Slowly Progressive Insulin-dependent Diabetes Mellitus in an Elderly Patient with Graves' Disease
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概要
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We report a case of slowly progressive insulin-dependent diabetes mellitus in an elderly patient with Graves disease. A 69-year-old man presented with apathetic thyrotoxicosis and weight loss. Laboratory findings indicated insulin-dependent diabetes mellitus (IDDM) with Graves disease. Human leukocyte antigens DR4 and DR9, which are recognized as markers for IDDM with autoimmune thyroid disease, were detected. The clinical course of the IDDM was compatible with the slowly progressive type. Onset of this disease during old age is rare, and such cases should be analyzed with a thyroid function test because the symptom of thyrotoxicosis may be masked in the elderly.(Internal Medicine 39: 943-946, 2000)
- 社団法人 日本内科学会の論文
著者
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Sakai Toshimitsu
The Choshi City General Hospital
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HORIE Takashi
the First Department of Internal Medicine, Nihon University School of Medicine
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SAITOH Takashi
the Choshi City General Hospital
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AKAMINE Naoki
the Choshi City General Hospital
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SERIZAWA Shigemoto
the Choshi City General Hospital
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TOHNO Hiroya
the Choshi City General Hospital
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Horie Takashi
The First Department Of Internal Medicine Nihon University School Of Medicine
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