Diabetic ketoacidosis in a patient with acromegaly, a case report

Akha, O and Rajabian, R and Aboutorabi, R.B and Teymouri, S.S (2007) Diabetic ketoacidosis in a patient with acromegaly, a case report. Journal of Mazandaran University of Medical Sciences, 17 (57). pp. 99-102.

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Official URL: http://jmums.mazums.ac.ir/article-1-204-en.html


Although impaired glucose tolerance affects 36 and overt diabetes mellitus can be seen in 30 of cases with acromegaly, diabetic ketoacidosis is rarely reported in patients with this disease. We present an unusual complication of acromegaly: a 22 year old woman with amenorrhea (6 month ago) and blurred vision of left eye (4 month ago) referred to Ghaem neurology clinic in Mashhad. With a growth hormone (GH) level of =100ng/ml, Insulin like growth factor-1 (IGF-1) =1560 ng/ml and pituitary macro adenoma in magnetic resonance imaging (MRI), she was candidated for surgery. A few hours before surgery she had dyspnea, loss of consciousness, fever and with blood sugar (BS) =500 mg/ml, Hco3=2.4, PH=7.06 and keton in urine. Diabetic ketoacidosis was diagnosed. The patient was treated with high dose of insulin (500 IU/day) and hydration. After octerotide administration the need for insulin decreased and after pituitary adenectomy, there was no need for insulin therapy and the patient was discharged on metformin (one tablet per day).

Item Type: Article
Uncontrolled Keywords: Diabetic ketoacidosis, acromegaly, diabetes mellitus
Depositing User: Unnamed user with email eprints@mazums.ac.ir
Date Deposited: 04 Jan 2018 17:41
Last Modified: 04 Jan 2018 17:41
URI: http://eprints.mazums.ac.ir/id/eprint/3172

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