Orem J, Mpanga L, Habyara E, Nambuya A M, Otim M A
Department of Medicine, Mulago Hospital, Kampala, Uganda.
East Afr Med J. 1997 Nov;74(11):740-2.
A case of renal glycosuria is reported. A 55 year old female was diagnosed and treated in an upcountry hospital for diabetes mellitus. She developed symptoms of hypoglycaemia while on an oral hypoglycaemic agent, leading to her admission in Mulago Hospital. Persistent glycosuria was noted despite treatment and normal serum glucose. Oral glucose tolerance test and timed urine glucose showed a normal curve but high urine sugar. A diagnosis of renal glycosuria was made, oral hypoglycaemic therapy was stopped, patient improved and was discharged. Though renal glycosuria is a benign condition, mistaken diagnosis for diabetes mellitus puts patients at risk of hypoglycaemia due to treatment. Diagnosis of the condition requires physicians' awareness of its existence in our community and the use of Marbles' criteria obviates confusion with diabetes mellitus though it does not absolutely exclude Fanconi syndrome.
报告了一例肾性糖尿病例。一名55岁女性在内地医院被诊断为糖尿病并接受治疗。她在服用口服降糖药时出现低血糖症状，随后入住穆拉戈医院。尽管进行了治疗且血清葡萄糖正常，但仍持续存在糖尿。口服葡萄糖耐量试验和定时尿糖显示曲线正常但尿糖高。诊断为肾性糖尿，停止口服降糖治疗，患者病情好转并出院。尽管肾性糖尿是一种良性疾病，但误诊为糖尿病会使患者因治疗而有发生低血糖的风险。对这种疾病的诊断需要医生了解其在我们社区的存在情况，使用马布尔斯标准可避免与糖尿病混淆，尽管它并不能绝对排除范科尼综合征。
