwan, ROC.
J Formos Med Assoc. 1995 Aug;94(8):509-11.
A 10-year-old boy had poorly-controlled diabetes for one year. He experienced weight gain and pitting edema in both lower legs and the scrotum 5 days after initiation of insulin therapy for diabetic ketoacidosis. The diagnostic work-up for this patient revealed no evidence of cardiovascular, renal, or hepatic disease. Thiazide was prescribed, but the patient did not take it. Because of family problems, he discontinued insulin therapy and the edema subsided within 2 to 4 days. This case illustrates that the possibility of localized or generalized edema should be considered during the introduction of insulin therapy in poorly-controlled diabetes.
一名10岁男孩患糖尿病且控制不佳已有一年。在因糖尿病酮症酸中毒开始胰岛素治疗5天后，他出现体重增加以及双侧小腿和阴囊凹陷性水肿。对该患者的诊断检查未发现心血管、肾脏或肝脏疾病的证据。曾开具噻嗪类药物，但患者未服用。由于家庭问题，他停止了胰岛素治疗，水肿在2至4天内消退。该病例表明，在对控制不佳的糖尿病患者开始胰岛素治疗时，应考虑出现局部或全身性水肿的可能性。
