Diabetic ketosis as a presenting feature of acromegaly.
نویسندگان
چکیده
Secondary diabetes mellitus is known to occur in acromegaly due to insulin resistance caused by growth hormone excess. However diabetes in acromegaly usually does not lead to ketosis. We describe here a case of acromegaly who presented in diabetes ketosis, which is unusual.
منابع مشابه
Acromegaly presenting with diabetic ketoacidosis.
Diabetes in acromegaly is usually non-insulin dependent and is secondary to insulin resistance caused by growth hormone excess. Diabetic ketoacidosis is a result of relative insulin deficiency and is a rare feature of acromegaly. We describe a case of acromegaly presenting with diabetic ketoacidosis. We demonstrate that growth hormone excess can cause diabetic ketoacidosis in the presence of re...
متن کاملKetoacidosis as the initial clinical condition in nine patients with acromegaly: a review of 860 cases at a single institute.
OBJECTIVE Excess GH causes insulin resistance and impaired glucose metabolism. The objective of this study was to clarify the prevalence of ketoacidosis as the initial presenting symptom of acromegaly. DESIGN AND METHODS Data were collected from 860 patients with acromegaly who underwent pituitary surgery at Toranomon Hospital over the last 32 years, between 1980 and 2011. RESULTS Nine case...
متن کاملDiabetic ketoacidosis as the presenting manifestation of pancreatic adenocarcinoma with cystic features
The common presenting symptoms of pancreatic cancer are abdominal pain, weight loss, and jaundice. Pancreatic adenocarcinoma presenting with diabetic ketoacidosis is a very rare emergent clinical condition. However, pancreatic ductal cystadenocarcinoma presenting with diabetic ketoacidosis was not reported. We describe a 60-year-old man with pancreatic cystadenocarcinoma presenting with diabeti...
متن کاملSevere hyperkalaemia in association with diabetic ketoacidosis in a patient presenting with severe generalized muscle weakness.
Diabetic ketoacidosis (DKA) is an acute, life-threatening metabolic complication of diabetes mellitus. Hyperglycaemia, ketosis (ketonaemia or ketonuria) and acidosis are the cardinal features of DKA [1]. Other features that indicate the severity of DKA include volume depletion, acidosis and concurrent electrolyte disturbances, especially abnormalities of potassium homeostasis [1,2]. We describe...
متن کاملJuvenile diabetes mellitus masquerading as disseminated candidiasis.
Junvenile diabetes mellitus may present acutely as diabetic ketoacidosis or with a chronic history of polyuria, polydipsia and polyphagia. Uncommon presentations include unexplained fever and weight loss, abdominal pain and secondary enuresis. Pyogenic skin infections and monilial vaginitis in teenage girls and adults may be present at the time of diagnosis but are rarely the sole presenting fe...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- The Journal of the Association of Physicians of India
دوره 55 شماره
صفحات -
تاریخ انتشار 2007