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Sang Youl Rhee, Suk Chon, Gwan Pyo Koh, Seung Joon Oh, Jeong Taek Woo, Jin Woo Kim, Young Seol Kim |
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서울의대 내과 |
| 증례 : 전격성 제1형 당뇨병 1예 (Case Reports : A case of fulminant type 1 diabetes mellitus) |
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이상열, 전숙, 고관표, 오승준, 우정택, 김진우, 김영설 |
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| Abstract |
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A novel subtype of type 1B diabetes with rapid onset and no evidence of autoimmunity has been
recently proposed as fulminant type 1 diabetes. The pathogenesis of fulminant type 1 diabetes has not
been fully understood. We report a case of fulminant type 1 diabetes with diabetic ketoacidosis.
A 31-year-old male was referred to our hospital because of high plasma glucose level and
acidosis. Laboratory findings were rendering a diagnostic picture of diabetic ketoacidosis with acute
renal insufficiency. While there was high plasma glucose, normal HbA1c and other laboratory
findings suggested a very recent onset of diabetes mellitus. A test to detect antibodies to islet cell
antigen IA-2 was negative, but those of glutamic acid decarboxylase (GAD) was weakly positive.
The patient successfully recovered without any serious complication after fluid and insulin based
management.(Korean J Med 70:342-346, 2006)
Key Words : Diabetes mellitus, Type 1 |
| Key Words:
Diabetes mellitus, Type 1 |
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