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Original Article
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Korean J Med. 2006;70(3):342-346.
- 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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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
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- 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
