Diabetıc Hyperosmolar Nonketotic Coma Induced by Central Diabetes Insipidus
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چکیده
Hyperosmolar hyperglisemic nonketotic coma (HONKC) is a rare but fatal complication of type 2 diabetes mellitus (DM) [1]. The most frequent precipitating factor is infections. Other precipitating factors are undiagnosed DM, drugs like corticosteroids and thiazide diuretics, diseases causing contregulatory hormon increase and poor compliance with diabetic medications [2]. Furthermore, polyuric dehydration caused by diabetes insipidus (DI) can lead to HONKC. In literature there are cases both caused by nephrogenic and central DI (CDI) [3-11].
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