Hemiballism in nonketotic hyperosmolar hyperglycemic syndrome

Diabetic ketoacidosis and hyperglycemic hyperosmolar nonketotic syndrome.

Diabetic ketoacidosis (DKA) and hyperglycemic hyperosmolar nonketotic syndrome (HHNS) are life-threatening acute metabolic complications of diabetes mellitus. Although there are some important differences, the pathophysiology, the presenting clinical challenge, and the treatment of these metabolic derangements are similar. Each of these complications can be seen in type 1 or type 2 diabetes, al...

A Case of Paraneoplastic Cushing Syndrome Presenting as Hyperglycemic Hyperosmolar Nonketotic Syndrome

Carcinoid tumors are neuroendocrine tumors that mainly arise in the gastrointestinal tract, lungs, and bronchi. Bronchopulmonary carcinoids have been associated with Cushing syndrome, which results from ectopic adrenocorticotrophic hormone (ACTH) secretion. We report the case of a 65-year-old man, a colonel in the US Air Force, with metastatic bronchopulmonary carcinoid tumors treated on a clin...

Diabetic Ketoacidosis and Hyperosmolar Hyperglycemic Syndrome

(a) History: Most patients with diabetic ketoacidosis (DKA) or with hyperosmolar hyperglycemic state (HHS) will have a history of diabetes, and a history of altered insulin dose, infection, signifi cant medical “stress”. Antecedent symptoms of polyuria and polydipsia, lassitude, blurred vision, and mental status changes may predominate the clinical picture. With DKA, abdominal pain and tachypne...

Diabetic Ketoacidosis and Hyperglycemic Hyperosmolar Syndrome

Hyperglycemic hyperosmolar nonketotic syndrome with rhabdomyolysis in a patient with newly-onset diabetes: one case report and literature review

Hyperglycemic hyperosmolar nonketotic syndrome (HHNS) is one of the most severe acute complications of diabetes. The hallmark of HHNS is profound dehydration, marked hyperglycemia, and often some degree of neurologic impairment with mild or no ketosis [1]. Rhabdomyolysis is an unusual but underestimated complication of HHNS [2]. HHNS accompanied with rhabdomyolysis in diabetic patients was repo...