malnutrition-related diabetes mellitus in southern iran
نویسندگان
چکیده
malnutrition-related diabetes mellitus (mrdm) is a major form of secondary diabetes, restricted to tropical developing countries. we studied 200 cases of diabetes mellitus aged 6-18 years in fars province to find the prevalence of mrdm. there were 14 cases who had clinical and laboratory findings compatible with mrdm. the mean age at presentation was 8.6±3 years, with a male to female ratio of3:4. moderate to severe malnutrition was noted in 92.9% of the subjects. insulin requirement was more than 2 u/kg/day in 85.7% of the patients. 57.2 % of the patients were from poor socioeconomical class (income less than 200,000 rials per month and a family size>7 members). recurrent abdominal pain, painless bilateral parotid swelling, lower extremity edema, ascites, retinopathy and renal failure were observed in 50%, 21.4%,35.7%, 14.3%, and 7.1 % of the cases, respectively. an abnormal pancreatic ultrasonography was noted in 35.7% of the subjects. ketoacidosis, regardless of other findings , was seen in 42 % of the patients. malabsorption, chronic diarrhea and pancreatic calcifications were not observed. finally, the prevalence of malnutrition-related diabetes mellitus was 7% in the diabetic population of fars province.
منابع مشابه
MALNUTRITION-RELATED DIABETES MELLITUS IN SOUTHERN IRAN
Malnutrition-related diabetes mellitus (MRDM) is a major form of secondary diabetes, restricted to tropical developing countries. We studied 200 cases of diabetes mellitus aged 6-18 years in Fars Province to find the prevalence of MRDM. There were 14 cases who had clinical and laboratory findings compatible with MRDM. The mean age at presentation was 8.6±3 years, with a male to female ratio...
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عنوان ژورنال:
medical journal of islamic republic of iranجلد ۱۳، شماره ۴، صفحات ۲۶۱-۲۶۳
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