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The Korean Journal of Medicine 2006;70(3): 342-346.
증례 : 전격성 제1형 당뇨병 1예 (Case Reports : A case of fulminant type 1 diabetes mellitus)
이상열, 전숙, 고관표, 오승준, 우정택, 김진우, 김영설
Sang Youl Rhee, Suk Chon, Gwan Pyo Koh, Seung Joon Oh, Jeong Taek Woo, Jin Woo Kim, Young Seol Kim
서울의대 내과
ABSTRACT
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
Keywords: Diabetes mellitus, Type 1
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